, 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 z %
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 f z% z% z% z% z% z% z% z% z% z%
ee lings of sadness because of the recent death of a beloved pet. The client’s appetit
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e, sle ep patterns, and daily routine have not changed. How should the nur
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se interpret the client’s behaviors?
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The client’s behaviors demonstrate mental illn
1.
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ess in the form of depression.
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The client’s behaviors are extensive, which in
2.
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dicates the presence of mental illness.
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The client’s behaviors are not congruent with
3.
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cultural norms. z %
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 ri z% z% z% z% z% z% z% z% z% z% z% z%
sk for developing a mental illness?
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When thoughts, feelings, and behaviors are
1.
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not reflective of the DSM-5 criteria. z% z% z% z% z%
When maladaptive responses to stress are coup z% z% z% z% z% z%
2. l ed with interference in daily z% z% z% z% z%
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. z%
3. A nurse is assessing a set of 15-year- z% z% z% z% z% z% z%
old identical twins who respond very differently to stress. One twin becomes anxi
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ou s and irritable, and the other withdraws and cries. How should the nurse explai
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n the se different stress responses to the parents?
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Reactions to stress are relative rather than abso z% z% z% z% z% z% z%
1. l ute; individual responses to stress z% z% z% z% z%
vary.
It is abnormal for identical twins to react diffe
2.
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rently to similar stressors. z% z% z%
PlusBay.Plus
, Identical twins should share the same tempera
3.
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ment and respond similarly to stress.
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Environmental influences to stress weigh m
4.
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ore heavily than genetic influences.
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4. Which client should the nurse anticipate to be mo
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st receptive to psychiatric treatment?
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1. A Jewish, female social worker. z% z% z% z%
2. A Baptist, homeless male. z% z% z%
3. A Catholic, black male. z% z% z%
4. A Protestant, Swedish business executive. z% z % z% z %
5. A psychiatric nurse intern states, “This client’s use of defens
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e mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s
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state ment?
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Defense mechanisms can be appropriate respon z% z% z% z% z%
1. ses to stress and need not be z% z% z% z% z% z% bn
eliminated.
Defense mechanisms are a maladaptive atte z% z% z% z% z%
2. m pt of the ego to manage anxiety and z% z% z% z% z% z% z% z%
should always be eliminated. z% z% z%
Defense mechanisms, used by individuals wi z% z% z% z% z%
3. t h weak ego integrity, should be z% z% z% z% z% z %
discouraged and not eliminated. z% z % z%
Defense mechanisms cause disintegration of
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4. t he ego and should be fostered and
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encouraged.
6. During an intake assessment, a nurse asks both physiologic
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al and psychosocial questions. The client angrily responds, “I’m here for my heart
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, not my head problems.” Which is the nurse’s best response?
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“It is just a routine part of our assessment. All z% z% z% bn z% z% z% z% z% z%
1. c lients are asked these same z% z% z% z% z %
questions.”
“Why are you concerned about these types
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of
questions?”
“Psychological factors, like excessive stress, ha z% z% z% z% z% z
3. ve been found to affect medical % z% z% z% z% bn
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
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section.”
7. An employee uses the defense mechanism of displacement wz% z% z% z% z% z% z% z%
h en the boss openly disagrees with suggestions. What behavior would be expected
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fro m this employee?
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1. The employee assertively confronts the boss z% z% z% z% z %
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The employee leaves the staff meeting to w
2.
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ork out in the gym. z% z% z% z%
3. The employee criticizes a coworker. z% z% z% z%
4. The employee takes the boss out to lunch. z% z% z% z% z% z% z%
8. A fourth- z%
grade boy teases and makes jokes about a cute girl in his class. This behavior sh
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oul d be identified by a nurse as indicative of which defense mechanism?
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1. Displacement
2. Projection
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4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
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An individual experiencing neurosis is unaw z% z% z% z% z%
1. a re that he or she is experiencing z% z% z% z% z% z% z%
distress.
An individual experiencing neurosis feels hel
2.
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pless to change his or her situation. z% z% z% z% z% z%
An individual experiencing neurosis is aware z% z% z% z% z%
3. of the psychological causes of his or z% z% z% z% z% z% z%
her behavior. z%
An individual experiencing neurosis has a l
4.
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oss of contact with reality. z% z% z% z%
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.
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Individuals experiencing psychoses experien
2.
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ce little distress.
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PlusBay.Plus
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Chapter 1. Examination and Diagnosis of the Psychiatric Patient
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Multiple Choice z %
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 f z% z% z% z% z% z% z% z% z% z%
ee lings of sadness because of the recent death of a beloved pet. The client’s appetit
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e, sle ep patterns, and daily routine have not changed. How should the nur
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se interpret the client’s behaviors?
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The client’s behaviors demonstrate mental illn
1.
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ess in the form of depression.
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The client’s behaviors are extensive, which in
2.
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dicates the presence of mental illness.
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The client’s behaviors are not congruent with
3.
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cultural norms. z %
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 ri z% z% z% z% z% z% z% z% z% z% z% z%
sk for developing a mental illness?
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When thoughts, feelings, and behaviors are
1.
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not reflective of the DSM-5 criteria. z% z% z% z% z%
When maladaptive responses to stress are coup z% z% z% z% z% z%
2. l ed with interference in daily z% z% z% z% z%
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. z%
3. A nurse is assessing a set of 15-year- z% z% z% z% z% z% z%
old identical twins who respond very differently to stress. One twin becomes anxi
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ou s and irritable, and the other withdraws and cries. How should the nurse explai
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n the se different stress responses to the parents?
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Reactions to stress are relative rather than abso z% z% z% z% z% z% z%
1. l ute; individual responses to stress z% z% z% z% z%
vary.
It is abnormal for identical twins to react diffe
2.
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rently to similar stressors. z% z% z%
PlusBay.Plus
, Identical twins should share the same tempera
3.
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ment and respond similarly to stress.
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Environmental influences to stress weigh m
4.
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ore heavily than genetic influences.
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4. Which client should the nurse anticipate to be mo
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st receptive to psychiatric treatment?
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1. A Jewish, female social worker. z% z% z% z%
2. A Baptist, homeless male. z% z% z%
3. A Catholic, black male. z% z% z%
4. A Protestant, Swedish business executive. z% z % z% z %
5. A psychiatric nurse intern states, “This client’s use of defens
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e mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s
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state ment?
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Defense mechanisms can be appropriate respon z% z% z% z% z%
1. ses to stress and need not be z% z% z% z% z% z% bn
eliminated.
Defense mechanisms are a maladaptive atte z% z% z% z% z%
2. m pt of the ego to manage anxiety and z% z% z% z% z% z% z% z%
should always be eliminated. z% z% z%
Defense mechanisms, used by individuals wi z% z% z% z% z%
3. t h weak ego integrity, should be z% z% z% z% z% z %
discouraged and not eliminated. z% z % z%
Defense mechanisms cause disintegration of
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4. t he ego and should be fostered and
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encouraged.
6. During an intake assessment, a nurse asks both physiologic
z% z% z% z% z% z% z% z%
al and psychosocial questions. The client angrily responds, “I’m here for my heart
z% z% z% z% z% z% z% z% z% z% z% z%
, not my head problems.” Which is the nurse’s best response?
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“It is just a routine part of our assessment. All z% z% z% bn z% z% z% z% z% z%
1. c lients are asked these same z% z% z% z% z %
questions.”
“Why are you concerned about these types
2.
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of
questions?”
“Psychological factors, like excessive stress, ha z% z% z% z% z% z
3. ve been found to affect medical % z% z% z% z% bn
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
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section.”
7. An employee uses the defense mechanism of displacement wz% z% z% z% z% z% z% z%
h en the boss openly disagrees with suggestions. What behavior would be expected
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fro m this employee?
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1. The employee assertively confronts the boss z% z% z% z% z %
.
The employee leaves the staff meeting to w
2.
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ork out in the gym. z% z% z% z%
3. The employee criticizes a coworker. z% z% z% z%
4. The employee takes the boss out to lunch. z% z% z% z% z% z% z%
8. A fourth- z%
grade boy teases and makes jokes about a cute girl in his class. This behavior sh
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oul d be identified by a nurse as indicative of which defense mechanism?
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1. Displacement
2. Projection
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4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
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An individual experiencing neurosis is unaw z% z% z% z% z%
1. a re that he or she is experiencing z% z% z% z% z% z% z%
distress.
An individual experiencing neurosis feels hel
2.
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pless to change his or her situation. z% z% z% z% z% z%
An individual experiencing neurosis is aware z% z% z% z% z%
3. of the psychological causes of his or z% z% z% z% z% z% z%
her behavior. z%
An individual experiencing neurosis has a l
4.
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oss of contact with reality. z% z% z% z%
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.
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Individuals experiencing psychoses experien
2.
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ce little distress.
z % z %
PlusBay.Plus
