, 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 zl
Identify the choice that best completes the statement or answers the question.
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1. A nurse is assessing a client who is experiencing occasional feeli zl zl zl zl zl zl zl zl zl zl
ngs of sadness because of the recent death of a beloved pet. The client’s appetite, sleep p
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atterns, and daily routine have not changed. How should the nurse interpret the cli
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ent’s behaviors?z l
The client’s behaviors demonstrate mental
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1.
illness in the form of depression. zl zl zl zl zl
The client’s behaviors are extensive, which
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2.
indicates the presence of mental illness. zl zl zl zl zl
The client’s behaviors are not congruent with
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3.
cultural norms. zl
The client’s behaviors demonstrate no functio
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4. nal impairment, indicating no mental
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illness.
2. At what point should the nurse determine that a client is at risk fo zl zl zl zl zl zl zl zl zl zl zl zl zl
r developing a mental illness?
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When thoughts, feelings, and behaviors are zl zl zl zl zl
1.
not reflective of the DSM-5 criteria. zl zl zl zl zl
When maladaptive responses to stress are couple zl zl zl zl zl zl
2. d with interference in daily zl zl zl zl
functioning.
When a client communicates significant zl zl zl zl
3.
distress.
When a client uses defense mechanisms as zl zl zl zl zl zl
4.
ego protection. zl
3. A nurse is assessing a set of 15-year- zl zl zl zl zl zl zl
old identical twins who respond very differently to stress. One twin becomes anxious
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and irritable, and the other withdraws and cries. How should the nurse explain these di
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fferent stress responses to the parents?
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Reactions to stress are relative rather than absolu zl zl zl zl zl zl zl
1. te; individual responses to stress zl zl zl zl
vary.
It is abnormal for identical twins to react zl zl zl zl zl zl zl
2.
differently to similar stressors. zl zl zl
PlusBay.Plus
, Identical twins should share the same zl zl zl zl zl
3.
temperament and respond similarly to stress. zl zl zl zl zl
Environmental influences to stress weigh zl zl zl zl
4.
more heavily than genetic influences. zl zl zl zl
4. Which client should the nurse anticipate to be most re
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ceptive to psychiatric treatment?
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1. A Jewish, female social worker. zl zl zl zl
2. A Baptist, homeless male. zl zl zl
3. A Catholic, black male. zl zl zl
4. A Protestant, Swedish business executive. zl zl zl zl
5. A psychiatric nurse intern states, “This client’s use of defense m
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echanisms should be eliminated.” Which is a correct evaluation of this nurse’s statemen
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t?
Defense mechanisms can be appropriate respons zl zl zl zl zl
1. es to stress and need not be zl zl zl zl zl zl
eliminated.
Defense mechanisms are a maladaptive attemp zl zl zl zl zl
2. t of the ego to manage anxiety and zl zl zl zl zl zl zl
should always be eliminated. zl zl zl
Defense mechanisms, used by individuals wit zl zl zl zl zl
3. h weak ego integrity, should be zl zl zl zl z l
discouraged and not eliminated. zl zl zl
Defense mechanisms cause disintegration of t zl zl zl zl zl
4. he ego and should be fostered and
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encouraged.
6. During an intake assessment, a nurse asks both physiological an
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d psychosocial questions. The client angrily responds, “I’m here for my heart, not my h
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ead problems.” Which is the nurse’s best response?
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“It is just a routine part of our assessment. All cli zl zl zl zl zl zl zl zl zl zl
1. ents are asked these same zl zl zl z l
questions.”
“Why are you concerned about these types of zl zl zl zl zl zl zl
2.
questions?”
“Psychological factors, like excessive stress, hav zl zl zl zl zl
3. e been found to affect medical zl zl zl zl zl
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It isn
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4. ’t imperative that we complete this
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section.”
7. An employee uses the defense mechanism of displacement whe
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n the boss openly disagrees with suggestions. What behavior would be expected from t
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his employee?
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1. The employee assertively confronts the boss. zl zl zl zl zl
The employee leaves the staff meeting to zl zl zl zl zl zl
2.
work out in the gym. zl zl zl zl
3. The employee criticizes a coworker. zl zl zl zl
4. The employee takes the boss out to lunch. zl zl zl zl zl zl zl
8. A fourth- zl
grade boy teases and makes jokes about a cute girl in his class. This behavior should b
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e identified by a nurse as indicative of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation zl
4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
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An individual experiencing neurosis is unawar zl zl zl zl zl
1. e that he or she is experiencing zl zl zl zl zl zl
distress.
An individual experiencing neurosis feels zl zl zl zl
2.
helpless to change his or her situation. zl zl zl zl zl zl
An individual experiencing neurosis is aware zl zl zl zl zl zl
3. of the psychological causes of his or zl zl zl zl zl zl
her behavior. zl
An individual experiencing neurosis has a zl zl zl zl zl
4.
loss of contact with reality. zl zl zl zl
10. Which nursing statement regarding the concept of psychosis is most
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accurate?
Individuals experiencing psychoses are aware zl zl zl zl
1.
that their behaviors are maladaptive.
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Individuals experiencing psychoses zl zl
2.
experience little distress. zl zl
PlusBay.Plus
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Chapter 1. Examination and Diagnosis of the Psychiatric Patient
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Multiple Choice zl
Identify the choice that best completes the statement or answers the question.
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1. A nurse is assessing a client who is experiencing occasional feeli zl zl zl zl zl zl zl zl zl zl
ngs of sadness because of the recent death of a beloved pet. The client’s appetite, sleep p
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atterns, and daily routine have not changed. How should the nurse interpret the cli
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ent’s behaviors?z l
The client’s behaviors demonstrate mental
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1.
illness in the form of depression. zl zl zl zl zl
The client’s behaviors are extensive, which
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2.
indicates the presence of mental illness. zl zl zl zl zl
The client’s behaviors are not congruent with
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3.
cultural norms. zl
The client’s behaviors demonstrate no functio
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4. nal impairment, indicating no mental
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illness.
2. At what point should the nurse determine that a client is at risk fo zl zl zl zl zl zl zl zl zl zl zl zl zl
r developing a mental illness?
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When thoughts, feelings, and behaviors are zl zl zl zl zl
1.
not reflective of the DSM-5 criteria. zl zl zl zl zl
When maladaptive responses to stress are couple zl zl zl zl zl zl
2. d with interference in daily zl zl zl zl
functioning.
When a client communicates significant zl zl zl zl
3.
distress.
When a client uses defense mechanisms as zl zl zl zl zl zl
4.
ego protection. zl
3. A nurse is assessing a set of 15-year- zl zl zl zl zl zl zl
old identical twins who respond very differently to stress. One twin becomes anxious
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and irritable, and the other withdraws and cries. How should the nurse explain these di
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fferent stress responses to the parents?
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Reactions to stress are relative rather than absolu zl zl zl zl zl zl zl
1. te; individual responses to stress zl zl zl zl
vary.
It is abnormal for identical twins to react zl zl zl zl zl zl zl
2.
differently to similar stressors. zl zl zl
PlusBay.Plus
, Identical twins should share the same zl zl zl zl zl
3.
temperament and respond similarly to stress. zl zl zl zl zl
Environmental influences to stress weigh zl zl zl zl
4.
more heavily than genetic influences. zl zl zl zl
4. Which client should the nurse anticipate to be most re
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ceptive to psychiatric treatment?
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1. A Jewish, female social worker. zl zl zl zl
2. A Baptist, homeless male. zl zl zl
3. A Catholic, black male. zl zl zl
4. A Protestant, Swedish business executive. zl zl zl zl
5. A psychiatric nurse intern states, “This client’s use of defense m
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echanisms should be eliminated.” Which is a correct evaluation of this nurse’s statemen
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t?
Defense mechanisms can be appropriate respons zl zl zl zl zl
1. es to stress and need not be zl zl zl zl zl zl
eliminated.
Defense mechanisms are a maladaptive attemp zl zl zl zl zl
2. t of the ego to manage anxiety and zl zl zl zl zl zl zl
should always be eliminated. zl zl zl
Defense mechanisms, used by individuals wit zl zl zl zl zl
3. h weak ego integrity, should be zl zl zl zl z l
discouraged and not eliminated. zl zl zl
Defense mechanisms cause disintegration of t zl zl zl zl zl
4. he ego and should be fostered and
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encouraged.
6. During an intake assessment, a nurse asks both physiological an
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d psychosocial questions. The client angrily responds, “I’m here for my heart, not my h
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ead problems.” Which is the nurse’s best response?
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“It is just a routine part of our assessment. All cli zl zl zl zl zl zl zl zl zl zl
1. ents are asked these same zl zl zl z l
questions.”
“Why are you concerned about these types of zl zl zl zl zl zl zl
2.
questions?”
“Psychological factors, like excessive stress, hav zl zl zl zl zl
3. e been found to affect medical zl zl zl zl zl
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It isn
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4. ’t imperative that we complete this
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section.”
7. An employee uses the defense mechanism of displacement whe
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n the boss openly disagrees with suggestions. What behavior would be expected from t
zl zl zl zl zl zl zl zl zl zl zl zl zl
his employee?
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1. The employee assertively confronts the boss. zl zl zl zl zl
The employee leaves the staff meeting to zl zl zl zl zl zl
2.
work out in the gym. zl zl zl zl
3. The employee criticizes a coworker. zl zl zl zl
4. The employee takes the boss out to lunch. zl zl zl zl zl zl zl
8. A fourth- zl
grade boy teases and makes jokes about a cute girl in his class. This behavior should b
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e identified by a nurse as indicative of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation zl
4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
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An individual experiencing neurosis is unawar zl zl zl zl zl
1. e that he or she is experiencing zl zl zl zl zl zl
distress.
An individual experiencing neurosis feels zl zl zl zl
2.
helpless to change his or her situation. zl zl zl zl zl zl
An individual experiencing neurosis is aware zl zl zl zl zl zl
3. of the psychological causes of his or zl zl zl zl zl zl
her behavior. zl
An individual experiencing neurosis has a zl zl zl zl zl
4.
loss of contact with reality. zl zl zl zl
10. Which nursing statement regarding the concept of psychosis is most
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accurate?
Individuals experiencing psychoses are aware zl zl zl zl
1.
that their behaviors are maladaptive.
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Individuals experiencing psychoses zl zl
2.
experience little distress. zl zl
PlusBay.Plus
