I I I I I I
Updated 12th Edition_testbank 2025
I I I I
GRADED A+ I
KaplanI&ISadock's ISynopsisIofIPsychiatryIEdition I12 Test Bank
ChapterI 1. Examination and DiagnosisI ofI theI PsychiatricIPatient
Multiple Choice
IdentifyIthe choice that best completesItheIstatementIorIanswersItheIquestion.
AInurseIisIassessingIaIclientIwhoIisIexperiencing 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.
, 1. 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.
3. A nurse isIassessingIaIsetIofI15-year-
old identicalItwins whorespond veryIdifferentlyItoIstress.IOneItwinIbecomesIanxiousIa
ndIirritable,IandItheIother withdrawsIandIcries.IHowIshouldItheInurseIexplain these diff
erentIstress responsesItoIthe parents?
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.
4. Which clientIshouldItheInurseIanticipateItoIbeImostre
ceptiveIto psychiatric treatment?
1. AIJewish,Ifemale social worker.
2. AIBaptist, homeless male.
3. AICatholic, black male.
4. AIProtestant, SwedishIbusinessIexecutive.
5. AIpsychiatricInurse intern states,I“ThisIclient’sIuse ofIdefenseIm
echanismsIshouldIbeIeliminated.”IWhichIisIaIcorrect evaluationIofIthis nurse’sIstatement
?
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.