Kaplan and Sadock's Chapter 06 Exam
Questions and Correct Answers Graded
A+
6.1. In response to the question, "Why did you come to the clinic?" a patient said: "When I got up this
morning, I showered and dressed. I was angry at my landlord for not fixing the faucet in my bathroom. I
tried to get him on the phone. He wouldn't talk to me. I'll call my lawyer. You see, my rent is supposed
to be paid by the Department of Welfare, but they're so nasty. [But why did you come to the clinic?] I'm
coming to that, Doctor. You see, they don't care about an upright citizen. I did so much for my
community. No one can say I wasn't a hard worker," and
soon.Afterrepeatedquestioning,thepatientfinallystated that she was worried about being constipated.
The above patient is an example of
A. a patient with a thought disorder B. a delusional patient C. a somatizing patient D. a demanding
patient E. an agitated patient - Answer: A. a patient with a thought disorder
6.2. The psychiatric interview serves all of the following functions except
A. to establish a therapeutic relationship B. to implement a treatment plan C. to assess the nature of the
problem D. to demonstrate the physician's expertise E. none of the above - Answer: D. to demonstrate
the physician's expertise
6.3. During an interview, a patient sarcastically asks a physician, "Did you really go to medical school?"
Which is the best way for the physician to respond?
A. Promptly end the interview B. Answer the question directly C. Address the issue that provoked the
comment D. Do not answer E. None of the above - Answer: C. Address the issue that provoked the
comment
6.4. Rapport is
A. based on a doctor projecting feelings onto the patient B. based on a patient projecting feelings from
past relationships to the doctor C. a feeling of harmony that promotes a therapeutic relationship D. of
little significance in obtaining the history E. none of the above - Answer: C. a feeling of harmony that
promotes a therapeutic relationship
6.5. Mr. M, a 60-year-old man, 10 months after the death of his wife of 40 years, reluctantly told his
daughter that he wished he were dead but would never act on these wishes.
, Alarmed, she took him to a psychiatrist for an evaluation. Which of the following is true?
A. Feelingthiswayisanormalgriefreaction,sonoaction is required. B. His daughter has overreacted in light
of the absence of described intent. C. Detailed questions about his suicidality are essential for
prevention. D. Euphemisticinquiriesabouthissuicideriskwouldfoster rapport. E. Asking this man about
suicide may increase his risk. - Answer: C. Detailed questions about his suicidality are essential for
prevention.
6.6. Transference feelings
A. are based on a patient projecting feelings from past relationships toward the doctor B. are a main
reason for lawsuits filed by mistreated patients C. are based on a doctor projecting feelings onto a
patient D. do not occur with highly experienced physicians E. none of the above - Answer: A. are based
on a patient projecting feelings from past relationships toward the doctor
6.7. At the beginning of an appointment, a patient wants to discuss her perception of why she felt ill, but
the physician wants to know the chronology of her symptoms. The physician should
A. inform her that time is of the essence B. inform her that an extra charge will be made if more time is
needed for the appointment C. allow the patient to complete her thoughts D. immediately discuss how
compliance will be affected by her perceptions and responses E. politely interrupt the patient and
continue with closedended questions - Answer: C. allow the patient to complete her thoughts
6.8. Which of the following statements on the person-centered approach is false?
A. Theindividualityofthepatient'sexperienceisacentral theme. B. The focus is on illness and deficits. C.
The focus is on strengths and assets. D. The treatment plan should be based on the patient's goals. E.
None of the above - Answer: B. The focus is on illness and deficits.
6.9. Illness behavior refers to
A. the influence of culture on illness B. the way the condition presents itself C. the role society ascribes
to the sick person D. being excused from responsibilities E. all of the above - Answer: E. all of the above
6.10. Which of the following minimizes agitation and the risk of harm by potentially violent patients?
A. Asking the patient if he is carrying a weapon B. Terminating the interview if necessaryC.
Evaluatingthepatientinanonstimulatingenvironment D. Heeding one's subjective sense of fear E. All of
the above - Answer: E. All of the above
Questions and Correct Answers Graded
A+
6.1. In response to the question, "Why did you come to the clinic?" a patient said: "When I got up this
morning, I showered and dressed. I was angry at my landlord for not fixing the faucet in my bathroom. I
tried to get him on the phone. He wouldn't talk to me. I'll call my lawyer. You see, my rent is supposed
to be paid by the Department of Welfare, but they're so nasty. [But why did you come to the clinic?] I'm
coming to that, Doctor. You see, they don't care about an upright citizen. I did so much for my
community. No one can say I wasn't a hard worker," and
soon.Afterrepeatedquestioning,thepatientfinallystated that she was worried about being constipated.
The above patient is an example of
A. a patient with a thought disorder B. a delusional patient C. a somatizing patient D. a demanding
patient E. an agitated patient - Answer: A. a patient with a thought disorder
6.2. The psychiatric interview serves all of the following functions except
A. to establish a therapeutic relationship B. to implement a treatment plan C. to assess the nature of the
problem D. to demonstrate the physician's expertise E. none of the above - Answer: D. to demonstrate
the physician's expertise
6.3. During an interview, a patient sarcastically asks a physician, "Did you really go to medical school?"
Which is the best way for the physician to respond?
A. Promptly end the interview B. Answer the question directly C. Address the issue that provoked the
comment D. Do not answer E. None of the above - Answer: C. Address the issue that provoked the
comment
6.4. Rapport is
A. based on a doctor projecting feelings onto the patient B. based on a patient projecting feelings from
past relationships to the doctor C. a feeling of harmony that promotes a therapeutic relationship D. of
little significance in obtaining the history E. none of the above - Answer: C. a feeling of harmony that
promotes a therapeutic relationship
6.5. Mr. M, a 60-year-old man, 10 months after the death of his wife of 40 years, reluctantly told his
daughter that he wished he were dead but would never act on these wishes.
, Alarmed, she took him to a psychiatrist for an evaluation. Which of the following is true?
A. Feelingthiswayisanormalgriefreaction,sonoaction is required. B. His daughter has overreacted in light
of the absence of described intent. C. Detailed questions about his suicidality are essential for
prevention. D. Euphemisticinquiriesabouthissuicideriskwouldfoster rapport. E. Asking this man about
suicide may increase his risk. - Answer: C. Detailed questions about his suicidality are essential for
prevention.
6.6. Transference feelings
A. are based on a patient projecting feelings from past relationships toward the doctor B. are a main
reason for lawsuits filed by mistreated patients C. are based on a doctor projecting feelings onto a
patient D. do not occur with highly experienced physicians E. none of the above - Answer: A. are based
on a patient projecting feelings from past relationships toward the doctor
6.7. At the beginning of an appointment, a patient wants to discuss her perception of why she felt ill, but
the physician wants to know the chronology of her symptoms. The physician should
A. inform her that time is of the essence B. inform her that an extra charge will be made if more time is
needed for the appointment C. allow the patient to complete her thoughts D. immediately discuss how
compliance will be affected by her perceptions and responses E. politely interrupt the patient and
continue with closedended questions - Answer: C. allow the patient to complete her thoughts
6.8. Which of the following statements on the person-centered approach is false?
A. Theindividualityofthepatient'sexperienceisacentral theme. B. The focus is on illness and deficits. C.
The focus is on strengths and assets. D. The treatment plan should be based on the patient's goals. E.
None of the above - Answer: B. The focus is on illness and deficits.
6.9. Illness behavior refers to
A. the influence of culture on illness B. the way the condition presents itself C. the role society ascribes
to the sick person D. being excused from responsibilities E. all of the above - Answer: E. all of the above
6.10. Which of the following minimizes agitation and the risk of harm by potentially violent patients?
A. Asking the patient if he is carrying a weapon B. Terminating the interview if necessaryC.
Evaluatingthepatientinanonstimulatingenvironment D. Heeding one's subjective sense of fear E. All of
the above - Answer: E. All of the above
