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 cn
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 feel cn cn cn cn cn cn cn cn cn cn
ings of sadness because of the recent death of a beloved pet. The client’s appetite, slee
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p patterns, and daily routine have not changed. How should the nurse interpret t
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he client’s behaviors?
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The client’s behaviors demonstrate mental
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1.
illness in the form of depression.
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The client’s behaviors are extensive, which
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2.
indicates the presence of mental illness.cn cn cn cn cn
The client’s behaviors are not congruent with
cn cn cn cn cn cn
3.
cultural norms. cn
The client’s behaviors demonstrate no functio
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4. nal impairment, indicating no mental
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illness.
2. At what point should the nurse determine that a client is at risk f cn cn cn cn cn cn cn cn cn cn cn cn cn
or developing a mental illness?
cn cn cn cn
When thoughts, feelings, and behaviors are cn cn cn cn cn
1.
not reflective of the DSM-5 criteria. cn cn cn cn cn
When maladaptive responses to stress are coupl cn cn cn cn cn cn
2. ed with interference in daily cn cn cn cn
functioning.
When a client communicates significant cn cn cn cn
3.
distress.
When a client uses defense mechanisms as cn cn cn cn cn cn
4.
ego protection. cn
3. A nurse is assessing a set of 15-year- cn cn cn cn cn cn cn
old identical twins who respond very differently to stress. One twin becomes anxiou
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s and irritable, and the other withdraws and cries. How should the nurse explain thes
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e different stress responses to the parents?
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Reactions to stress are relative rather than absol cn cn cn cn cn cn cn
1. ute; individual responses to stress cn cn cn cn
vary.
PlusBay.Plus
, It is abnormal for identical twins to react
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2.
differently to similar stressors. cn cn cn
Identical twins should share the same cn cn cn cn cn
3.
temperament and respond similarly to stress. cn cn cn cn cn
Environmental influences to stress weigh cn cn cn cn
4.
more heavily than genetic influences.
cn cn cn cn
4. Which client should the nurse anticipate to be most cn cn cn cn cn cn cn cn cn
receptive to psychiatric treatment?
cn cn cn
1. A Jewish, female social worker. cn cn cn cn
2. A Baptist, homeless male. cn cn cn
3. A Catholic, black male. cn cn cn
4. A Protestant, Swedish business executive. cn cn cn cn
5. A psychiatric nurse intern states, “This client’s use of defense
cn cn cn cn cn cn cn cn cn cn
mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s state
cn cn cn cn cn cn cn cn cn cn cn cn
ment?
Defense mechanisms can be appropriate respon cn cn cn cn cn
1. ses to stress and need not be cn cn cn cn cn cn
eliminated.
Defense mechanisms are a maladaptive attem cn cn cn cn cn
2. pt of the ego to manage anxiety and cn cn cn cn cn cn cn
should always be eliminated. cn cn cn
Defense mechanisms, used by individuals wit cn cn cn cn cn
3. h weak ego integrity, should be cn cn cn cn c n
discouraged and not eliminated. cn cn cn
Defense mechanisms cause disintegration of t
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4. he ego and should be fostered and
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encouraged.
6. During an intake assessment, a nurse asks both physiological a
cn cn cn cn cn cn cn cn cn
nd psychosocial questions. The client angrily responds, “I’m here for my heart, not m
cn cn cn cn cn cn cn cn cn cn cn cn cn
y head problems.” Which is the nurse’s best response?
cn cn cn cn cn cn cn cn
“It is just a routine part of our assessment. All cl cn cn cn cn cn cn cn cn cn cn
1. ients are asked these same cn cn cn c n
questions.”
“Why are you concerned about these types of cn cn cn cn cn cn cn
2.
questions?”
“Psychological factors, like excessive stress, ha cn cn cn cn cn
3. ve been found to affect medical cn cn cn cn cn
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It is
cn cn cn cn cn cn cn cn cn
4. n’t imperative that we complete this
cn cn cn cn cn
section.”
7. An employee uses the defense mechanism of displacement wh
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en the boss openly disagrees with suggestions. What behavior would be expected fro
cn cn cn cn cn cn cn cn cn cn cn cn
m this employee?
cn c n
1. The employee assertively confronts the boss. cn cn cn cn cn
The employee leaves the staff meeting to cn cn cn cn cn cn
2.
work out in the gym. cn cn cn cn
3. The employee criticizes a coworker. cn cn cn cn
4. The employee takes the boss out to lunch. cn cn cn cn cn cn cn
8. A fourth- cn
grade boy teases and makes jokes about a cute girl in his class. This behavior shoul
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
d be identified by a nurse as indicative of which defense mechanism?
cn cn cn cn cn cn cn cn cn cn cn
1. Displacement
2. Projection
3. Reaction formation cn
4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
cn cn cn cn cn cn cn cn cn c n
An individual experiencing neurosis is unawa cn cn cn cn cn
1. re that he or she is experiencing cn cn cn cn cn cn
distress.
An individual experiencing neurosis feels cn cn cn cn
2.
helpless to change his or her situation. cn cn cn cn cn cn
An individual experiencing neurosis is aware cn cn cn cn cn cn
3. of the psychological causes of his or cn cn cn cn cn cn
her behavior. cn
An individual experiencing neurosis has a cn cn cn cn cn
4.
loss of contact with reality. cn cn cn cn
10. Which nursing statement regarding the concept of psychosis is most
cn cn cn cn cn cn cn cn cn
accurate?
Individuals experiencing psychoses are aware cn cn cn cn
1.
that their behaviors are maladaptive.
cn cn cn cn
Individuals experiencing psychoses cn cn
2.
experience little distress. cn cn
PlusBay.Plus
,Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
cn cn cn cn cn cn cn cn cn
Chapter 1. Examination and Diagnosis of the Psychiatric Patient
cn cn cn cn cn cn cn cn
Multiple Choice cn
Identify the choice that best completes the statement or answers the question.
cn cn cn cn cn cn cn cn cn cn cn
1. A nurse is assessing a client who is experiencing occasional feel cn cn cn cn cn cn cn cn cn cn
ings of sadness because of the recent death of a beloved pet. The client’s appetite, slee
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
p patterns, and daily routine have not changed. How should the nurse interpret t
c n c n cn c n cn c n cn cn c n cn cn c n cn
he client’s behaviors?
cn c n
The client’s behaviors demonstrate mental
cn cn cn cn
1.
illness in the form of depression.
cn cn cn cn cn
The client’s behaviors are extensive, which
cn cn cn cn cn
2.
indicates the presence of mental illness.cn cn cn cn cn
The client’s behaviors are not congruent with
cn cn cn cn cn cn
3.
cultural norms. cn
The client’s behaviors demonstrate no functio
cn cn cn cn cn
4. nal impairment, indicating no mental
cn cn cn cn
illness.
2. At what point should the nurse determine that a client is at risk f cn cn cn cn cn cn cn cn cn cn cn cn cn
or developing a mental illness?
cn cn cn cn
When thoughts, feelings, and behaviors are cn cn cn cn cn
1.
not reflective of the DSM-5 criteria. cn cn cn cn cn
When maladaptive responses to stress are coupl cn cn cn cn cn cn
2. ed with interference in daily cn cn cn cn
functioning.
When a client communicates significant cn cn cn cn
3.
distress.
When a client uses defense mechanisms as cn cn cn cn cn cn
4.
ego protection. cn
3. A nurse is assessing a set of 15-year- cn cn cn cn cn cn cn
old identical twins who respond very differently to stress. One twin becomes anxiou
cn cn cn cn cn cn cn cn cn cn cn cn
s and irritable, and the other withdraws and cries. How should the nurse explain thes
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
e different stress responses to the parents?
cn cn cn cn cn c n
Reactions to stress are relative rather than absol cn cn cn cn cn cn cn
1. ute; individual responses to stress cn cn cn cn
vary.
PlusBay.Plus
, It is abnormal for identical twins to react
cn cn cn cn cn cn cn
2.
differently to similar stressors. cn cn cn
Identical twins should share the same cn cn cn cn cn
3.
temperament and respond similarly to stress. cn cn cn cn cn
Environmental influences to stress weigh cn cn cn cn
4.
more heavily than genetic influences.
cn cn cn cn
4. Which client should the nurse anticipate to be most cn cn cn cn cn cn cn cn cn
receptive to psychiatric treatment?
cn cn cn
1. A Jewish, female social worker. cn cn cn cn
2. A Baptist, homeless male. cn cn cn
3. A Catholic, black male. cn cn cn
4. A Protestant, Swedish business executive. cn cn cn cn
5. A psychiatric nurse intern states, “This client’s use of defense
cn cn cn cn cn cn cn cn cn cn
mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s state
cn cn cn cn cn cn cn cn cn cn cn cn
ment?
Defense mechanisms can be appropriate respon cn cn cn cn cn
1. ses to stress and need not be cn cn cn cn cn cn
eliminated.
Defense mechanisms are a maladaptive attem cn cn cn cn cn
2. pt of the ego to manage anxiety and cn cn cn cn cn cn cn
should always be eliminated. cn cn cn
Defense mechanisms, used by individuals wit cn cn cn cn cn
3. h weak ego integrity, should be cn cn cn cn c n
discouraged and not eliminated. cn cn cn
Defense mechanisms cause disintegration of t
cn cn cn cn cn
4. he ego and should be fostered and
cn cn cn cn cn cn
encouraged.
6. During an intake assessment, a nurse asks both physiological a
cn cn cn cn cn cn cn cn cn
nd psychosocial questions. The client angrily responds, “I’m here for my heart, not m
cn cn cn cn cn cn cn cn cn cn cn cn cn
y head problems.” Which is the nurse’s best response?
cn cn cn cn cn cn cn cn
“It is just a routine part of our assessment. All cl cn cn cn cn cn cn cn cn cn cn
1. ients are asked these same cn cn cn c n
questions.”
“Why are you concerned about these types of cn cn cn cn cn cn cn
2.
questions?”
“Psychological factors, like excessive stress, ha cn cn cn cn cn
3. ve been found to affect medical cn cn cn cn cn
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It is
cn cn cn cn cn cn cn cn cn
4. n’t imperative that we complete this
cn cn cn cn cn
section.”
7. An employee uses the defense mechanism of displacement wh
cn cn cn cn cn cn cn cn
en the boss openly disagrees with suggestions. What behavior would be expected fro
cn cn cn cn cn cn cn cn cn cn cn cn
m this employee?
cn c n
1. The employee assertively confronts the boss. cn cn cn cn cn
The employee leaves the staff meeting to cn cn cn cn cn cn
2.
work out in the gym. cn cn cn cn
3. The employee criticizes a coworker. cn cn cn cn
4. The employee takes the boss out to lunch. cn cn cn cn cn cn cn
8. A fourth- cn
grade boy teases and makes jokes about a cute girl in his class. This behavior shoul
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
d be identified by a nurse as indicative of which defense mechanism?
cn cn cn cn cn cn cn cn cn cn cn
1. Displacement
2. Projection
3. Reaction formation cn
4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
cn cn cn cn cn cn cn cn cn c n
An individual experiencing neurosis is unawa cn cn cn cn cn
1. re that he or she is experiencing cn cn cn cn cn cn
distress.
An individual experiencing neurosis feels cn cn cn cn
2.
helpless to change his or her situation. cn cn cn cn cn cn
An individual experiencing neurosis is aware cn cn cn cn cn cn
3. of the psychological causes of his or cn cn cn cn cn cn
her behavior. cn
An individual experiencing neurosis has a cn cn cn cn cn
4.
loss of contact with reality. cn cn cn cn
10. Which nursing statement regarding the concept of psychosis is most
cn cn cn cn cn cn cn cn cn
accurate?
Individuals experiencing psychoses are aware cn cn cn cn
1.
that their behaviors are maladaptive.
cn cn cn cn
Individuals experiencing psychoses cn cn
2.
experience little distress. cn cn
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