PlusBay.Plus
, Kaplan&Sadock'sSynopsisofPsychiatryEdition12TestBank
Chapter1.ExaminationandDiagnosisofthePsychiatricPatient
MultipleChoice
Identifythechoicethatbestcompletesthestatementoranswersthequestion.
1. Anurseisassessingaclientwhoisexperiencingoccasionalfeelings
ofsadnessbecauseoftherecentdeathofabelovedpet.Theclient’sappetite,sleeppatterns,an
ddailyroutinehavenotchanged.Howshouldthenurseinterprettheclient’sbehaviors?
Theclient’sbehaviorsdemonstratemental
1.
illnessintheformofdepression.
Theclient’sbehaviorsareextensive,which
2.
indicatesthepresenceofmentalillness.
Theclient’sbehaviorsarenotcongruentwith
3.
culturalnorms.
Theclient’sbehaviorsdemonstratenofunctiona
4. limpairment,indicatingnomental
illness.
2. Atwhatpointshouldthenursedeterminethataclientisatriskfordev
elopingamentalillness?
Whenthoughts,feelings,andbehaviorsarenotre
1.
flectiveoftheDSM-5criteria.
Whenmaladaptiveresponsestostressarecoupledw
2. ithinterferenceindaily
functioning.
Whenaclientcommunicatessignificant
3.
distress.
Whenaclientusesdefensemechanismsas
4.
egoprotection.
3. Anurseisassessingasetof15-year-
oldidenticaltwinswhorespondverydifferentlytostress.Onetwinbecomesanxiousandir
ritable,andtheotherwithdrawsandcries.Howshouldthenurseexplainthesedifferentstre
ssresponsestotheparents?
Reactionstostressarerelativeratherthanabsolute;i
1. ndividualresponsestostress
vary.
Itisabnormalforidenticaltwinstoreact
2.
differentlytosimilarstressors.
Identicaltwinsshouldsharethesame
3.
temperamentandrespondsimilarlytostress.
PlusBay.Plus
, Environmentalinfluencestostressweigh
4.
moreheavilythangeneticinfluences.
4. Whichclientshouldthenurseanticipatetobemostrece
ptivetopsychiatrictreatment?
1. AJewish,femalesocialworker.
2. ABaptist,homelessmale.
3. ACatholic,blackmale.
4. AProtestant,Swedishbusinessexecutive.
5. Apsychiatricnurseinternstates,“Thisclient’suseofdefensemech
anismsshouldbeeliminated.”Whichisacorrectevaluationofthisnurse’sstatement?
Defensemechanismscanbeappropriateresponsest
1. ostressandneednotbe
eliminated.
Defensemechanismsareamaladaptiveattempt
2. oftheegotomanageanxietyand
shouldalwaysbeeliminated.
Defensemechanisms,usedbyindividualswithw
3. eakegointegrity,shouldbe
discouragedandnoteliminated.
Defensemechanismscausedisintegrationofthe
4. egoandshouldbefosteredand
encouraged.
6. Duringanintakeassessment,anurseasksbothphysiologicalandps
ychosocialquestions.Theclientangrilyresponds,“I’mhereformyheart,notmyheadproble
ms.”Whichisthenurse’sbestresponse?
“Itisjustaroutinepartofourassessment.Allclientsa
1. reaskedthesesame
questions.”
“Whyareyouconcernedaboutthesetypesof
2.
questions?”
“Psychologicalfactors,likeexcessivestress,haveb
3. eenfoundtoaffectmedical
conditions.”
“Wecanskipthesequestions,ifyoulike.Itisn’ti
4. mperativethatwecompletethis
section.”
PlusBay.Plus
, 7. Anemployeeusesthedefensemechanismofdisplacementwhent
hebossopenlydisagreeswithsuggestions.Whatbehaviorwouldbeexpectedfromthisemp
loyee?
1. Theemployeeassertivelyconfrontstheboss.
Theemployeeleavesthestaffmeetingto
2.
workoutinthegym.
3. Theemployeecriticizesacoworker.
4. Theemployeetakesthebossouttolunch.
8. Afourth-
gradeboyteasesandmakesjokesaboutacutegirlinhisclass.Thisbehaviorshouldbeident
ifiedbyanurseasindicativeofwhichdefensemechanism?
1. Displacement
2. Projection
3. Reactionformation
4. Sublimation
9. Whichnursingstatementabouttheconceptofneurosisismostaccurate?
Anindividualexperiencingneurosisisun
1. awarethatheorsheisexperiencing
distress.
Anindividualexperiencingneurosisfeels
2.
helplesstochangehisorhersituation.
Anindividualexperiencingneurosisisawareoft
3. hepsychologicalcausesofhisor
herbehavior.
Anindividualexperiencingneurosishasalossof
4.
contactwithreality.
10. Whichnursingstatementregardingtheconceptofpsychosisismost
accurate?
Individualsexperiencingpsychosesareaware
1.
thattheirbehaviorsaremaladaptive.
Individualsexperiencingpsychoses
2.
experiencelittledistress.
Individualsexperiencingpsychosesareawareof
3. experiencingpsychological
problems.
Individualsexperiencingpsychosesarebased
4.
inreality.
PlusBay.Plus
, Kaplan&Sadock'sSynopsisofPsychiatryEdition12TestBank
Chapter1.ExaminationandDiagnosisofthePsychiatricPatient
MultipleChoice
Identifythechoicethatbestcompletesthestatementoranswersthequestion.
1. Anurseisassessingaclientwhoisexperiencingoccasionalfeelings
ofsadnessbecauseoftherecentdeathofabelovedpet.Theclient’sappetite,sleeppatterns,an
ddailyroutinehavenotchanged.Howshouldthenurseinterprettheclient’sbehaviors?
Theclient’sbehaviorsdemonstratemental
1.
illnessintheformofdepression.
Theclient’sbehaviorsareextensive,which
2.
indicatesthepresenceofmentalillness.
Theclient’sbehaviorsarenotcongruentwith
3.
culturalnorms.
Theclient’sbehaviorsdemonstratenofunctiona
4. limpairment,indicatingnomental
illness.
2. Atwhatpointshouldthenursedeterminethataclientisatriskfordev
elopingamentalillness?
Whenthoughts,feelings,andbehaviorsarenotre
1.
flectiveoftheDSM-5criteria.
Whenmaladaptiveresponsestostressarecoupledw
2. ithinterferenceindaily
functioning.
Whenaclientcommunicatessignificant
3.
distress.
Whenaclientusesdefensemechanismsas
4.
egoprotection.
3. Anurseisassessingasetof15-year-
oldidenticaltwinswhorespondverydifferentlytostress.Onetwinbecomesanxiousandir
ritable,andtheotherwithdrawsandcries.Howshouldthenurseexplainthesedifferentstre
ssresponsestotheparents?
Reactionstostressarerelativeratherthanabsolute;i
1. ndividualresponsestostress
vary.
Itisabnormalforidenticaltwinstoreact
2.
differentlytosimilarstressors.
Identicaltwinsshouldsharethesame
3.
temperamentandrespondsimilarlytostress.
PlusBay.Plus
, Environmentalinfluencestostressweigh
4.
moreheavilythangeneticinfluences.
4. Whichclientshouldthenurseanticipatetobemostrece
ptivetopsychiatrictreatment?
1. AJewish,femalesocialworker.
2. ABaptist,homelessmale.
3. ACatholic,blackmale.
4. AProtestant,Swedishbusinessexecutive.
5. Apsychiatricnurseinternstates,“Thisclient’suseofdefensemech
anismsshouldbeeliminated.”Whichisacorrectevaluationofthisnurse’sstatement?
Defensemechanismscanbeappropriateresponsest
1. ostressandneednotbe
eliminated.
Defensemechanismsareamaladaptiveattempt
2. oftheegotomanageanxietyand
shouldalwaysbeeliminated.
Defensemechanisms,usedbyindividualswithw
3. eakegointegrity,shouldbe
discouragedandnoteliminated.
Defensemechanismscausedisintegrationofthe
4. egoandshouldbefosteredand
encouraged.
6. Duringanintakeassessment,anurseasksbothphysiologicalandps
ychosocialquestions.Theclientangrilyresponds,“I’mhereformyheart,notmyheadproble
ms.”Whichisthenurse’sbestresponse?
“Itisjustaroutinepartofourassessment.Allclientsa
1. reaskedthesesame
questions.”
“Whyareyouconcernedaboutthesetypesof
2.
questions?”
“Psychologicalfactors,likeexcessivestress,haveb
3. eenfoundtoaffectmedical
conditions.”
“Wecanskipthesequestions,ifyoulike.Itisn’ti
4. mperativethatwecompletethis
section.”
PlusBay.Plus
, 7. Anemployeeusesthedefensemechanismofdisplacementwhent
hebossopenlydisagreeswithsuggestions.Whatbehaviorwouldbeexpectedfromthisemp
loyee?
1. Theemployeeassertivelyconfrontstheboss.
Theemployeeleavesthestaffmeetingto
2.
workoutinthegym.
3. Theemployeecriticizesacoworker.
4. Theemployeetakesthebossouttolunch.
8. Afourth-
gradeboyteasesandmakesjokesaboutacutegirlinhisclass.Thisbehaviorshouldbeident
ifiedbyanurseasindicativeofwhichdefensemechanism?
1. Displacement
2. Projection
3. Reactionformation
4. Sublimation
9. Whichnursingstatementabouttheconceptofneurosisismostaccurate?
Anindividualexperiencingneurosisisun
1. awarethatheorsheisexperiencing
distress.
Anindividualexperiencingneurosisfeels
2.
helplesstochangehisorhersituation.
Anindividualexperiencingneurosisisawareoft
3. hepsychologicalcausesofhisor
herbehavior.
Anindividualexperiencingneurosishasalossof
4.
contactwithreality.
10. Whichnursingstatementregardingtheconceptofpsychosisismost
accurate?
Individualsexperiencingpsychosesareaware
1.
thattheirbehaviorsaremaladaptive.
Individualsexperiencingpsychoses
2.
experiencelittledistress.
Individualsexperiencingpsychosesareawareof
3. experiencingpsychological
problems.
Individualsexperiencingpsychosesarebased
4.
inreality.
PlusBay.Plus
