Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
Chapter 1. Examination and
... [Show More] 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?
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.
2. At what point should the nurse determine that a client is at risk
for 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.
3. 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
other withdraws and cries. How should the nurse explain these different stress
responses to the parents?
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.
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.
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.
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?
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.
6. During an intake assessment, a nurse asks both physiological
and psychosocial questions. The client angrily responds, “I’m here for my heart, not
my head 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.”
7. 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.
8. 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 which
defense mechanism?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation
9. 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.
10. Which nursing statement regarding the concept of psychosis is most
accurate?
1. Individuals experiencing psychoses are
aware that their behaviors are maladaptive.
2. Individuals experiencing psychoses
experience little distress.
3. Individuals experiencing psychoses are
aware of experiencing psychological
problems.
4. Individuals experiencing psychoses are
based in reality.
2. Individuals experiencing psychoses
experience little distress.
3. Individuals experiencing psychoses are
aware of experiencing psychological
problems.
4. Individuals experiencing psychoses are
based in reality.
11. When under stress, a client routinely uses alcohol to excess.
Finding her drunk, her husband yells at the client about her chronic alcohol abuse.
Which action alerts the nurse to the client’s use of the defense mechanism of denial?
1. The client hides liquor bottles in a closet.
2. The client yells at her son for slouching in
his chair.
3. The client burns dinner on purpose.
4. The client says to the spouse, “I don’t
drink too much!”
12. Devastated by a divorce from an abusive husband, a
wife completes grief counseling. Which statement by the wife should indicate
to a nurse that the client is in the acceptance stage of grief?
1. “If only we could have tried again,
things might have worked out.”
2. “I am so mad that the children and I had
to put up with him as long as we did.”
3. “Yes, it was a difficult relationship, but I
think I have learned from the experience.”
4. “I still don’t have any appetite and continue
to lose weight.”
13. A nurse is performing a mental health assessment on an adult client. According to
Maslow’s hierarchy of needs, which client action would demonstrate the highest
achievement in terms of mental health?
1. Maintaining a long-term, faithful,
intimate relationship
2. Achieving a sense of self-confidence
3. Possessing a feeling of self-fulfillment
and realizing full potential
4. Developing a sense of purpose and the
ability to direct activities
14. According to Maslow’s hierarchy of needs, which
situation on an inpatient psychiatric unit would require priority intervention by
a nurse?
1. A client rudely complaining about
limited visiting hours
2. A client exhibiting aggressive
behavior toward another client
3. A client stating that no one cares
4. A client verbalizing feelings of failure
15. How would a nurse best complete the new DSM-5 definition of a mental disorder?
“A health condition characterized by significant dysfunction in an individual’s
cognitions, or
behaviors that reflect a disturbance in …” which of the following?
1. Psychosocial, biological, or
developmental process underlying
mental functioning
2. Psychological, cognitive, or
developmental process underlying
mental functioning
3. Psychological, biological, or
developmental process underlying mental
functioning
4. Psychological, biological, or
psychosocial process underlying
mental functioning
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
16. A nurse is assessing a client who appears to be experiencing some anxiety during
questioning. Which symptoms might the client demonstrate that would indicate
anxiety? (Select all that apply.)
1. Fidgeting
2. Laughing inappropriately
3. Palpitations
4. Nail biting
5. Limited attention span
Completion
Complete each statement.
• is a diffuse apprehension that is vague in nature and is
associated with feelings of uncertainty and helplessness.
• is a subjective state of emotional, physical, and social
responses to the loss of a valued entity.
Chapter 0: Mental Health and Mental
Illness Answer Section
MULTIPLE CHOICE
• ANS: 4
Chapter: Chapter 0, Mental Health and Mental Illness
Objective: Discuss cultural elements that influence attitudes toward mental health
and mental illness.
Page: 9
Headin
g: Grief
Integrated Processes: Nursing
Process Client Need:
Psychosocial Integrity Cognitive
Level: Analysis [Analyzing]
Concept: Grief and Loss
Difficulty: Easy
Feedback
1 The client’s behaviors are to be expected in
a time of grief.
2 The client’s behaviors are not presented
as being extensive.
3 The client’s behaviors are to be expected
after a loss.
4 The nurse should assess that the client’s
daily functioning is not impaired. The
client who experiences feelings of sadness
after the loss of a pet is responding
within normal expectations.
PTS: 1 CON: Grief and Loss
• ANS: 2
Chapter: Chapter 0, Mental Health and Mental
Illness Objective: Define mental health and mental
illness.
Page: 3
Heading: Mental Illness
Integrated Processes: Nursing
Process Client Need:
Psychosocial Integrity Cognitive
Level: Application [Applying]
Concept: Stress
Difficulty: Easy
Feedback
1 The client with a mental illness would
have symptoms that reflect the DSM-5.
2 The nurse should determine that the client is
at risk for mental illness when responses to
stress are maladaptive and interfere with
daily functioning. The DSM-5 indicates
that in order to be diagnosed with a mental
illness, daily
functioning must be significantly impaired.
3 The client’s ability to communicate
distress would be considered a positive
attribute.
4 The use of defense mechanisms does
not indicate that the client is at risk
for
mental illness.
PTS: 1 CON: Stress
• ANS: 1
Chapter: Chapter 0, Mental Health and Mental
Illness Objective: Identify physiological
responses to stress. Page: 7
Heading: Physical and Psychological Responses to Stress >
Mild Anxiety Integrated Processes: Nursing Process
Client Need: Psychosocial
Integrity Cognitive Level:
Application [Applying]
Concept: Growth and
Development Difficulty: Easy
Feedback
1 The nurse should explain to the parents
that, although the twins have identical
DNA, there are several other factors
that affect reactions to stress.
2 It is considered normal for twins to
react differently to stress.
3 Identical twins do not necessarily
respond similarly to stress, due to
differences in temperament and
personality.
4 Environmental influences and
temperament can affect stress reactions.
2 It is considered normal for twins to
react differently to stress.
3 Identical twins do not necessarily
respond similarly to stress, due to
differences in temperament and
personality.
4 Environmental influences and
temperament can affect stress reactions.
PTS: 1 CON: Growth and Development
• ANS: 1
Chapter: Chapter 0, Mental Health and Mental Illness
Objective: Discuss cultural elements that influence attitudes toward mental health
and mental illness.
Page: 4
Heading: Box 1-1 Cultural Aspects of Mental
Illness Integrated Processes: Nursing Process
Client Need: Psychosocial
Integrity Cognitive Level:
Application [Applying] Concept:
Culture
Difficulty: Easy [Show Less]