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