Kaplan & Sadock’s Synopsis of Psychiatry, 12th edition
By Robert Boland, Marcia Verduin
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, Table of Content
1: Examination and Diagnosis of the Psychiatric Patient
2: Neurodevelopmental Disorders and Other Childhood Disorders
3: Neurocognitive Disorders
4: Substance Use and Addictive Disorders
5: Schizophrenia Spectrum and Other Psychotic Disorders
6: Bipolar Disorders
7: Depressive Disorders
8: Anxiety Disorders
9: Obsessive-Compulsive and Related Disorders
10: Trauma- and Stressor-Related Disorders
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11: Dissociative Disorders
12: Somatic Symptom and Related Disorders
13: Feeding and Eating Disorders
14: Elimination Disorders
15: Sleep–Wake Disorders
16: Human Sexuality and Sexual Dysfunctions
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17: Gender Dysphoria, Gender Identity, and Related Conditions
18: Disruptive, Impulse-Control, and Conduct Disorders
19: Personality Disorders
20: Other Conditions that May be a Focus of Clinical Attention
B: Treatment Across the Lifespan
21: Psychopharmacology
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22: Other Somatic Therapies
23: Psychotherapy
24: Psychiatric Rehabilitation and Other Interventions
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25: Consultation to Other Disciplines
26: Level of Care
C: Other Issues Relevant to Psychiatry
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27: Ethics and Professionalism
28: Forensic and Legal Issues
29: End-of-Life Issues and Palliative Care
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30: Community Psychiatry
31: Global and Cultural Issues in Psychiatry
D: Contributions from the Sciences and Social Sciences to Psychiatry
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32: Normal Development and Aging
33: Contributions from the Neurosciences
34: Contributions from the Behavioral and Social Sciencesp
35: A Brief History of Psychiatry
, Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
Chapter 1. Examination and Diagnosis of the Psychiatric Patient
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is assessing a client who is experiencing occasional
feelings of sadness because of the recent death of a beloved pet. The client’s appetite,
sleep patterns, and daily routine have not changed. How should the nurse interpret
the client’s behaviors?
The client’s behaviors demonstrate mental
1.
illness in the form of depression.
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The client’s behaviors are extensive, which
2.
indicates the presence of mental illness.
The client’s behaviors are not congruent with
3.
cultural norms.
The client’s behaviors demonstrate no
4. functional impairment, indicating no mental
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illness.
2. At what point should the nurse determine that a client is at risk
for developing a mental illness?
When thoughts, feelings, and behaviors are
1.
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not reflective of the DSM-5 criteria.
When maladaptive responses to stress are
2. coupled with interference in daily
functioning.
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When a client communicates significant
3.
distress.
When a client uses defense mechanisms as
4.
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ego protection.
3. A nurse is assessing a set of 15-year-old identical twins who
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respond very differently to stress. One twin becomes anxious and irritable, and the
other withdraws and cries. How should the nurse explain these different stress
responses to the parents?
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Reactions to stress are relative rather than
1. absolute; individual responses to stress
vary.
It is abnormal for identical twins to react
2.
differently to similar stressors.
Identical twins should share the same
3.
temperament and respond similarly to stress.
Environmental influences to stress weigh
4.
more heavily than genetic influences.
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, 1. absolute; individual responses to stress
vary.
It is abnormal for identical twins to react
2.
differently to similar stressors.
Identical twins should share the same
3.
temperament and respond similarly to stress.
Environmental influences to stress weigh
4.
more heavily than genetic influences.
4. Which client should the nurse anticipate to be most
receptive to psychiatric treatment?
1. A Jewish, female social worker.
2. A Baptist, homeless male.
3. A Catholic, black male.
4. A Protestant, Swedish business executive.
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5. A psychiatric nurse intern states, “This client’s use of defense
mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s
statement?
Defense mechanisms can be appropriate
1. responses to stress and need not be
eliminated.
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Defense mechanisms are a maladaptive
2. attempt of the ego to manage anxiety and
should always be eliminated.
Defense mechanisms, used by individuals
3. with weak ego integrity, should be
discouraged and not eliminated.
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Defense mechanisms cause disintegration of
4. the ego and should be fostered and
encouraged.
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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, not
my head problems.” Which is the nurse’s best response?
“It is just a routine part of our assessment. All
1. clients are asked these same
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questions.”
“Why are you concerned about these types of
2.
questions?”
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“Psychological factors, like excessive stress,
3. have been found to affect medical
conditions.”
“We can skip these questions, if you like. It
4. isn’t imperative that we complete this
section.”
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