TEST BANK FOR KAPLAN AND SADOCKS SYNOPSIS
OF PSYCHIATRY 12TH EDITION
Chapter 1. Examination and Diagnosis of the Psychiatric
Patient Multiple Choice
Identify the choice that best completes the statement or answers the question.
• 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 theclient’s behaviors?
1.
The client’s behaviors demonstrate
mental illness in the form of depression.
2.
The client’s behaviors are extensive,
which indicates the presence of mental
illness.
3.
The client’s behaviors are not congruent
with cultural norms.
4. The client’s behaviors demonstrate no
functional impairment, indicating no
mental illness.
• At what point should the nurse determine that a client is at
riskfor developing a mental illness?
1. When thoughts, feelings, and behaviors
are not reflective of the DSM-5 criteria.
2.
When maladaptive responses to stress
are coupled with interference in daily
functioning.
3. When a client communicates significant
distress.
4. When a client uses defense mechanisms
as ego protection.
• A nurse is assessing a set of 15-year-old identical twins who
,respond very differently to stress. One twin becomes anxious and irritable, and the
otherwithdraws and cries. How should the nurse explain these different stress
responses to the parents?
3. Identical twins should share the same
temperament and respond similarly to stress.
4. Environmental influences to stress
weigh more heavily than genetic
influences.
1. Reactions to stress are relative rather than
absolute; individual responses to stress
vary.
2. It is abnormal for identical twins to react
differently to similar stressors.
1.
Reactions to stress are relative rather than
absolute; individual responses to stress
vary.
2.
It is abnormal for identical twins to react
differently to similar stressors.
3. Identical twins should share the same
temperament and respond similarly to stress.
4. Environmental influences to stress
weigh more heavily than genetic
influences.
• Which client should the nurse anticipate to be
mostreceptive 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.
• 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?
1. Defense mechanisms can be appropriate
responses to stress and
, need not be
eliminated.
2. Defense mechanisms are a maladaptive
attempt of the ego to manage anxiety
and should always be eliminated.
3.
Defense mechanisms, used by
individuals with weak ego integrity,
should be discouraged and not
eliminated.
4.
Defense mechanisms cause disintegration of
the ego and should be fostered and
encouraged.
• During an intake assessment, a nurse asks both physiological
and psychosocial questions. The client angrily responds, “I’m here for my heart, not
myhead problems.” Which is the nurse’s best response?
1. “It is just a routine part of our assessment.
All clients are asked these same
questions.”
2. “Why are you concerned about these types
of questions?”
3.
“Psychological factors, like excessive
stress, have been found to affect medical
conditions.”
4. “We can skip these questions, if you like.
It isn’t imperative that we complete this
section.”
2. “Why are you concerned about these types
of questions?”
3.
“Psychological factors, like excessive
stress, have been found to affect medical
conditions.”
4.
“We can skip these questions, if you like.
It isn’t imperative that we complete this
section.”
, • An employee uses the defense mechanism of displacement
when the boss openly disagrees with suggestions. What behavior would be expected
from this employee?
1. The employee assertively confronts the boss.
2.
The employee leaves the staff meeting
to work out in the gym.
3. The employee criticizes a coworker.
4. The employee takes the boss out to lunch.
• A fourth-grade boy teases and makes jokes about a cute girl
in his class. This behavior should be identified by a nurse as indicative of
whichdefense mechanism?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation
• Which nursing statement about the concept of neurosis is most accurate?
1. An individual experiencing neurosis
is unaware that he or she is experiencing
distress.
2. An individual experiencing neurosis feels
helpless to change his or her situation.
3. An individual experiencing neurosis is aware
of the psychological causes of his or her
behavior.
4. An individual experiencing neurosis has a
loss of contact with reality.
• Which nursing statement regarding the concept of psychosis is
mostaccurate?
1. Individuals experiencing psychoses are aware
that their behaviors are maladaptive.
2. Individuals experiencing psychoses
experience little distress.
based in reality.
OF PSYCHIATRY 12TH EDITION
Chapter 1. Examination and Diagnosis of the Psychiatric
Patient Multiple Choice
Identify the choice that best completes the statement or answers the question.
• 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 theclient’s behaviors?
1.
The client’s behaviors demonstrate
mental illness in the form of depression.
2.
The client’s behaviors are extensive,
which indicates the presence of mental
illness.
3.
The client’s behaviors are not congruent
with cultural norms.
4. The client’s behaviors demonstrate no
functional impairment, indicating no
mental illness.
• At what point should the nurse determine that a client is at
riskfor developing a mental illness?
1. When thoughts, feelings, and behaviors
are not reflective of the DSM-5 criteria.
2.
When maladaptive responses to stress
are coupled with interference in daily
functioning.
3. When a client communicates significant
distress.
4. When a client uses defense mechanisms
as ego protection.
• A nurse is assessing a set of 15-year-old identical twins who
,respond very differently to stress. One twin becomes anxious and irritable, and the
otherwithdraws and cries. How should the nurse explain these different stress
responses to the parents?
3. Identical twins should share the same
temperament and respond similarly to stress.
4. Environmental influences to stress
weigh more heavily than genetic
influences.
1. Reactions to stress are relative rather than
absolute; individual responses to stress
vary.
2. It is abnormal for identical twins to react
differently to similar stressors.
1.
Reactions to stress are relative rather than
absolute; individual responses to stress
vary.
2.
It is abnormal for identical twins to react
differently to similar stressors.
3. Identical twins should share the same
temperament and respond similarly to stress.
4. Environmental influences to stress
weigh more heavily than genetic
influences.
• Which client should the nurse anticipate to be
mostreceptive 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.
• 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?
1. Defense mechanisms can be appropriate
responses to stress and
, need not be
eliminated.
2. Defense mechanisms are a maladaptive
attempt of the ego to manage anxiety
and should always be eliminated.
3.
Defense mechanisms, used by
individuals with weak ego integrity,
should be discouraged and not
eliminated.
4.
Defense mechanisms cause disintegration of
the ego and should be fostered and
encouraged.
• During an intake assessment, a nurse asks both physiological
and psychosocial questions. The client angrily responds, “I’m here for my heart, not
myhead problems.” Which is the nurse’s best response?
1. “It is just a routine part of our assessment.
All clients are asked these same
questions.”
2. “Why are you concerned about these types
of questions?”
3.
“Psychological factors, like excessive
stress, have been found to affect medical
conditions.”
4. “We can skip these questions, if you like.
It isn’t imperative that we complete this
section.”
2. “Why are you concerned about these types
of questions?”
3.
“Psychological factors, like excessive
stress, have been found to affect medical
conditions.”
4.
“We can skip these questions, if you like.
It isn’t imperative that we complete this
section.”
, • An employee uses the defense mechanism of displacement
when the boss openly disagrees with suggestions. What behavior would be expected
from this employee?
1. The employee assertively confronts the boss.
2.
The employee leaves the staff meeting
to work out in the gym.
3. The employee criticizes a coworker.
4. The employee takes the boss out to lunch.
• A fourth-grade boy teases and makes jokes about a cute girl
in his class. This behavior should be identified by a nurse as indicative of
whichdefense mechanism?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation
• Which nursing statement about the concept of neurosis is most accurate?
1. An individual experiencing neurosis
is unaware that he or she is experiencing
distress.
2. An individual experiencing neurosis feels
helpless to change his or her situation.
3. An individual experiencing neurosis is aware
of the psychological causes of his or her
behavior.
4. An individual experiencing neurosis has a
loss of contact with reality.
• Which nursing statement regarding the concept of psychosis is
mostaccurate?
1. Individuals experiencing psychoses are aware
that their behaviors are maladaptive.
2. Individuals experiencing psychoses
experience little distress.
based in reality.
