Test Bank For Kaplan & Sadock’s Synopsis of Psychiatry 12th Edition By Robert Boland; Marica Verdiun; Pedro Ruiz 9781975145569 Chapter 1-35 Complete Guide .

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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 s s



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 s s s s s s s s s s s s s s ss



ss occasional feelings of sadness because of the recent death of a beloved
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s s pet. The client‟s appetite, sleep patterns, and daily routine have
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s snot changed. How should the nurse interpret the client‟s
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s sbehaviors?

The client‟s behaviors demonstrate mental
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1.
illness in the form of depression.
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The client‟s behaviors are extensive,
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2.
which indicates the presence of mental
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illness.
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The client‟s behaviors are not
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3.
congruent with
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cultural norms. s s



The client‟s behaviors demonstrate no
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4. functional impairment, indicating no
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mental
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illness.



2. At what point should the nurse determine that a s s s s s s s s s s s s s s s s



s s client is at risk for developing a mental illness?
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When thoughts, feelings, and behaviors s s s s s s s s

1.
are s s



not reflective of the DSM-5 criteria. s s s s s s s s s s



When maladaptive responses to stress are s s s s s s s s s s



2. coupled with interference in daily ss s s s s s s ss



functioning.
When a client communicates significant s s s s s s s s

3.
distress.
When a client uses defense mechanisms s s s s s s s s s s

4.
as s s



ego protection. s s




3. A nurse is assessing a set of 15-year-old identical ss s s s s s s s s s s s s s s



s s twins who respond very differently to stress. One twin becomes anxious
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s s and irritable, and the other withdraws and cries. How should the
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s s nurse explain these different stress responses to the parents?
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, Reactions to stress are relative rather than s s ss s s s s s s s s



1. absolute; individual responses to stress
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vary.
It is abnormal for identical twins to
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2.
react differently to similar stressors.
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Identical twins should share the same s s s s s s s s s s

3.
temperament and respond similarly to
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stress.
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Environmental influences to stress s s s s s s

4.
weigh more heavily than genetic
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influences.
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4. Which client should the nurse anticipate to s s s s s s ss s s s s



ss be most receptive to psychiatric treatment?
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1. A Jewish, female social worker. ss s s s s s s



2. A Baptist, homeless male. ss s s s s



3. A Catholic, black male. ss s s s s



4. A Protestant, Swedish business s s s s s s



executive. s s




5. A psychiatric nurse intern states, “This client‟s use
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s s of defense mechanisms should be eliminated.” Which is a correct
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s s evaluation of this nurse‟s statement?
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Defense mechanisms can be appropriate ss s s ss s s



1. responses to stress and need not be ss s s ss ss s s s s s s



eliminated.
Defense mechanisms are a maladaptive s s s s ss s s



2. attempt of the ego to manage anxiety ss s s s s s s s s s s s s



and s s



should always be eliminated. s s s s s s



Defense mechanisms, used by individuals ss s s ss ss



3. with weak ego integrity, should be ss s s ss s s s s s s



discouraged and not eliminated. s s s s s s




Defense mechanisms cause disintegration ss ss s s



4. of the ego and should be fostered
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ands s



encouraged.


6.
During an intake assessment, a nurse asks both s s s s s s s s s s s s s s



ss physiological and psychosocial questions. The client angrily responds,
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s s “I‟m here for my heart, not my head problems.” Which is the nurse‟s
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s s best response? s s

, “It is just a routine part of our
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1. assessment. All clients are asked
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these same
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questions.”
“Why are you concerned about theses s s s s s s s s s

2.
types of
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questions?”
“Psychological factors, like excessive stress, s s ss s s s s



3. have been found to affect medical
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conditions.”
“We can skip these questions, if you
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4. like. It isn‟t imperative that we
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complete this
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section.”


7. An employee uses the defense mechanism of s s s s s s s s s s s s



ss displacement when the boss openly disagrees with suggestions. What
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s s behavior would be expected from this employee?
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1. The employee assertively confronts the s s s s s s s s



boss. s s



The employee leaves the staff meeting s s s s s s s s s s

2.
to work out in the gym. s s ss s s s s s s s s




3. The employee criticizes a coworker. s s s s s s s s



4. The employee takes the boss out to s s s s s s s s s s s s



lunch. s s




8. A fourth-grade boy teases ss s s ss s s and makes jokes about a
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s s cute girl in his class. This behavior should
ss s s s s s s s s s s s s s s be identified by a nurse
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s s as indicative of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation s s



4. Sublimation


9. Which nursing statement about the concept of neurosis is most
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accurate?
An individual experiencing neurosis is s s s s s s s s



1. unaware that he or she is experiencing ss s s s s s s s s s s s s



distress.
An individual experiencing neurosis feels s s s s s s s s

2.
helpless to change his or her situation. ss s s s s s s s s s s s s