Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
Chapter 1. Examination and Diagnosis of the PsychiatricPatient
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.
, 4. Defense mechanisms cause disintegration
of the ego and should be fostered and
encouraged.
6. During an intake assessment, a nurse asks both physiological
and psychosocial questions. The client angrily responds, “I’m here for my heart, not
my head problems.” Which is the nurse’s best response?
1. “It is just a routine part of our assessment.
All clients are asked these same
questions.”
2. “Why are you concerned about these types
of questions?”
3. “Psychological factors, like excessive
stress, have been found to affect medical
conditions.”
4. “We can skip these questions, if you like.
It isn’t imperative that we complete this
section.”
2. “Why are you concerned about these types
of questions?”
3. “Psychological factors, like excessive
stress, have been found to affect medical
conditions.”
4. “We can skip these questions, if you like.
It isn’t imperative that we complete this
section.”
7. An employee uses the defense mechanism of displacement
when the boss openly disagrees with suggestions. What behavior would be expected
from this employee?
1. The employee assertively confronts the boss.
2. The employee leaves the staff meeting
to work out in the gym.
3. The employee criticizes a coworker.
4. The employee takes the boss out to lunch.
8. A fourth-grade boy teases and makes jokes about a cute girl
in his class. This behavior should be identified by a nurse as indicative of which
, defense mechanism?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
1. An individual experiencing neurosis
is unaware that he or she is
experiencing distress.
2. An individual experiencing neurosis
feels helpless to change his or her
situation.
3. An individual experiencing neurosis is
aware of the psychological causes of his or
her behavior.
4. An individual experiencing neurosis has
a loss of contact with reality.
10. Which nursing statement regarding the concept of psychosis is most
accurate?
1. Individuals experiencing psychoses are
aware that their behaviors are maladaptive.
2. Individuals experiencing psychoses
experience little distress.
3. Individuals experiencing psychoses are
aware of experiencing psychological
problems.
4. Individuals experiencing psychoses are
based in reality.
2. Individuals experiencing psychoses
experience little distress.
3. Individuals experiencing psychoses are
aware of experiencing psychological
problems.
4. Individuals experiencing psychoses are
Chapter 1. Examination and Diagnosis of the PsychiatricPatient
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.
, 4. Defense mechanisms cause disintegration
of the ego and should be fostered and
encouraged.
6. During an intake assessment, a nurse asks both physiological
and psychosocial questions. The client angrily responds, “I’m here for my heart, not
my head problems.” Which is the nurse’s best response?
1. “It is just a routine part of our assessment.
All clients are asked these same
questions.”
2. “Why are you concerned about these types
of questions?”
3. “Psychological factors, like excessive
stress, have been found to affect medical
conditions.”
4. “We can skip these questions, if you like.
It isn’t imperative that we complete this
section.”
2. “Why are you concerned about these types
of questions?”
3. “Psychological factors, like excessive
stress, have been found to affect medical
conditions.”
4. “We can skip these questions, if you like.
It isn’t imperative that we complete this
section.”
7. An employee uses the defense mechanism of displacement
when the boss openly disagrees with suggestions. What behavior would be expected
from this employee?
1. The employee assertively confronts the boss.
2. The employee leaves the staff meeting
to work out in the gym.
3. The employee criticizes a coworker.
4. The employee takes the boss out to lunch.
8. A fourth-grade boy teases and makes jokes about a cute girl
in his class. This behavior should be identified by a nurse as indicative of which
, defense mechanism?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
1. An individual experiencing neurosis
is unaware that he or she is
experiencing distress.
2. An individual experiencing neurosis
feels helpless to change his or her
situation.
3. An individual experiencing neurosis is
aware of the psychological causes of his or
her behavior.
4. An individual experiencing neurosis has
a loss of contact with reality.
10. Which nursing statement regarding the concept of psychosis is most
accurate?
1. Individuals experiencing psychoses are
aware that their behaviors are maladaptive.
2. Individuals experiencing psychoses
experience little distress.
3. Individuals experiencing psychoses are
aware of experiencing psychological
problems.
4. Individuals experiencing psychoses are
based in reality.
2. Individuals experiencing psychoses
experience little distress.
3. Individuals experiencing psychoses are
aware of experiencing psychological
problems.
4. Individuals experiencing psychoses are
