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,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 s l
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 f eeli sl sl sl sl sl sl sl sl sl sl sl
ngs of sadness because of the recent death of a beloved pet. The client’s appetit e,
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sleep patterns, and daily routine have not changed. How should the nurse i nter
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pret the client’s behaviors?
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The client’s behaviors demonstrate mental ill
1.
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ness in the form of depression.
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The client’s behaviors are extensive, which in
2.
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dicates the presence of mental illness. s l s l s l s l s l
The client’s behaviors are not congruent wit
3.
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h cultural norms.
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The client’s behaviors demonstrate no functi ona
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4. l impairment, indicating no mental
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illness.
2. At what point should the nurse determine that a client is at ri sk sl sl sl sl sl sl sl sl sl sl sl sl s l sl
for developing a mental illness?
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When thoughts, feelings, and behaviors are
1.
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not reflective of the DSM-5 criteria. s l s l s l s l s l
When maladaptive responses to stress are cou ple sl sl sl sl sl sl sl
2. d with interference in daily sl sl sl sl
functioning.
When a client communicates significant
3.
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distress.
When a client uses defense mechanisms as
4.
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ego protection. s l
3. A nurse is assessing a set of 15-year- sl sl sl sl s l sl s l
old identical twins who respond very differently to stress. One twin becomes anx ious
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and irritable, and the other withdraws and cries. How should the nurse expla in th
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ese different stress responses to the parents?
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Reactions to stress are relative rather than abs olu sl sl sl sl sl sl sl sl
1. te; individual responses to stress sl sl sl sl
vary.
It is abnormal for identical twins to react dif
2.
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ferently to similar stressors. s l s l s l
PlusBay.Plus
, Identical twins should share the same temper
3.
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ament and respond similarly to stress. s l s l s l s l s l
Environmental influences to stress weigh m
4.
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ore heavily than genetic influences.
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4. Which client should the nurse anticipate to be mo st sl sl sl sl sl sl sl sl s l sl
receptive to psychiatric treatment?
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1. A Jewish, female social worker. sl s l s l s l
2. A Baptist, homeless male. sl s l s l
3. A Catholic, black male. sl s l s l
4. A Protestant, Swedish business executive. sl s l s l s l
5. A psychiatric nurse intern states, “This client’s use of defens
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e mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s state
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ment?
Defense mechanisms can be appropriate respo ns sl sl sl sl sl sl
1. es to stress and need not be sl sl sl sl sl sl
eliminated.
Defense mechanisms are a maladaptive atte m sl sl sl sl sl sl
2. pt of the ego to manage anxiety and sl sl sl sl sl sl sl
should always be eliminated. s l s l s l
Defense mechanisms, used by individuals w it sl sl sl sl sl sl
3. h weak ego integrity, should be sl sl sl sl s l
discouraged and not eliminated. s l s l s l
Defense mechanisms cause disintegration of the sl sl sl sl sl
4. ego and should be fostered and
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encouraged.
6. During an intake assessment, a nurse asks both physiologicasl sl sl sl sl sl sl sl s
l and psychosocial questions. The client angrily responds, “I’m here for my heart, not
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my head problems.” Which is the nurse’s best response?
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“It is just a routine part of our assessment. All c sl sl sl sl sl sl sl sl sl 5s l
1. lients are asked these same sl sl sl s l
questions.”
“Why are you concerned about these types
2.
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of sl
questions?”
“Psychological factors, like excessive stress, h av sl sl sl sl sl sl
3. e been found to affect medical sl sl sl sl sl
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It
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4. isn’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 expecte d fr
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om this employee?
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1. The employee assertively confronts the boss s l s l s l s l s l
.
The employee leaves the staff meeting to
2.
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work out in the gym. s l s l s l s l
3. The employee criticizes a coworker. s l s l s l s l
4. The employee takes the boss out to lunch. s l s l s l s l s l s l s l
8. A fourth- sl
grade boy teases and makes jokes about a cute girl in his class. This behavior sh ould
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be identified by a nurse as indicative of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation s l
4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
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An individual experiencing neurosis is unaw sl sl sl sl sl sl
1. are that he or she is experiencing s l s l s l s l s l s l
distress.
An individual experiencing neurosis feels hel
2.
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pless to change his or her situation. s l s l s l s l s l s l
An individual experiencing neurosis is awar e sl sl sl sl sl sl sl
3. of the psychological causes of his or sl sl sl sl sl sl
her behavior. s l
An individual experiencing neurosis has
4.
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a loss of contact with reality. sl s l s l s l s l
10. Which nursing statement regarding the concept of psychosis is most
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accurate?
Individuals experiencing psychoses are awar
1.
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e that their behaviors are maladaptive.
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Individuals experiencing psychoses experie
2.
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nce little distress.
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PlusBay.Plus
,kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
sl sl sl sl sl sl sl sl sl
Chapter 1. Examination and Diagnosis of the Psychiatric Patient
sl sl sl sl sl sl sl sl
Multiple Choice s l
Identify the choice that best completes the statement or answers the question.
s l s l s l s l s l s l s l s l s l s l s l
1. A nurse is assessing a client who is experiencing occasional f eeli sl sl sl sl sl sl sl sl sl sl sl
ngs of sadness because of the recent death of a beloved pet. The client’s appetit e,
s l sl s l s l sl s l s l s l sl sl s l sl s l sl sl sl
sleep patterns, and daily routine have not changed. How should the nurse i nter
s l s l s l s l s l s l s l s l s l s l s l s l sl
pret the client’s behaviors?
sl sl s l
The client’s behaviors demonstrate mental ill
1.
s l s l s l s l sl
ness in the form of depression.
s l s l s l s l s l
The client’s behaviors are extensive, which in
2.
s l s l s l s l s l sl
dicates the presence of mental illness. s l s l s l s l s l
The client’s behaviors are not congruent wit
3.
s l s l s l s l s l s l
h cultural norms.
sl s l
The client’s behaviors demonstrate no functi ona
sl sl sl sl sl sl
4. l impairment, indicating no mental
sl sl sl sl
illness.
2. At what point should the nurse determine that a client is at ri sk sl sl sl sl sl sl sl sl sl sl sl sl s l sl
for developing a mental illness?
sl sl sl sl
When thoughts, feelings, and behaviors are
1.
s l s l s l s l s l
not reflective of the DSM-5 criteria. s l s l s l s l s l
When maladaptive responses to stress are cou ple sl sl sl sl sl sl sl
2. d with interference in daily sl sl sl sl
functioning.
When a client communicates significant
3.
s l s l s l s l
distress.
When a client uses defense mechanisms as
4.
s l s l s l s l s l s l
ego protection. s l
3. A nurse is assessing a set of 15-year- sl sl sl sl s l sl s l
old identical twins who respond very differently to stress. One twin becomes anx ious
sl sl sl sl sl sl sl sl sl sl sl sl sl sl
and irritable, and the other withdraws and cries. How should the nurse expla in th
sl sl sl sl sl sl sl sl sl sl sl sl sl sl
ese different stress responses to the parents?
sl sl sl sl sl s l
Reactions to stress are relative rather than abs olu sl sl sl sl sl sl sl sl
1. te; individual responses to stress sl sl sl sl
vary.
It is abnormal for identical twins to react dif
2.
s l s l s l s l s l s l s l sl
ferently to similar stressors. s l s l s l
PlusBay.Plus
, Identical twins should share the same temper
3.
s l s l s l s l s l sl
ament and respond similarly to stress. s l s l s l s l s l
Environmental influences to stress weigh m
4.
s l sl s l s l sl
ore heavily than genetic influences.
s l s l s l s l
4. Which client should the nurse anticipate to be mo st sl sl sl sl sl sl sl sl s l sl
receptive to psychiatric treatment?
sl sl sl
1. A Jewish, female social worker. sl s l s l s l
2. A Baptist, homeless male. sl s l s l
3. A Catholic, black male. sl s l s l
4. A Protestant, Swedish business executive. sl s l s l s l
5. A psychiatric nurse intern states, “This client’s use of defens
sl sl sl sl sl sl sl sl sl s l
e mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s state
sl sl sl sl sl sl sl sl sl sl sl sl s l
ment?
Defense mechanisms can be appropriate respo ns sl sl sl sl sl sl
1. es to stress and need not be sl sl sl sl sl sl
eliminated.
Defense mechanisms are a maladaptive atte m sl sl sl sl sl sl
2. pt of the ego to manage anxiety and sl sl sl sl sl sl sl
should always be eliminated. s l s l s l
Defense mechanisms, used by individuals w it sl sl sl sl sl sl
3. h weak ego integrity, should be sl sl sl sl s l
discouraged and not eliminated. s l s l s l
Defense mechanisms cause disintegration of the sl sl sl sl sl
4. ego and should be fostered and
sl sl sl sl sl sl
encouraged.
6. During an intake assessment, a nurse asks both physiologicasl sl sl sl sl sl sl sl s
l and psychosocial questions. The client angrily responds, “I’m here for my heart, not
l sl sl sl sl sl sl sl sl sl sl sl sl s l sl
my head problems.” Which is the nurse’s best response?
sl sl sl sl sl sl sl sl
“It is just a routine part of our assessment. All c sl sl sl sl sl sl sl sl sl 5s l
1. lients are asked these same sl sl sl s l
questions.”
“Why are you concerned about these types
2.
s l s l s l s l s l s l s l
of sl
questions?”
“Psychological factors, like excessive stress, h av sl sl sl sl sl sl
3. e been found to affect medical sl sl sl sl sl
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It
sl sl sl sl sl sl sl sl 5
4. isn’t imperative that we complete this
sl sl sl sl sl
section.”
7. An employee uses the defense mechanism of displacement whe
sl sl sl sl sl sl sl sl
n the boss openly disagrees with suggestions. What behavior would be expecte d fr
sl sl sl sl sl sl sl sl sl sl sl sl sl
om this employee?
sl s l
1. The employee assertively confronts the boss s l s l s l s l s l
.
The employee leaves the staff meeting to
2.
s l s l s l s l s l s l sl
work out in the gym. s l s l s l s l
3. The employee criticizes a coworker. s l s l s l s l
4. The employee takes the boss out to lunch. s l s l s l s l s l s l s l
8. A fourth- sl
grade boy teases and makes jokes about a cute girl in his class. This behavior sh ould
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl s l
be identified by a nurse as indicative of which defense mechanism?
s l s l s l s l s l s l sl s l s l s l s l
1. Displacement
2. Projection
3. Reaction formation s l
4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
s l s l s l s l s l s l s l s l s l
An individual experiencing neurosis is unaw sl sl sl sl sl sl
1. are that he or she is experiencing s l s l s l s l s l s l
distress.
An individual experiencing neurosis feels hel
2.
s l s l s l s l sl
pless to change his or her situation. s l s l s l s l s l s l
An individual experiencing neurosis is awar e sl sl sl sl sl sl sl
3. of the psychological causes of his or sl sl sl sl sl sl
her behavior. s l
An individual experiencing neurosis has
4.
s l s l s l s l s l
a loss of contact with reality. sl s l s l s l s l
10. Which nursing statement regarding the concept of psychosis is most
s l s l s l s l s l s l s l s l s l
accurate?
Individuals experiencing psychoses are awar
1.
s l s l s l s l
e that their behaviors are maladaptive.
sl s l s l s l s l
Individuals experiencing psychoses experie
2.
s l s l sl
nce little distress.
s l s l
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