, 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 st
Identify the choice that best completes the statement or answers the question.
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1. A nurse is assessing a client who is experiencing occasional feeli st st st st st st st st st st
ngs of sadness because of the recent death of a beloved pet. The client’s appetite, sleep p
st st st st st st st st st st st st st st st s t
atterns, and daily routine have not changed. How should the nurse interpret the clie
s t s t s t s t s t s t s t s t s t s t s t st st
nt’s behaviors? s t
The client’s behaviors demonstrate mental
st st st st
1.
illness in the form of depression. st st st st st
The client’s behaviors are extensive, which
st st st st st
2.
indicates the presence of mental illness. st st st st st
The client’s behaviors are not congruent with
st st st st st st
3.
cultural norms. st
The client’s behaviors demonstrate no functio
st st st st st
4. nal impairment, indicating no mental
st st st st
illness.
2. At what point should the nurse determine that a client is at risk for st st st st st st st st st st st st st s
t developing a mental illness? st st st
When thoughts, feelings, and behaviors are st st st st st
1.
not reflective of the DSM-5 criteria. st st st st st
When maladaptive responses to stress are couple st st st st st st
2. d with interference in daily st st st st
functioning.
When a client communicates significant st st st st
3.
distress.
When a client uses defense mechanisms as st st st st st st
4.
ego protection. st
3. A nurse is assessing a set of 15-year- st st st st st st st
old identical twins who respond very differently to stress. One twin becomes anxious a
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nd irritable, and the other withdraws and cries. How should the nurse explain these diff
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erent stress responses to the parents?
st st st st s t
Reactions to stress are relative rather than absolut st st st st st st st
1. e; individual responses to stress st st st st
vary.
It is abnormal for identical twins to react st st st st st st st
2.
differently to similar stressors. st st st
PlusBay.Plus
, Identical twins should share the same st st st st st
3.
temperament and respond similarly to stress. st st st st st
Environmental influences to stress weigh st st st st
4.
more heavily than genetic influences.
st st st st
4. Which client should the nurse anticipate to be most re
st st st st st st st st st
ceptive to psychiatric treatment?
st st st
1. A Jewish, female social worker. st st st st
2. A Baptist, homeless male. st st st
3. A Catholic, black male. st st st
4. A Protestant, Swedish business executive. st st st st
5. A psychiatric nurse intern states, “This client’s use of defense m
st st st st st st st st st st
echanisms should be eliminated.” Which is a correct evaluation of this nurse’s statemen
st st st st st st st st st st st st
t?
Defense mechanisms can be appropriate respons st st st st st
1. es to stress and need not be st st st st st st
eliminated.
Defense mechanisms are a maladaptive attemp st st st st st
2. t of the ego to manage anxiety and st st st st st st st
should always be eliminated. st st st
Defense mechanisms, used by individuals with st st st st st
3. weak ego integrity, should be st st st st s t
discouraged and not eliminated. st st st
Defense mechanisms cause disintegration of th st st st st st
4. e ego and should be fostered and
st st st st st st
encouraged.
6. During an intake assessment, a nurse asks both physiological an
st st st st st st st st st
d psychosocial questions. The client angrily responds, “I’m here for my heart, not my he
st st st st st st st st st st st st st st
ad problems.” Which is the nurse’s best response?
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“It is just a routine part of our assessment. All clie st st st st st st st st st st
1. nts are asked these same st st st s t
questions.”
“Why are you concerned about these types of st st st st st st st
2.
questions?”
“Psychological factors, like excessive stress, hav st st st st st
3. e been found to affect medical st st st st st
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It isn
st st st st st st st st st
4. ’t imperative that we complete this
st st st st st
section.”
7. An employee uses the defense mechanism of displacement whe
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n the boss openly disagrees with suggestions. What behavior would be expected from th
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is employee?
s t
1. The employee assertively confronts the boss. st st st st st
The employee leaves the staff meeting to st st st st st st
2.
work out in the gym. st st st st
3. The employee criticizes a coworker. st st st st
4. The employee takes the boss out to lunch. st st st st st st st
8. A fourth- st
grade boy teases and makes jokes about a cute girl in his class. This behavior should b
st st st st st st st st st st st st st st st st
e identified by a nurse as indicative of which defense mechanism?
st st st st st st st st st st
1. Displacement
2. Projection
3. Reaction formation st
4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
st st st st st st st st st s t
An individual experiencing neurosis is unawar st st st st st
1. e that he or she is experiencing st st st st st st
distress.
An individual experiencing neurosis feels st st st st
2.
helpless to change his or her situation. st st st st st st
An individual experiencing neurosis is aware o st st st st st st
3. f the psychological causes of his or st st st st st st
her behavior. st
An individual experiencing neurosis has a st st st st st
4.
loss of contact with reality. st st st st
10. Which nursing statement regarding the concept of psychosis is most
st st st st st st st st st
accurate?
Individuals experiencing psychoses are aware st st st st
1.
that their behaviors are maladaptive.
st st st st
Individuals experiencing psychoses st st
2.
experience little distress. st st
PlusBay.Plus
st st st st st st st st st
Chapter 1. Examination and Diagnosis of the Psychiatric Patient
st st st st st st st st
Multiple Choice st
Identify the choice that best completes the statement or answers the question.
st st st st st st st st st st st
1. A nurse is assessing a client who is experiencing occasional feeli st st st st st st st st st st
ngs of sadness because of the recent death of a beloved pet. The client’s appetite, sleep p
st st st st st st st st st st st st st st st s t
atterns, and daily routine have not changed. How should the nurse interpret the clie
s t s t s t s t s t s t s t s t s t s t s t st st
nt’s behaviors? s t
The client’s behaviors demonstrate mental
st st st st
1.
illness in the form of depression. st st st st st
The client’s behaviors are extensive, which
st st st st st
2.
indicates the presence of mental illness. st st st st st
The client’s behaviors are not congruent with
st st st st st st
3.
cultural norms. st
The client’s behaviors demonstrate no functio
st st st st st
4. nal impairment, indicating no mental
st st st st
illness.
2. At what point should the nurse determine that a client is at risk for st st st st st st st st st st st st st s
t developing a mental illness? st st st
When thoughts, feelings, and behaviors are st st st st st
1.
not reflective of the DSM-5 criteria. st st st st st
When maladaptive responses to stress are couple st st st st st st
2. d with interference in daily st st st st
functioning.
When a client communicates significant st st st st
3.
distress.
When a client uses defense mechanisms as st st st st st st
4.
ego protection. st
3. A nurse is assessing a set of 15-year- st st st st st st st
old identical twins who respond very differently to stress. One twin becomes anxious a
st st st st st st st st st st st st st
nd irritable, and the other withdraws and cries. How should the nurse explain these diff
st st st st st st st st st st st st st st
erent stress responses to the parents?
st st st st s t
Reactions to stress are relative rather than absolut st st st st st st st
1. e; individual responses to stress st st st st
vary.
It is abnormal for identical twins to react st st st st st st st
2.
differently to similar stressors. st st st
PlusBay.Plus
, Identical twins should share the same st st st st st
3.
temperament and respond similarly to stress. st st st st st
Environmental influences to stress weigh st st st st
4.
more heavily than genetic influences.
st st st st
4. Which client should the nurse anticipate to be most re
st st st st st st st st st
ceptive to psychiatric treatment?
st st st
1. A Jewish, female social worker. st st st st
2. A Baptist, homeless male. st st st
3. A Catholic, black male. st st st
4. A Protestant, Swedish business executive. st st st st
5. A psychiatric nurse intern states, “This client’s use of defense m
st st st st st st st st st st
echanisms should be eliminated.” Which is a correct evaluation of this nurse’s statemen
st st st st st st st st st st st st
t?
Defense mechanisms can be appropriate respons st st st st st
1. es to stress and need not be st st st st st st
eliminated.
Defense mechanisms are a maladaptive attemp st st st st st
2. t of the ego to manage anxiety and st st st st st st st
should always be eliminated. st st st
Defense mechanisms, used by individuals with st st st st st
3. weak ego integrity, should be st st st st s t
discouraged and not eliminated. st st st
Defense mechanisms cause disintegration of th st st st st st
4. e ego and should be fostered and
st st st st st st
encouraged.
6. During an intake assessment, a nurse asks both physiological an
st st st st st st st st st
d psychosocial questions. The client angrily responds, “I’m here for my heart, not my he
st st st st st st st st st st st st st st
ad problems.” Which is the nurse’s best response?
st st st st st st st
“It is just a routine part of our assessment. All clie st st st st st st st st st st
1. nts are asked these same st st st s t
questions.”
“Why are you concerned about these types of st st st st st st st
2.
questions?”
“Psychological factors, like excessive stress, hav st st st st st
3. e been found to affect medical st st st st st
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It isn
st st st st st st st st st
4. ’t imperative that we complete this
st st st st st
section.”
7. An employee uses the defense mechanism of displacement whe
st st st st st st st st
n the boss openly disagrees with suggestions. What behavior would be expected from th
st st st st st st st st st st st st st
is employee?
s t
1. The employee assertively confronts the boss. st st st st st
The employee leaves the staff meeting to st st st st st st
2.
work out in the gym. st st st st
3. The employee criticizes a coworker. st st st st
4. The employee takes the boss out to lunch. st st st st st st st
8. A fourth- st
grade boy teases and makes jokes about a cute girl in his class. This behavior should b
st st st st st st st st st st st st st st st st
e identified by a nurse as indicative of which defense mechanism?
st st st st st st st st st st
1. Displacement
2. Projection
3. Reaction formation st
4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
st st st st st st st st st s t
An individual experiencing neurosis is unawar st st st st st
1. e that he or she is experiencing st st st st st st
distress.
An individual experiencing neurosis feels st st st st
2.
helpless to change his or her situation. st st st st st st
An individual experiencing neurosis is aware o st st st st st st
3. f the psychological causes of his or st st st st st st
her behavior. st
An individual experiencing neurosis has a st st st st st
4.
loss of contact with reality. st st st st
10. Which nursing statement regarding the concept of psychosis is most
st st st st st st st st st
accurate?
Individuals experiencing psychoses are aware st st st st
1.
that their behaviors are maladaptive.
st st st st
Individuals experiencing psychoses st st
2.
experience little distress. st st
PlusBay.Plus
