Kaplan & Sadock’s Synopsis of Psychiatry – 12th Edition (Boland, 2025) | Complete Test Bank | All Chapters 1–35 with Verified Answers

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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 x


Identify the choice that best completes the statement or answers the question.
x x x x x x x x x x x




1. A nurse is assessing a client who is experiencing occasional
x x x x x x x x x


x feelings of sadness because of the recent death of a beloved pet. The client’s appetite,
x x x x x x x x x x x x x x


x sleep patterns, and daily routine have not changed. How should the nurse
x x x x x x x x x x x


x interpret the client’s behaviors?
x x x




The client’s behaviors demonstrate mental
x x x x
1.
illness in the form of depression. x x x x x


The client’s behaviors are extensive, which
x x x x x
2.
indicates the presence of mental illness. x x x x x


The client’s behaviors are not congruent with
x x x x x x
3.
cultural norms. x


The client’s behaviors demonstrate no
x x x x


4. xfunctional impairment, indicating no mental x x x x


illness.



2. At what point should the nurse determine that a client is at risk
x x x x x x x x x x x x


x for developing a mental illness?
x x x x


When thoughts, feelings, and behaviors are x x x x x
1.
not reflective of the DSM-5 criteria. x x x x x


When maladaptive responses to stress are x x x x x


2. coupled with interference in daily x x x x x


functioning.
When a client communicates significant x x x x
3.
distress.
When a client uses defense mechanisms as x x x x x x
4.
ego protection. x




3. A nurse is assessing a set of 15-year-old identical twins who
x x x x x x x x x x


x respond very differently to stress. One twin becomes anxious and irritable, and the
x x x x x x x x x x x x


x other withdraws and cries. How should the nurse explain these different stress
x x x x x x x x x x x


x responses to the parents?
x x x


Reactions to stress are relative rather than x x x x x x


1. absolute; individual responses to stress x x x x x


vary.
It is abnormal for identical twins to react x x x x x x x
2.
differently to similar stressors. x x x

, Identical twins should share the same x x x x x
3.
temperament and respond similarly to stress. x x x x x


Environmental influences to stress weigh x x x x
4.
more heavily than genetic influences.
x x x x




4. Which client should the nurse anticipate to be most
x x x x x x x x


x receptive to psychiatric treatment?
x x x


1. A Jewish, female social worker. x x x x


2. A Baptist, homeless male. x x x


3. A Catholic, black male. x x x


4. A Protestant, Swedish business executive. x x x x




5. A psychiatric nurse intern states, “This client’s use of defense
x x x x x x x x x


x mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s
x x x x x x x x x x x


x statement?
Defense mechanisms can be appropriate x x x x


1. responses to stress and need not be x x x x x x x


eliminated.
Defense mechanisms are a maladaptive x x x x


2. attempt of the ego to manage anxiety and x x x x x x x x


should always be eliminated. x x x


Defense mechanisms, used by individuals x x x x


3. with weak ego integrity, should be x x x x x x


discouraged and not eliminated. x x x




Defense mechanisms cause disintegration of
x x x x


4. the ego and should be fostered and
x x x x x x x


encouraged.



6. During an intake assessment, a nurse asks both physiological
x x x x x x x x


x and psychosocial questions. The client angrily responds, “I’m here for my heart, not
x x x x x x x x x x x x


x my head problems.” Which is the nurse’s best response?
x x x x x x x x


“It is just a routine part of our assessment. All x x x x x x x x x


1. clients are asked these same x x x x x


questions.”
“Why are you concerned about these types of x x x x x x x
2.
questions?”
“Psychological factors, like excessive stress, x x x x


3. have been found to affect medical x x x x x x


conditions.”

, “We can skip these questions, if you like. It
x x x x x x x x


4. isn’t imperative that we complete this
x x x x x x


section.”


7. An employee uses the defense mechanism of displacement
x x x x x x x


x when the boss openly disagrees with suggestions. What behavior would be expected
x x x x x x x x x x x


x from this employee?
x x


1. The employee assertively confronts the boss. x x x x x


The employee leaves the staff meeting to x x x x x x
2.
work out in the gym. x x x x


3. The employee criticizes a coworker. x x x x


4. The employee takes the boss out to lunch. x x x x x x x




8. A fourth-grade boy teases and makes jokes about a cute girl
x x x x x x x x x x


x in his class. This behavior should be identified by a nurse as indicative of which
x x x x x x x x x x x x x x


x defense mechanism?
x


1. Displacement
2. Projection
3. Reaction formation x


4. Sublimation


9. Which nursing statement about the concept of neurosis is most accurate?
x x x x x x x x x x



An individual experiencing neurosis is x x x x


1. unaware that he or she is experiencing x x x x x x x


distress.
An individual experiencing neurosis feels x x x x
2.
helpless to change his or her situation. x x x x x x


An individual experiencing neurosis is aware x x x x x


3. of the psychological causes of his or x x x x x x x


her behavior. x


An individual experiencing neurosis has a x x x x x
4.
loss of contact with reality. x x x x




10. Which nursing statement regarding the concept of psychosis is most
x x x x x x x x x


accurate?
Individuals experiencing psychoses are aware x x x x
1.
that their behaviors are maladaptive.
x x x x




Individuals experiencing psychoses x x
2.
experience little distress. x x