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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 am
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 fe
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elings of sadness because of the recent death of a beloved pet. The client’s appetite,
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sleep patterns, and daily routine have not changed. How should the nurse inter
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pret the client’s behaviors?
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The client’s behaviors demonstrate mental
am am am am
1.
illness in the form of depression.
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The client’s behaviors are extensive, which
am am am am am
2.
indicates the presence of mental illness.
am am am am am
The client’s behaviors are not congruent with
am am am am am am
3.
cultural norms. am
The client’s behaviors demonstrate no functi
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4. onal impairment, indicating no mental
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illness.
2. At what point should the nurse determine that a client is at ris
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k for developing a mental illness?
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When thoughts, feelings, and behaviors are am am am am am
1.
not reflective of the DSM-5 criteria. am am am am am
When maladaptive responses to stress are coup am am am am am am
2. led with interference in daily am am am am
functioning.
When a client communicates significant am am am am
3.
distress.
When a client uses defense mechanisms as am am am am am am
4.
ego protection. am
3. A nurse is assessing a set of 15-year- am am am am am am am
old identical twins who respond very differently to stress. One twin becomes anxi
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ous and irritable, and the other withdraws and cries. How should the nurse explain
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these different stress responses to the parents?
am am am am am am a m
Reactions to stress are relative rather than abso am am am am am am am
1. lute; individual responses to stress am am am am
vary.
PlusBay.Plus
, It is abnormal for identical twins to react
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2.
differently to similar stressors. am am am
Identical twins should share the same
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3.
temperament and respond similarly to stress. am am am am am
Environmental influences to stress weigh am am am am
4.
more heavily than genetic influences.
am am am am
4. Which client should the nurse anticipate to be mos
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t receptive to psychiatric treatment?
am am am am
1. A Jewish, female social worker. am am am am
2. A Baptist, homeless male. am am am
3. A Catholic, black male. am am am
4. A Protestant, Swedish business executive. am am am am
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 s
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tatement?
Defense mechanisms can be appropriate respon am am am am am
1. ses to stress and need not be am am am am am am
eliminated.
Defense mechanisms are a maladaptive atte am am am am am
2. mpt of the ego to manage anxiety and am am am am am am am
should always be eliminated. am am am
Defense mechanisms, used by individuals wi am am am am am
3. th weak ego integrity, should be am am am am a m
discouraged and not eliminated. am am am
Defense mechanisms cause disintegration of
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4. the ego and should be fostered and
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encouraged.
6. During an intake assessment, a nurse asks both physiological
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and psychosocial questions. The client angrily responds, “I’m here for my heart, n
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ot my head problems.” Which is the nurse’s best response?
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“It is just a routine part of our assessment. All am am am am am am am am am am
1. clients are asked these same am am am a m
questions.”
“Why are you concerned about these types of am am am am am am am
2.
questions?”
“Psychological factors, like excessive stress, ha am am am am am
3. ve been found to affect medical am am am am am
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It
am am am am am am am am am
4. isn’t imperative that we complete this
am am am am am
section.”
7. An employee uses the defense mechanism of displacement w
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hen the boss openly disagrees with suggestions. What behavior would be expected f
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rom this employee?
am a m
1. The employee assertively confronts the boss. am am am am am
The employee leaves the staff meeting to am am am am am am
2.
work out in the gym. am am am am
3. The employee criticizes a coworker. am am am am
4. The employee takes the boss out to lunch. am am am am am am am
8. A fourth- am
grade boy teases and makes jokes about a cute girl in his class. This behavior sho
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uld be identified by a nurse as indicative of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation am
4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
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An individual experiencing neurosis is unaw am am am am am
1. are that he or she is experiencing am am am am am am
distress.
An individual experiencing neurosis feels am am am am
2.
helpless to change his or her situation. am am am am am am
An individual experiencing neurosis is aware am am am am am
3. of the psychological causes of his or am am am am am am am
her behavior. am
An individual experiencing neurosis has a am am am am am
4.
loss of contact with reality. am am am am
10. Which nursing statement regarding the concept of psychosis is most
am am am am am am am am am
accurate?
Individuals experiencing psychoses are aware
am am am am
1.
that their behaviors are maladaptive.
am am am am
Individuals experiencing psychoses am am
2.
experience little distress. am am
PlusBay.Plus
,Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
am am am am am am am am am
Chapter 1. Examination and Diagnosis of the Psychiatric Patient
am am am am am am am am
Multiple Choice am
Identify the choice that best completes the statement or answers the question.
am am am am am am am am am am am
1. A nurse is assessing a client who is experiencing occasional fe
am am am am am am am am am am
elings of sadness because of the recent death of a beloved pet. The client’s appetite,
am am am am am am am am am am am am am am am
sleep patterns, and daily routine have not changed. How should the nurse inter
am a m am a m am a m a m a m am am am a m
pret the client’s behaviors?
am am a m
The client’s behaviors demonstrate mental
am am am am
1.
illness in the form of depression.
am am am am am
The client’s behaviors are extensive, which
am am am am am
2.
indicates the presence of mental illness.
am am am am am
The client’s behaviors are not congruent with
am am am am am am
3.
cultural norms. am
The client’s behaviors demonstrate no functi
am am am am am
4. onal impairment, indicating no mental
am am am am
illness.
2. At what point should the nurse determine that a client is at ris
am am am am am am am am am am am am
k for developing a mental illness?
am am am am am
When thoughts, feelings, and behaviors are am am am am am
1.
not reflective of the DSM-5 criteria. am am am am am
When maladaptive responses to stress are coup am am am am am am
2. led with interference in daily am am am am
functioning.
When a client communicates significant am am am am
3.
distress.
When a client uses defense mechanisms as am am am am am am
4.
ego protection. am
3. A nurse is assessing a set of 15-year- am am am am am am am
old identical twins who respond very differently to stress. One twin becomes anxi
am am am am am am am am am am am am
ous and irritable, and the other withdraws and cries. How should the nurse explain
am am am am am am am am am am am am am
these different stress responses to the parents?
am am am am am am a m
Reactions to stress are relative rather than abso am am am am am am am
1. lute; individual responses to stress am am am am
vary.
PlusBay.Plus
, It is abnormal for identical twins to react
am am am am am am am
2.
differently to similar stressors. am am am
Identical twins should share the same
am am am am am
3.
temperament and respond similarly to stress. am am am am am
Environmental influences to stress weigh am am am am
4.
more heavily than genetic influences.
am am am am
4. Which client should the nurse anticipate to be mos
am am am am am am am am
t receptive to psychiatric treatment?
am am am am
1. A Jewish, female social worker. am am am am
2. A Baptist, homeless male. am am am
3. A Catholic, black male. am am am
4. A Protestant, Swedish business executive. am am am am
5. A psychiatric nurse intern states, “This client’s use of defens
am am am am am am am am am
e mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s s
am am am am am am am am am am am am am
tatement?
Defense mechanisms can be appropriate respon am am am am am
1. ses to stress and need not be am am am am am am
eliminated.
Defense mechanisms are a maladaptive atte am am am am am
2. mpt of the ego to manage anxiety and am am am am am am am
should always be eliminated. am am am
Defense mechanisms, used by individuals wi am am am am am
3. th weak ego integrity, should be am am am am a m
discouraged and not eliminated. am am am
Defense mechanisms cause disintegration of
am am am am am
4. the ego and should be fostered and
am am am am am am
encouraged.
6. During an intake assessment, a nurse asks both physiological
am am am am am am am am a
and psychosocial questions. The client angrily responds, “I’m here for my heart, n
m am am am am am am am am am am am am
ot my head problems.” Which is the nurse’s best response?
am am am am am am am am am
“It is just a routine part of our assessment. All am am am am am am am am am am
1. clients are asked these same am am am a m
questions.”
“Why are you concerned about these types of am am am am am am am
2.
questions?”
“Psychological factors, like excessive stress, ha am am am am am
3. ve been found to affect medical am am am am am
conditions.”
PlusBay.Plus
, “We can skip these questions, if you like. It
am am am am am am am am am
4. isn’t imperative that we complete this
am am am am am
section.”
7. An employee uses the defense mechanism of displacement w
am am am am am am am am
hen the boss openly disagrees with suggestions. What behavior would be expected f
am am am am am am am am am am am am
rom this employee?
am a m
1. The employee assertively confronts the boss. am am am am am
The employee leaves the staff meeting to am am am am am am
2.
work out in the gym. am am am am
3. The employee criticizes a coworker. am am am am
4. The employee takes the boss out to lunch. am am am am am am am
8. A fourth- am
grade boy teases and makes jokes about a cute girl in his class. This behavior sho
am am am am am am am am am am am am am am am
uld be identified by a nurse as indicative of which defense mechanism?
am am am am am am am am am am am
1. Displacement
2. Projection
3. Reaction formation am
4. Sublimation
9. Which nursing statement about the concept of neurosis is most accurate?
am am am am am am am am am a m
An individual experiencing neurosis is unaw am am am am am
1. are that he or she is experiencing am am am am am am
distress.
An individual experiencing neurosis feels am am am am
2.
helpless to change his or her situation. am am am am am am
An individual experiencing neurosis is aware am am am am am
3. of the psychological causes of his or am am am am am am am
her behavior. am
An individual experiencing neurosis has a am am am am am
4.
loss of contact with reality. am am am am
10. Which nursing statement regarding the concept of psychosis is most
am am am am am am am am am
accurate?
Individuals experiencing psychoses are aware
am am am am
1.
that their behaviors are maladaptive.
am am am am
Individuals experiencing psychoses am am
2.
experience little distress. am am
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