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, 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 v v



Identify the choice that best completes the statement or answers the question.
v v v v v v v v v v v v v v v v v v v v v v




1. A nurse is assessing a client who is experiencing v v v v v v v v v v v v v v vv



vv occasional feelings of sadness because of the recent death of a
vv v v v v v v v v v v v v v v v v v v



v v beloved pet. The client‟s appetite, sleep patterns, and daily routine
v v v v v v vv v v v v v v v v v v



v have not changed. How should the nurse interpret the client‟s
v v v v v v v v v v v vv v v v v v v



v behaviors?
v




The client‟s behaviors demonstrate
v v v v v v

1.
mental illness in the form of
v v vv v v v v v v v v



depression.
v v



The client‟s behaviors are extensive,
v v v v v v v v

2.
which indicates the presence of mental
v v vv v v v v v v v v



illness.
v v



The client‟s behaviors are not
v v v v v v v v

3.
congruent with
v v vv



cultural norms. v v




The client‟s behaviors demonstrate no
vv vv vv vv



4. functional impairment, indicating no
vv v v v v v v



mental
vv



illness.



2. At what point should the nurse determine that a v v v v v v v v v v v v v v v v



v v client is at risk for developing a mental illness?
v v v v vv v v vv v v v v v v



When thoughts, feelings, and behaviors v v v v v v v v

1.
are v v



not reflective of the DSM-5 criteria. v v v v v v v v v v



When maladaptive responses to stress are vv v v vv v v v v



2. coupled with interference in daily vv v v v v v v vv



functioning.
When a client communicates significant v v v v v v v v

3.
distress.
When a client uses defense v v v v v v v v

4.
mechanisms as v v v v



ego protection. v v




3. A nurse is assessing a set of 15-year-old identical vv v v v v v v v v v v v v v v



v v twins who respond very differently to stress. One twin becomes
vv v v v v v v v v v v v v v v v v



v v anxious and irritable, and the other withdraws and cries. How should
v v v v vv v v v v v v v v v v v v v v

,v v the nurse explain these different stress responses to the parents?
v v v v v v vv v v v v v v vv v v



Reactions to stress are relative rather than v v vv v v v v v v v v



1. absolute; individual responses to stress vv v v v v v v v v



vary.
It is abnormal for identical twins to v v v v v v v v v v v v

2.
react differently to similar stressors. v v vv v v v v v v



Identical twins should share the same v v v v v v v v v v

3.
temperament and respond similarly to vv v v v v v v v v



stress. v v



Environmental influences to stress v v v v v v

4.
weigh more heavily than genetic v v vv v v v v v v



influences. v v




4. Which client should the nurse anticipate v v v v v v vv v v



v v to be most receptive to psychiatric treatment?
vv vv v v v v v v v v



1. A Jewish, female social worker. vv v v v v v v



2. A Baptist, homeless male. vv v v v v



3. A Catholic, black male. vv v v v v



4. A Protestant, Swedish business v v v v v v



executive. v v




5. A psychiatric nurse intern states, “This client‟s use
vv v v v v v v v v v v v v



v v of defense mechanisms should be eliminated.” Which is a correct
vv v v v v v v v v v v v v v v v v



v v evaluation of this nurse‟s statement?
v v v v vv v v



Defense mechanisms can be appropriate vv vv vv v v



1. responses to stress and need not be vv v v vv vv v v v v v v



eliminated.
Defense mechanisms are a maladaptive v v v v vv v v



2. attempt of the ego to manage anxiety vv v v v v v v v v v v v v



and v v



should always be eliminated. v v v v v v



Defense mechanisms, used by vv vv vv



3. individuals with weak ego integrity, vv vv v v vv v v



should be v v v v



discouraged and not eliminated. v v v v v v




Defense mechanisms cause disintegration vv vv v v



4. of the ego and should be fostered
v v vv v v v v v v v v v v



andv v



encouraged.


6. During an intake assessment, a nurse asks both
v v v v v v v v v v v v v v



physiological
vv v v and v v psychosocial questions. The client angrily responds,
v v v v v v v v v v

, v v “I‟m here for my heart,
v v vv v v v v v v not v v my v v head v v problems.” v v Which v v is v v the
v v nurse‟s best response?
v v v v




“It is just a routine part of our
v v v v v v v v v v v v v v



1. assessment. All clients are asked
vv vv v v v v v v



these same
v v v v



questions.”
“Why are you concerned about these
v v v v v v v v v v

2.
types of
v v vv



questions?”
“Psychological factors, like excessive vv vv vv



3. stress, have been found to affect
vv vv v v v v v v v v



medical
v v



conditions.”
“We can skip these questions, if you
v v v v v v v v v v v v



4. like. It isn‟t imperative that we
vv vv v v v v v v vv



complete this
v v v v



section.”


7. An employee uses the defense mechanism of v v v v v v v v v v v v



displacement when the boss openly disagrees with suggestions. What
vv vv v v v v v v v v v v v v v v



behavior would be expected from this employee?
v v v v v v vv v v v v v v



1. The employee assertively confronts the v v v v v v v v



boss. v v



The employee leaves the staff meeting v v v v v v v v v v

2.
to work out in the gym. v v vv v v v v v v v v




3. The employee criticizes a coworker. v v v v v v v v



4. The employee takes the boss out to v v v v v v v v v v v v



lunch. v v




8. A fourth-grade boy teases and makes jokes about a
vv v v vv v v v v v v vv vv



v v cute girl in his class. This behavior should be identified by a nurse
vv v v v v v v v v v v v v v v v v v v v v v v



v v as indicative of which defense mechanism?
v v v v vv v v v v



1. Displacement
2. Projection
3. Reaction formation v v



4. Sublimation


9. Which nursing statement about the concept of neurosis is most
v v v v v v v v v v v v v v v v v v



accurate?
An individual experiencing neurosis is v v v v v v v v



1. unaware that he or she is experiencing vv v v v v v v v v v v v v



distress.