Kaplan & Sadock's
Synopsis of Psychiatry
Edition 12 Test Bank
Chapter 1. Examination and Diagnosis of the Psychiatric
Patient Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is assessing a client who is experiencing occasional
feelings of sadness because of the recent death of a beloved pet. The client’s appetite,
sleep patterns, and daily routine have not changed. How should the nurse interpret the
client’s behaviors?
1.
The client’s behaviors demonstrate
mental illness in the form of
depression.
2.
The client’s behaviors are extensive,
which indicates the presence of mental
illness.
3.
The client’s behaviors are not congruent
with cultural norms.
4.
The client’s behaviors demonstrate no
functional impairment, indicating no
mental illness.
2. At what point should the nurse determine that a client is at risk
,for developing a mental illness?
1.
When thoughts, feelings, and behaviors
are not reflective of the DSM-5 criteria.
2.
When maladaptive responses to stress
are coupled with interference in daily
functioning.
3.
When a client communicates significant
distress.
4. When a client uses defense mechanisms
as ego protection.
3. A nurse is assessing a set of 15-year-old identical twins who
respond very differently to stress. One twin becomes anxious and irritable, and the
other withdraws and cries. How should the nurse explain these different stress
responses to the parents?
1.
Reactions to stress are relative rather
than absolute; individual responses to
stress vary.
2.
It is abnormal for identical twins to
react differently to similar stressors.
3.
Identical twins should share the same
temperament and respond similarly to
stress.
4.
Environmental influences to stress
weigh more heavily than genetic
influences.
1.
Reactions to stress are relative rather
than absolute; individual responses to
stress vary.
2.
It is abnormal for identical twins to
react differently to similar stressors.
, 3.
Identical twins should share the same
temperament and respond similarly to
stress.
4.
Environmental influences to stress
weigh more heavily than genetic
influences.
4. Which client should the nurse anticipate to be most
receptive to psychiatric treatment?
1. A Jewish, female social worker.
2. A Baptist, homeless male.
3. A Catholic, black male.
4. A Protestant, Swedish business executive.
5. A psychiatric nurse intern states, “This client’s use of defense
mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s statement?
1.
Defense mechanisms can be
appropriate responses to stress and
need not be eliminated.
, 2. Defense mechanisms are a maladaptive
attempt of the ego to manage anxiety and
should always be eliminated.
3.
Defense mechanisms, used by
individuals with weak ego integrity,
should be discouraged and not
eliminated.
Synopsis of Psychiatry
Edition 12 Test Bank
Chapter 1. Examination and Diagnosis of the Psychiatric
Patient Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is assessing a client who is experiencing occasional
feelings of sadness because of the recent death of a beloved pet. The client’s appetite,
sleep patterns, and daily routine have not changed. How should the nurse interpret the
client’s behaviors?
1.
The client’s behaviors demonstrate
mental illness in the form of
depression.
2.
The client’s behaviors are extensive,
which indicates the presence of mental
illness.
3.
The client’s behaviors are not congruent
with cultural norms.
4.
The client’s behaviors demonstrate no
functional impairment, indicating no
mental illness.
2. At what point should the nurse determine that a client is at risk
,for developing a mental illness?
1.
When thoughts, feelings, and behaviors
are not reflective of the DSM-5 criteria.
2.
When maladaptive responses to stress
are coupled with interference in daily
functioning.
3.
When a client communicates significant
distress.
4. When a client uses defense mechanisms
as ego protection.
3. A nurse is assessing a set of 15-year-old identical twins who
respond very differently to stress. One twin becomes anxious and irritable, and the
other withdraws and cries. How should the nurse explain these different stress
responses to the parents?
1.
Reactions to stress are relative rather
than absolute; individual responses to
stress vary.
2.
It is abnormal for identical twins to
react differently to similar stressors.
3.
Identical twins should share the same
temperament and respond similarly to
stress.
4.
Environmental influences to stress
weigh more heavily than genetic
influences.
1.
Reactions to stress are relative rather
than absolute; individual responses to
stress vary.
2.
It is abnormal for identical twins to
react differently to similar stressors.
, 3.
Identical twins should share the same
temperament and respond similarly to
stress.
4.
Environmental influences to stress
weigh more heavily than genetic
influences.
4. Which client should the nurse anticipate to be most
receptive to psychiatric treatment?
1. A Jewish, female social worker.
2. A Baptist, homeless male.
3. A Catholic, black male.
4. A Protestant, Swedish business executive.
5. A psychiatric nurse intern states, “This client’s use of defense
mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s statement?
1.
Defense mechanisms can be
appropriate responses to stress and
need not be eliminated.
, 2. Defense mechanisms are a maladaptive
attempt of the ego to manage anxiety and
should always be eliminated.
3.
Defense mechanisms, used by
individuals with weak ego integrity,
should be discouraged and not
eliminated.
