PlusBay.Plus
,Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
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Chapter 1. Examination and Diagnosis of the Psychiatric Patient
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Multiple Choice t 7 t 7
Identify the choice that best completes the statement or answers the
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1. A nurse is assessing a client who is experiencing occasional f t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
ee lings of sadness because of the recent death of a beloved pet. The client’s appe
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
ti te, sle ep patterns, and daily routine have not changed. How
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should the nurse inter pret the client’s behaviors?
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The client’s behaviors demonstrate mental illne
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1.
ss in the form of depression.
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The client’s behaviors are extensive, which ind
2.
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i cates the presence of mental illness.
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The client’s behaviors are not congruent with
3.
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7c ultural norms.
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The client’s behaviors demonstrate no functio n
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4. al impairment, indicating no mental
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illness.
2. At what point should the nurse determine that a client is at ri t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t 7
sk for developing a mental illness?
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When thoughts, feelings, and behavior t 7 t 7 t 7 t 7
1.
s a re t 7 t7
not reflective of the DSM-5 criteria. t 7 t 7 t 7 t 7 t 7
When maladaptive responses to stress are coupl t7 t7 t7 t7 t7 t7 t7
2. ed with interference in daily t7 t7 t7 t7
functioning.
When a client communicates significant t 7 t 7 t 7 t 7
3.
distress.
When a client uses defense mechanis t 7 t 7 t 7 t 7 t 7
4.
ms a s t 7 t7
ego protection. t 7
3. A nurse is assessing a set of 15-year- t7 t7 t7 t7 t7 t7 t 7
old identical twins who respond very differently to stress. One twin becomes anxi o
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u s and irritable, and the other withdraws and cries. How should the nurse expl a
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in the se different stress responses to the parents?
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Reactions to stress are relative rather than absol t7 t7 t7 t7 t7 t7 t7 t7
1. ute; individual responses to stress t7 t7 t7 t7
vary.
PlusBay.Plus
, It is abnormal for identical twins to react diffe
2.
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re ntly to similar stressors.
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Identical twins should share the same tempera t7 t7 t7 t7 t7 t7 t7
3.
m ent and respond similarly to stress.
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Environmental influences to stress weigh mo
4.
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re heavily than genetic influences.
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4. Which client should the nurse anticipate to be mo t7 t7 t7 t7 t7 t7 t7 t7 t7
st receptive to psychiatric treatment?
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1. A Jewish, female social worker. t7 t7t7 t7t7 t 7
2. A Baptist, homeless male. t7 t 7 t 7
3. A Catholic, black male. t7 t 7 t7 t7
4. A Protestant, Swedish business executive t7 t 7 t 7 t 7 t7t7
.
5. A psychiatric nurse intern states, “This client’s use of defen
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se mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s
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state ment? t7
Defense mechanisms can be appropriate respon s t7 t7 t7 t7 t7 t7
1. es to stress and need not be t7 t7 t7 t7 t7 t7
eliminated.
Defense mechanisms are a maladaptive attem t7 t7 t7 b3 t7 t7
2. pt of the ego to manage anxiety and t7 t7 t7 t7 t7 t7 t7
should always be eliminated. t 7 t 7 t 7
Defense mechanisms, used by individuals wit t7 t7 t7 t7 t7 t7
3. h weak ego integrity, should be t7 t7 t7 t7
discouraged and not eliminated. t7 t7 t 7 t7 t 7
Defense mechanisms cause disintegration of t t7 t7 t7 t7 t7 t7
4. he ego and should be fostered and
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encouraged.
6. During an intake assessment, a nurse asks both physiologict7 t7 t7 t7 t7 t7 t7 t7 t 7
al and psychosocial questions. The client angrily responds, “I’m here for my h
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ear t, no t my head problems.” Which is the nurse’s best response?
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“It is just a routine part of our assessment. All c t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
1. lients are asked these same t7 t7 t7 t 7
questions.”
“Why are you concerned about these types of t7 t7 t7 t7 t7 t7 t7 t
2.
q uestions?” 7 t7
“Psychological factors, like excessive stress, ha t7 t7 t7 t7 t7 t7
3. ve been found to affect medical t7 t7 v# t7 t7
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It i sn
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4. ’t imperative that we complete this
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section.”
7. An employee uses the defense mechanism of displacement w
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7h en the boss openly disagrees with suggestions. What behavior would be ex
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pecte d fro m this employee?
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1. The employee assertively confronts the t7t7 t7 t7 t7 t7 t7t7 t
b 7 t 7
oss.
The employee leaves the staff meeting to w t7 t7 t7 t7 t7 t7 t7 t7
2.
or k out in the gym. t7 t7 t7 t7 t7
3. The employee criticizes a coworker. t 7 t 7 t 7 t 7
4. The employee takes the boss out to t 7 t 7 t 7 t 7 t 7 t 7 t 7
lunch
.
8. A fourth- t7
grade boy teases and makes jokes about a cute girl in his class. This behavior sh
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
oul d be identified by a nurse as indicative of which defense mechanis
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m?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation
9. Which nursing t 7 t 7 statement about the concept of neurosis is most
t 7 t 7 t 7 t 7 t 7 t 7 t 7
accurate?
An individual experiencing neurosis is unawa r
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1. e that he or she is experiencing
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distress.
An individual experiencing neurosis feel
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2.
s h el pless to change his or her situation.
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An individual experiencing neurosis is aware o
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3. f the psychological causes of his or
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her behavior. t 7
An individual experiencing neurosis has a lo
4.
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ss of contact with reality.
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10. Which nursing statement regarding the concept of psychosis is most
PlusBay.Plus
,Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
t 7 t 7 t7 t7 t7 t7 t 7 t7 t 7
Chapter 1. Examination and Diagnosis of the Psychiatric Patient
t7 t7 t7 t 7 t 7 t7 t 7 t 7
Multiple Choice t 7 t 7
Identify the choice that best completes the statement or answers the
t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7 question.
1. A nurse is assessing a client who is experiencing occasional f t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
ee lings of sadness because of the recent death of a beloved pet. The client’s appe
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
ti te, sle ep patterns, and daily routine have not changed. How
t7 t7 t7 t7
should the nurse inter pret the client’s behaviors?
t7 t7 t7 t7 t 7
The client’s behaviors demonstrate mental illne
t7 t7 t7 t7 t7 t
1.
ss in the form of depression.
7 t7 t7 t7 t7 t7
The client’s behaviors are extensive, which ind
2.
t7 t7 t7 t7 t7 t7
i cates the presence of mental illness.
t 7 t7 t7 t7 t7 t7 t7
The client’s behaviors are not congruent with
3.
t7 t7 t7 t7 t7 t7 t
7c ultural norms.
t7 t 7
The client’s behaviors demonstrate no functio n
t7 t7 t7 t7 t7 t7 t7
4. al impairment, indicating no mental
t7 t7 t7 t7
illness.
2. At what point should the nurse determine that a client is at ri t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t 7
sk for developing a mental illness?
t7 t7 t7 t7 t7
When thoughts, feelings, and behavior t 7 t 7 t 7 t 7
1.
s a re t 7 t7
not reflective of the DSM-5 criteria. t 7 t 7 t 7 t 7 t 7
When maladaptive responses to stress are coupl t7 t7 t7 t7 t7 t7 t7
2. ed with interference in daily t7 t7 t7 t7
functioning.
When a client communicates significant t 7 t 7 t 7 t 7
3.
distress.
When a client uses defense mechanis t 7 t 7 t 7 t 7 t 7
4.
ms a s t 7 t7
ego protection. t 7
3. A nurse is assessing a set of 15-year- t7 t7 t7 t7 t7 t7 t 7
old identical twins who respond very differently to stress. One twin becomes anxi o
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
u s and irritable, and the other withdraws and cries. How should the nurse expl a
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
in the se different stress responses to the parents?
t7 t 7 t 7 t 7 t7 t7 t7 t 7 t 7
Reactions to stress are relative rather than absol t7 t7 t7 t7 t7 t7 t7 t7
1. ute; individual responses to stress t7 t7 t7 t7
vary.
PlusBay.Plus
, It is abnormal for identical twins to react diffe
2.
t7 t7 t7 t7 t7 t7 t7 t7 t7
re ntly to similar stressors.
t7 t7 t7 t7
Identical twins should share the same tempera t7 t7 t7 t7 t7 t7 t7
3.
m ent and respond similarly to stress.
t7 t7 t 7 t 7 t 7 t7
Environmental influences to stress weigh mo
4.
t7 t7 t7 t7 t7 t7
re heavily than genetic influences.
t7 t7 t7 t7
4. Which client should the nurse anticipate to be mo t7 t7 t7 t7 t7 t7 t7 t7 t7
st receptive to psychiatric treatment?
t 7 t7 t7 t7
1. A Jewish, female social worker. t7 t7t7 t7t7 t 7
2. A Baptist, homeless male. t7 t 7 t 7
3. A Catholic, black male. t7 t 7 t7 t7
4. A Protestant, Swedish business executive t7 t 7 t 7 t 7 t7t7
.
5. A psychiatric nurse intern states, “This client’s use of defen
t7 t7 t7 t7 t7 t7 t7 t7 t7 t 7
se mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
state ment? t7
Defense mechanisms can be appropriate respon s t7 t7 t7 t7 t7 t7
1. es to stress and need not be t7 t7 t7 t7 t7 t7
eliminated.
Defense mechanisms are a maladaptive attem t7 t7 t7 b3 t7 t7
2. pt of the ego to manage anxiety and t7 t7 t7 t7 t7 t7 t7
should always be eliminated. t 7 t 7 t 7
Defense mechanisms, used by individuals wit t7 t7 t7 t7 t7 t7
3. h weak ego integrity, should be t7 t7 t7 t7
discouraged and not eliminated. t7 t7 t 7 t7 t 7
Defense mechanisms cause disintegration of t t7 t7 t7 t7 t7 t7
4. he ego and should be fostered and
t7 t7 t7 t7 t7 t7
encouraged.
6. During an intake assessment, a nurse asks both physiologict7 t7 t7 t7 t7 t7 t7 t7 t 7
al and psychosocial questions. The client angrily responds, “I’m here for my h
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
ear t, no t my head problems.” Which is the nurse’s best response?
t7 t 7 t 7 t 7 t7 t 7 t 7 t7 t7 t 7 t7 t 7
“It is just a routine part of our assessment. All c t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
1. lients are asked these same t7 t7 t7 t 7
questions.”
“Why are you concerned about these types of t7 t7 t7 t7 t7 t7 t7 t
2.
q uestions?” 7 t7
“Psychological factors, like excessive stress, ha t7 t7 t7 t7 t7 t7
3. ve been found to affect medical t7 t7 v# t7 t7
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It i sn
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
4. ’t imperative that we complete this
t7 t7 t7 t7 t7
section.”
7. An employee uses the defense mechanism of displacement w
t7 t7 t7 t7 t7 t7 t7 t7 t
7h en the boss openly disagrees with suggestions. What behavior would be ex
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
pecte d fro m this employee?
t7 t7 t7 t7 t 7
1. The employee assertively confronts the t7t7 t7 t7 t7 t7 t7t7 t
b 7 t 7
oss.
The employee leaves the staff meeting to w t7 t7 t7 t7 t7 t7 t7 t7
2.
or k out in the gym. t7 t7 t7 t7 t7
3. The employee criticizes a coworker. t 7 t 7 t 7 t 7
4. The employee takes the boss out to t 7 t 7 t 7 t 7 t 7 t 7 t 7
lunch
.
8. A fourth- t7
grade boy teases and makes jokes about a cute girl in his class. This behavior sh
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
oul d be identified by a nurse as indicative of which defense mechanis
t 7 t 7 t7 t7 t 7 t7 t7 t 7 t7 t 7 t 7 t 7 t 7
m?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation
9. Which nursing t 7 t 7 statement about the concept of neurosis is most
t 7 t 7 t 7 t 7 t 7 t 7 t 7
accurate?
An individual experiencing neurosis is unawa r
t7 t7 t7 t7 t7 t7
1. e that he or she is experiencing
t7 t7 t7 t7 t7 t7
distress.
An individual experiencing neurosis feel
t 7 t 7 t 7 t 7
2.
s h el pless to change his or her situation.
t7 t7 t7 t7 t7 t7 t7 t7 t7
An individual experiencing neurosis is aware o
t7 t7 t7 t7 t7 t7
3. f the psychological causes of his or
t7 t7 t7 t7 t7 t7
her behavior. t 7
An individual experiencing neurosis has a lo
4.
t7 t7 t7 t7 t7 t7 t7
ss of contact with reality.
t7 t7 t7 t7
10. Which nursing statement regarding the concept of psychosis is most
PlusBay.Plus
