Kaplan & Sadock Synopsis of Psychiatry Updated
12th Edition _ test _ bank 2 023 IGRADEDI A+.
ChapterI 1. Examination and DiagnosisI ofI theI PsychiatricIPat ientIMultiple Choice
IdentifyIthe choice that best completesItheIstatementIorIanswersItheIquestion.
1. A nurse is assessing aclientIwhoIisIexperiencing occasional feeli ngs
ofIsadnessIbecauseIofItheIrecentIdeath ofIaIbelovedIpet.ITheIclient’s appetite,sleepIpa tterns,Iand
dailyIroutineIhave not changed. HowIshouldIthe nurse interpret the client’sIb ehaviors?
1. The client’s behaviors demonstrateI mental illness in theIform ofIdepress ion.
2. TheIclient’sIbehaviorsIareIextensive,Iwh ichI indicatesItheIpresenceIofImentalIillne ss.
3. The client’s behaviors are notIcongruent with cultural norms.
4. The client’s behaviors demonstrate noIf unctional impairment, indicatingIno m ental illness.
2. At what point should the nurse determine that a client isIat riskfor developing a mental
illness?
1. When thoughts, feelings, and behaviorsa re not reflective of the DSM-5 criteria.
2. When maladaptive responsesIto stressIa reIcoupledIwithIinterferenceIinIdailyIfun ctioning.
3. WhenIaIclientIcommunicatesIs ignificantIdistress.
4. WhenIaIclient usesIdefenseImechanismsIa sIegoIprotection.
1. ReactionsItoIstressIare relativeIratherIth anIabsolute;Iindividual responsesItoIstr essIvary.
2. ItIisIabnormalIforIidentical twinsItoIre actIdifferentlyItoIsimilar stressors.
3. Identical twins should share the same te mperamentIand respond similarly to str ess.
4. Environmental influences toIstress weigh more heavily than genetic in fluences.
,1. ReactionsItoIstressIareIrelativeIratherIth anIabsolute;IindividualIresponsesItoIstr essIvary.
2. ItIisIabnormal for identicalItwinsItoIre actIdifferently toIsimilarIstressors.
3. IdenticalItwinsIshouldIshareItheIsameIte mperamentIandIrespondIsimilarlyItoIstr ess.
4. EnvironmentalIinfluences toIstressI weighImoreIheavily than geneticIin fluences.
1. AIJewish,Ifemale social worker.
2. AIBaptist, homeless male.
3. AICatholic, black male.
4. AIProtestant, SwedishIbusinessIexecutive.
1. Defense mechanisms can beIapprop riate responsesIto stress andneed no t be
eliminated.
2. Defense mechanisms are a maladaptiv e attempt of the ego to manage anxiety and should
always beeliminated.
3. Defense mechanisms, used by indivi duals withIweakIegoIintegrity,should be
discouragedIandInotIeliminated.
4. Defense mechanisms cause disintegrationI of the ego and should beIfostered and enco
uraged.
,6. During an intake assessment, a nurse asksIboth physiological an
dIpsychosocialIquestions.ITheIclientIangrilyIresponds,I“I’mIhereIforImyIheart,InotImyIhea
dIproblems.”IWhichIisItheInurse’sIbestIresponse?
1. “ItIisIjustIaIroutineIpartIofIourIassessment.IA llIclientsIareIaskedItheseIsameIquestions.”
2. “WhyIare youIconcernedIaboutItheseItypesIo fIquestions?”
3. “PsychologicalIfactors,IlikeIexcessiveIstre ss,I haveIbeenIfoundItoIaffectImedicalIcond
itions.”
4. “WeIcanIskipItheseIquestions, ifIyouIlike.ItI isn’tIimperativeIthatIwe completeIthisIsecti on.”
2. “WhyIareIyouIconcerned aboutItheseItypesIo fIquestions?”
3. “Psychological factors, likeIexcessiveIstre ss,I haveIbeenIfound to affect medicalIcond
itions.”
4. “We can skipIthese questions,IifIyouIlike.IItI isn’tIimperative that weIcompleteIthisIsecti on.”
7. AnIemployeeIusesItheIdefense mechanismIofIdisplacementIwh enIthe
bossIopenlyIdisagreesIwithIsuggestions.IWhat behaviorIwouldIbeIexpectedIfromIt hisIemployee?
1. The employee assertively confronts the boss.
2. The employee leaves the staff meetingt oIwork outIin the gym.
3. The employee criticizes a coworker.
4. The employee takes the boss out to lunch.
8. A fourth-
grade boy teases and makesIjokes about a cuteIgirlin hisIclass. This behavior should b e identified by
a nurse as indicative of which
defense mechanism?
1. Displacement
, 2. Projection
3. Reaction formation
4. Sublimation
1. AnIindividualIexperiencingIneurosisIi sIunawareIthat heIorIsheIisIexperienci ngIdistress.
2. AnIindividualIexperiencingIneurosisIf eelsIhelplessItoIchangeIhisIorIherIsitua tion.
3. AnIindividualIexperiencingIneurosisIisIawar eIofItheIpsychological causesIofIhisIorIherIbe
havior.
4. AnIindividualIexperiencingIneurosisIhasIa
IlossIofIcontactIwithIreality.
1. Individuals experiencing psychosesIareIawa re thatItheir behaviors are maladaptive.
2. Individuals experiencing psychosesI experience littleIdistress.
3. IndividualsIexperiencingIpsychosesIareI awareIofIexperiencingIpsychologicalIpr oblems.
4. Individuals experiencing psychoses areI based in reality.
2. IndividualsIexperiencing psychosesI experience littleIdistress.
3. Individuals experiencing psychoses areI aware of experiencing psychological pr oblems.
4. IndividualsIexperiencingIpsychosesIare
based inIreality.
12th Edition _ test _ bank 2 023 IGRADEDI A+.
ChapterI 1. Examination and DiagnosisI ofI theI PsychiatricIPat ientIMultiple Choice
IdentifyIthe choice that best completesItheIstatementIorIanswersItheIquestion.
1. A nurse is assessing aclientIwhoIisIexperiencing occasional feeli ngs
ofIsadnessIbecauseIofItheIrecentIdeath ofIaIbelovedIpet.ITheIclient’s appetite,sleepIpa tterns,Iand
dailyIroutineIhave not changed. HowIshouldIthe nurse interpret the client’sIb ehaviors?
1. The client’s behaviors demonstrateI mental illness in theIform ofIdepress ion.
2. TheIclient’sIbehaviorsIareIextensive,Iwh ichI indicatesItheIpresenceIofImentalIillne ss.
3. The client’s behaviors are notIcongruent with cultural norms.
4. The client’s behaviors demonstrate noIf unctional impairment, indicatingIno m ental illness.
2. At what point should the nurse determine that a client isIat riskfor developing a mental
illness?
1. When thoughts, feelings, and behaviorsa re not reflective of the DSM-5 criteria.
2. When maladaptive responsesIto stressIa reIcoupledIwithIinterferenceIinIdailyIfun ctioning.
3. WhenIaIclientIcommunicatesIs ignificantIdistress.
4. WhenIaIclient usesIdefenseImechanismsIa sIegoIprotection.
1. ReactionsItoIstressIare relativeIratherIth anIabsolute;Iindividual responsesItoIstr essIvary.
2. ItIisIabnormalIforIidentical twinsItoIre actIdifferentlyItoIsimilar stressors.
3. Identical twins should share the same te mperamentIand respond similarly to str ess.
4. Environmental influences toIstress weigh more heavily than genetic in fluences.
,1. ReactionsItoIstressIareIrelativeIratherIth anIabsolute;IindividualIresponsesItoIstr essIvary.
2. ItIisIabnormal for identicalItwinsItoIre actIdifferently toIsimilarIstressors.
3. IdenticalItwinsIshouldIshareItheIsameIte mperamentIandIrespondIsimilarlyItoIstr ess.
4. EnvironmentalIinfluences toIstressI weighImoreIheavily than geneticIin fluences.
1. AIJewish,Ifemale social worker.
2. AIBaptist, homeless male.
3. AICatholic, black male.
4. AIProtestant, SwedishIbusinessIexecutive.
1. Defense mechanisms can beIapprop riate responsesIto stress andneed no t be
eliminated.
2. Defense mechanisms are a maladaptiv e attempt of the ego to manage anxiety and should
always beeliminated.
3. Defense mechanisms, used by indivi duals withIweakIegoIintegrity,should be
discouragedIandInotIeliminated.
4. Defense mechanisms cause disintegrationI of the ego and should beIfostered and enco
uraged.
,6. During an intake assessment, a nurse asksIboth physiological an
dIpsychosocialIquestions.ITheIclientIangrilyIresponds,I“I’mIhereIforImyIheart,InotImyIhea
dIproblems.”IWhichIisItheInurse’sIbestIresponse?
1. “ItIisIjustIaIroutineIpartIofIourIassessment.IA llIclientsIareIaskedItheseIsameIquestions.”
2. “WhyIare youIconcernedIaboutItheseItypesIo fIquestions?”
3. “PsychologicalIfactors,IlikeIexcessiveIstre ss,I haveIbeenIfoundItoIaffectImedicalIcond
itions.”
4. “WeIcanIskipItheseIquestions, ifIyouIlike.ItI isn’tIimperativeIthatIwe completeIthisIsecti on.”
2. “WhyIareIyouIconcerned aboutItheseItypesIo fIquestions?”
3. “Psychological factors, likeIexcessiveIstre ss,I haveIbeenIfound to affect medicalIcond
itions.”
4. “We can skipIthese questions,IifIyouIlike.IItI isn’tIimperative that weIcompleteIthisIsecti on.”
7. AnIemployeeIusesItheIdefense mechanismIofIdisplacementIwh enIthe
bossIopenlyIdisagreesIwithIsuggestions.IWhat behaviorIwouldIbeIexpectedIfromIt hisIemployee?
1. The employee assertively confronts the boss.
2. The employee leaves the staff meetingt oIwork outIin the gym.
3. The employee criticizes a coworker.
4. The employee takes the boss out to lunch.
8. A fourth-
grade boy teases and makesIjokes about a cuteIgirlin hisIclass. This behavior should b e identified by
a nurse as indicative of which
defense mechanism?
1. Displacement
, 2. Projection
3. Reaction formation
4. Sublimation
1. AnIindividualIexperiencingIneurosisIi sIunawareIthat heIorIsheIisIexperienci ngIdistress.
2. AnIindividualIexperiencingIneurosisIf eelsIhelplessItoIchangeIhisIorIherIsitua tion.
3. AnIindividualIexperiencingIneurosisIisIawar eIofItheIpsychological causesIofIhisIorIherIbe
havior.
4. AnIindividualIexperiencingIneurosisIhasIa
IlossIofIcontactIwithIreality.
1. Individuals experiencing psychosesIareIawa re thatItheir behaviors are maladaptive.
2. Individuals experiencing psychosesI experience littleIdistress.
3. IndividualsIexperiencingIpsychosesIareI awareIofIexperiencingIpsychologicalIpr oblems.
4. Individuals experiencing psychoses areI based in reality.
2. IndividualsIexperiencing psychosesI experience littleIdistress.
3. Individuals experiencing psychoses areI aware of experiencing psychological pr oblems.
4. IndividualsIexperiencingIpsychosesIare
based inIreality.
