TEST BaNK FOR KaPLaN & SaDOCK’S SYNOPSIS OF
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PSYCHIaTRY 12TH EDITION BY ROBERT
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BOLaND; MaRICa VERDIUN; PEDRO RUIZ q q q q
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, Kaplan q& qSadock's qSynopsis qof qPsychiatry qEdition q12 qTest qBank
Chapter q 1. q Examination q and q Diagnosis q of q the q Psychiatric q Patient
Multiple q Choice
Identify q the q choice q that q best q completes q the q statement q or q answers q the q question.
1. A qnurse qis qassessing qa qclient qwho qis qexperiencing qoccasional
qfeelings qof qsadness qbecause qof qthe qrecent qdeath qof qa qbeloved qpet. qThe qclient’s
qappetite, qsleep q patterns, q and q daily q routine q have q not q changed. q How q should q the
q nurse q interpret qthe qclient’s q behaviors?
The q client’s q behaviors q demonstrate q mental
1.
illness q in q the q form qof q depression.
The q client’s q behaviors q are q extensive, q which
2.
indicates q the q presence q of q mental q illness.
The q client’s q behaviors q are q not q congruent
3.
q with
cultural q norms.
The qclient’s qbehaviors qdemonstrate qno
4. qfunctional qimpairment, qindicating qno
qmental
illness.
2. At qwhat qpoint qshould qthe qnurse qdetermine qthat qa qclient qis qat
qrisk qfor qdeveloping qa qmental qillness?
When q thoughts, q feelings, q and q behaviors q are
1.
not q reflective q of q the q DSM-5 q criteria.
When qmaladaptive qresponses qto qstress qare
2. qcoupled qwith qinterference qin qdaily
functioning.
When q a q client q communicates q significant
3.
distress.
When q a q client q uses q defense q mechanisms q as
4.
ego q protection.
3. A qnurse qis qassessing qa qset qof q15-year-old qidentical qtwins
qwho qrespond qvery qdifferently qto qstress. qOne qtwin qbecomes qanxious qand qirritable,
qand qthe qother qwithdraws qand qcries. qHow qshould qthe qnurse qexplain qthese
qdifferent qstress qresponses qto qthe q parents?
Reactions qto qstress qare qrelative qrather qthan
1. qabsolute; qindividual qresponses qto qstress
vary.
, It q is q abnormal q for q identical q twins q to q react
2.
differently q to q similar q stressors.
Identical q twins q should q share q the q same
3.
temperament q and q respond q similarly q to q stress.
Environmental q influences q to q stress q weigh
4.
more q heavily q than q genetic q influences.
4. Which qclient qshould qthe qnurse qanticipate qto qbe
qmost qreceptive qto qpsychiatric qtreatment?
1. A qJewish, q female q social q worker.
2. A qBaptist, q homeless q male.
3. A qCatholic, q black q male.
4. A qProtestant, q Swedish q business q executive.
5. A qpsychiatric qnurse qintern qstates, q“This qclient’s quse qof
qdefense qmechanisms qshould qbe qeliminated.” qWhich qis qa qcorrect qevaluation qof qthis
qnurse’s qstatement?
Defense qmechanisms qcan qbe qappropriate
1. qresponses qto qstress qand qneed qnot qbe
eliminated.
Defense qmechanisms qare qa qmaladaptive
2. qattempt qof qthe qego qto qmanage qanxiety qand
should q always q be q eliminated.
Defense qmechanisms, qused qby qindividuals
3. qwith qweak qego qintegrity, qshould q be
discouraged q and q not q eliminated.
Defense qmechanisms qcause qdisintegration qof
4. qthe qego qand qshould qbe qfostered qand
encouraged.
6. During qan qintake qassessment, qa qnurse qasks qboth
qphysiological qand qpsychosocial qquestions. qThe qclient qangrily qresponds, q“I’m qhere
qfor qmy qheart, qnot qmy qhead qproblems.” qWhich qis qthe qnurse’s qbest qresponse?
“It qis qjust qa qroutine qpart qof qour qassessment.
1. qAll qclients qare qasked qthese q same
questions.”
“Why q are q you q concerned q about q these q types
2.
q of
questions?”
, “Psychological qfactors, qlike qexcessive qstress,
3. qhave qbeen qfound qto qaffect qmedical
conditions.”
“We qcan qskip qthese qquestions, qif qyou qlike.
4. qIt qisn’t qimperative qthat qwe qcomplete qthis
section.”
7. An qemployee quses qthe qdefense qmechanism qof qdisplacement
qwhen qthe qboss qopenly qdisagrees qwith qsuggestions. qWhat qbehavior qwould qbe
qexpected qfrom qthis q employee?
1. The q employee q assertively q confronts q the q boss.
The q employee q leaves q the q staff q meeting q to
2.
work q out q in q the q gym.
3. The q employee q criticizes q a q coworker.
4. The q employee q takes q the q boss q out q to q lunch.
8. A qfourth-grade qboy qteases qand qmakes qjokes qabout qa qcute
qgirl qin qhis qclass. qThis qbehavior qshould qbe qidentified qby qa qnurse qas qindicative qof
qwhich qdefense qmechanism?
1. Displacement
2. Projection
3. Reaction q formation
4. Sublimation
9. Which q nursing q statement q about q the q concept q of q neurosis q is q most q accurate?
An qindividual qexperiencing qneurosis qis
1. qunaware q that q he q or q she q is q experiencing
distress.
An q individual q experiencing q neurosis q feels
2.
helpless q to q change q his q or q her q situation.
An qindividual qexperiencing qneurosis qis
3. qaware qof qthe qpsychological qcauses qof qhis
qor
her q behavior.
An q individual q experiencing q neurosis q has q a
4.
loss q of q contact q with q reality.
10. Which q nursing q statement q regarding q the q concept q of q psychosis q is q most
accurate?