, Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
x# x# x# x# x# x# x# x# x#
Chapter 1. Examination and Diagnosis of the Psychiatric Patient
x# x# x# x# x# x# x# x#
Multiple Choice x#
Identify the choice that best completes the statement or answers the question.
x# x# x# x# x# x# x# x# x# x# x#
1. A nurse is assessing a client who is experiencing occasional f
x# x# x# x# x# x# x# x# x# x#
eelings of sadness because of the recent death of a beloved pet. The client’s appetit
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
e, sleep patterns, and daily routine have not changed. How should the nurse i
x# x# x# x# x# x# x# x# x# x# x# x# x#
nterpret the client’s behaviors?
x# x# x #
The client’s behaviors demonstrate mental
x# x# x# x#
1.
illness in the form of depression.
x# x# x# x# x#
The client’s behaviors are extensive, which
x# x# x# x# x#
2.
indicates the presence of mental illness.
x# x# x# x# x#
The client’s behaviors are not congruent with
x# x# x# x# x# x#
3.
cultural norms. x#
The client’s behaviors demonstrate no functi
x# x# x# x# x#
4. onal impairment, indicating no mental
x# x# x# x#
illness.
2. At what point should the nurse determine that a client is at ri
x# x# x# x# x# x# x# x# x# x# x# x#
sk for developing a mental illness?
x# x# x# x# x#
When thoughts, feelings, and behaviors are x# x# x# x# x#
1.
not reflective of the DSM-5 criteria. x# x# x# x# x#
When maladaptive responses to stress are cou x# x# x# x# x# x#
2. pled with interference in daily x# x# x# x#
functioning.
When a client communicates significant x# x# x# x#
3.
distress.
When a client uses defense mechanisms as x# x# x# x# x# x#
4.
ego protection. x#
3. A nurse is assessing a set of 15-year- x# x# x# x# x# x# x#
old identical twins who respond very differently to stress. One twin becomes anx
x# x# x# x# x# x# x# x# x# x# x# x#
ious and irritable, and the other withdraws and cries. How should the nurse expla
x# x# x# x# x# x# x# x# x# x# x# x# x#
in these different stress responses to the parents?
x# x# x# x# x# x# x #
Reactions to stress are relative rather than abs x# x# x# x# x# x# x#
1. olute; individual responses to stress x# x# x# x#
vary.
It is abnormal for identical twins to react x# x# x# x# x# x# x#
2.
differently to similar stressors. x# x# x#
PlusBay.Plus
, Identical twins should share the samex# x# x# x# x#
3.
temperament and respond similarly to stress. x# x# x# x# x#
Environmental influences to stress weigh x# x# x# x#
4.
more heavily than genetic influences.
x# x# x# x#
4. Which client should the nurse anticipate to be mo
x# x# x# x# x# x# x# x#
st receptive to psychiatric treatment?
x# x# x# x#
1. A Jewish, female social worker. x# x# x# x#
2. A Baptist, homeless male. x# x# x#
3. A Catholic, black male. x# x# x#
4. A Protestant, Swedish business executive. x# x# x# x#
5. A psychiatric nurse intern states, “This client’s use of defens
x# x# x# x# x# x# x# x# x#
e mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s
x# x# x# x# x# x# x# x# x# x# x# x# x#
statement?
Defense mechanisms can be appropriate respo x# x# x# x# x#
1. nses to stress and need not be x# x# x# x# x# x#
eliminated.
Defense mechanisms are a maladaptive atte x# x# x# x# x#
2. mpt of the ego to manage anxiety and x# x# x# x# x# x# x#
should always be eliminated. x# x# x#
Defense mechanisms, used by individuals w x# x# x# x# x#
3. ith weak ego integrity, should be x# x# x# x# x #
discouraged and not eliminated. x# x# x#
Defense mechanisms cause disintegration of
x# x# x# x# x
4. the ego and should be fostered and
# x# x# x# x# x# x#
encouraged.
6. During an intake assessment, a nurse asks both physiologica
x# x# x# x# x# x# x# x#
l and psychosocial questions. The client angrily responds, “I’m here for my heart,
x# x# x# x# x# x# x# x# x# x# x# x# x#
not my head problems.” Which is the nurse’s best response?
x# x# x# x# x# x# x# x# x#
“It is just a routine part of our assessment. All x# x# x# x# x# x# x# x# x#
1. clients are asked these same x# x# x# x# x #
questions.”
“Why are you concerned about these types o x# x# x# x# x# x# x#
2.
f
questions?”
“Psychological factors, like excessive stress, h x# x# x# x# x#
3. ave been found to affect medical x# x# x# x# x#
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It
x# x# x# x# x# x# x# x# x
4. isn’t imperative that we complete this
# x# x# x# x# x#
section.”
7. An employee uses the defense mechanism of displacement
x# x# x# x# x# x# x# x#
when the boss openly disagrees with suggestions. What behavior would be expecte
x# x# x# x# x# x# x# x# x# x# x#
d from this employee?
x# x# x #
1. The employee assertively confronts the boss. x# x# x# x# x#
The employee leaves the staff meeting to x# x# x# x# x# x#
2.
work out in the gym. x# x# x# x#
3. The employee criticizes a coworker. x# x# x# x#
4. The employee takes the boss out to lunch. x# x# x# x# x# x# x#
8. A fourth- x#
grade boy teases and makes jokes about a cute girl in his class. This behavior sh
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
ould be identified by a nurse as indicative of which defense mechanism?
x# x# x# x# x# x# x# x# x# x# x#
1. Displacement
2. Projection
3. Reaction formation x#
4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
x# x# x# x# x# x# x# x# x# x #
An individual experiencing neurosis is unaw x# x# x# x# x#
1. are that he or she is experiencing x# x# x# x# x# x#
distress.
An individual experiencing neurosis feels x# x# x# x#
2.
helpless to change his or her situation. x# x# x# x# x# x#
An individual experiencing neurosis is awar x# x# x# x# x#
3. e of the psychological causes of his or x# x# x# x# x# x# x#
her behavior. x#
An individual experiencing neurosis has a x# x# x# x# x#
4.
loss of contact with reality. x# x# x# x#
10. Which nursing statement regarding the concept of psychosis is most
x# x# x# x# x# x# x# x# x#
accurate?
Individuals experiencing psychoses are aware x# x# x# x#
1.
that their behaviors are maladaptive.
x# x# x# x#
Individuals experiencing psychoses x# x#
2.
experience little distress. x# x#
PlusBay.Plus
x# x# x# x# x# x# x# x# x#
Chapter 1. Examination and Diagnosis of the Psychiatric Patient
x# x# x# x# x# x# x# x#
Multiple Choice x#
Identify the choice that best completes the statement or answers the question.
x# x# x# x# x# x# x# x# x# x# x#
1. A nurse is assessing a client who is experiencing occasional f
x# x# x# x# x# x# x# x# x# x#
eelings of sadness because of the recent death of a beloved pet. The client’s appetit
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
e, sleep patterns, and daily routine have not changed. How should the nurse i
x# x# x# x# x# x# x# x# x# x# x# x# x#
nterpret the client’s behaviors?
x# x# x #
The client’s behaviors demonstrate mental
x# x# x# x#
1.
illness in the form of depression.
x# x# x# x# x#
The client’s behaviors are extensive, which
x# x# x# x# x#
2.
indicates the presence of mental illness.
x# x# x# x# x#
The client’s behaviors are not congruent with
x# x# x# x# x# x#
3.
cultural norms. x#
The client’s behaviors demonstrate no functi
x# x# x# x# x#
4. onal impairment, indicating no mental
x# x# x# x#
illness.
2. At what point should the nurse determine that a client is at ri
x# x# x# x# x# x# x# x# x# x# x# x#
sk for developing a mental illness?
x# x# x# x# x#
When thoughts, feelings, and behaviors are x# x# x# x# x#
1.
not reflective of the DSM-5 criteria. x# x# x# x# x#
When maladaptive responses to stress are cou x# x# x# x# x# x#
2. pled with interference in daily x# x# x# x#
functioning.
When a client communicates significant x# x# x# x#
3.
distress.
When a client uses defense mechanisms as x# x# x# x# x# x#
4.
ego protection. x#
3. A nurse is assessing a set of 15-year- x# x# x# x# x# x# x#
old identical twins who respond very differently to stress. One twin becomes anx
x# x# x# x# x# x# x# x# x# x# x# x#
ious and irritable, and the other withdraws and cries. How should the nurse expla
x# x# x# x# x# x# x# x# x# x# x# x# x#
in these different stress responses to the parents?
x# x# x# x# x# x# x #
Reactions to stress are relative rather than abs x# x# x# x# x# x# x#
1. olute; individual responses to stress x# x# x# x#
vary.
It is abnormal for identical twins to react x# x# x# x# x# x# x#
2.
differently to similar stressors. x# x# x#
PlusBay.Plus
, Identical twins should share the samex# x# x# x# x#
3.
temperament and respond similarly to stress. x# x# x# x# x#
Environmental influences to stress weigh x# x# x# x#
4.
more heavily than genetic influences.
x# x# x# x#
4. Which client should the nurse anticipate to be mo
x# x# x# x# x# x# x# x#
st receptive to psychiatric treatment?
x# x# x# x#
1. A Jewish, female social worker. x# x# x# x#
2. A Baptist, homeless male. x# x# x#
3. A Catholic, black male. x# x# x#
4. A Protestant, Swedish business executive. x# x# x# x#
5. A psychiatric nurse intern states, “This client’s use of defens
x# x# x# x# x# x# x# x# x#
e mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s
x# x# x# x# x# x# x# x# x# x# x# x# x#
statement?
Defense mechanisms can be appropriate respo x# x# x# x# x#
1. nses to stress and need not be x# x# x# x# x# x#
eliminated.
Defense mechanisms are a maladaptive atte x# x# x# x# x#
2. mpt of the ego to manage anxiety and x# x# x# x# x# x# x#
should always be eliminated. x# x# x#
Defense mechanisms, used by individuals w x# x# x# x# x#
3. ith weak ego integrity, should be x# x# x# x# x #
discouraged and not eliminated. x# x# x#
Defense mechanisms cause disintegration of
x# x# x# x# x
4. the ego and should be fostered and
# x# x# x# x# x# x#
encouraged.
6. During an intake assessment, a nurse asks both physiologica
x# x# x# x# x# x# x# x#
l and psychosocial questions. The client angrily responds, “I’m here for my heart,
x# x# x# x# x# x# x# x# x# x# x# x# x#
not my head problems.” Which is the nurse’s best response?
x# x# x# x# x# x# x# x# x#
“It is just a routine part of our assessment. All x# x# x# x# x# x# x# x# x#
1. clients are asked these same x# x# x# x# x #
questions.”
“Why are you concerned about these types o x# x# x# x# x# x# x#
2.
f
questions?”
“Psychological factors, like excessive stress, h x# x# x# x# x#
3. ave been found to affect medical x# x# x# x# x#
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It
x# x# x# x# x# x# x# x# x
4. isn’t imperative that we complete this
# x# x# x# x# x#
section.”
7. An employee uses the defense mechanism of displacement
x# x# x# x# x# x# x# x#
when the boss openly disagrees with suggestions. What behavior would be expecte
x# x# x# x# x# x# x# x# x# x# x#
d from this employee?
x# x# x #
1. The employee assertively confronts the boss. x# x# x# x# x#
The employee leaves the staff meeting to x# x# x# x# x# x#
2.
work out in the gym. x# x# x# x#
3. The employee criticizes a coworker. x# x# x# x#
4. The employee takes the boss out to lunch. x# x# x# x# x# x# x#
8. A fourth- x#
grade boy teases and makes jokes about a cute girl in his class. This behavior sh
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
ould be identified by a nurse as indicative of which defense mechanism?
x# x# x# x# x# x# x# x# x# x# x#
1. Displacement
2. Projection
3. Reaction formation x#
4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
x# x# x# x# x# x# x# x# x# x #
An individual experiencing neurosis is unaw x# x# x# x# x#
1. are that he or she is experiencing x# x# x# x# x# x#
distress.
An individual experiencing neurosis feels x# x# x# x#
2.
helpless to change his or her situation. x# x# x# x# x# x#
An individual experiencing neurosis is awar x# x# x# x# x#
3. e of the psychological causes of his or x# x# x# x# x# x# x#
her behavior. x#
An individual experiencing neurosis has a x# x# x# x# x#
4.
loss of contact with reality. x# x# x# x#
10. Which nursing statement regarding the concept of psychosis is most
x# x# x# x# x# x# x# x# x#
accurate?
Individuals experiencing psychoses are aware x# x# x# x#
1.
that their behaviors are maladaptive.
x# x# x# x#
Individuals experiencing psychoses x# x#
2.
experience little distress. x# x#
PlusBay.Plus
