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