Test Banks 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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PSYCHIaTRY 12THEDITIONBYROBERT
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, Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test
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Chapter 1. Examination and Diagnosis of the Psychiatric Patient
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Multiple Choice h j


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 h j h j h j h j h j h j h j hj


hj occasional feelings of sadness because of the recent death of a
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h j beloved pet. The client’s appetite, sleep patterns, and daily routine
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h have not changed. How should the nurse interpret the client’s
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h behaviors?
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The client’s behaviors demonstrate
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1.
mental illness in the form of
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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. h j


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 h j h j h j h j h j h j h j h j


h j client is at risk for developing a mental illness?
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When thoughts, feelings, and behaviors h j h j h j h j
1.
are h j


not reflective of the DSM-5 criteria. h j h j h j h j h j


When maladaptive responses to stress are hj h j h j hj h j


2. coupled with interference in daily hj h j h j h j hj


functioning.
When a client communicates significant h j h j h j h j
3.
distress.
When a client uses defense h j h j h j h j
4.
mechanisms as h j h j


ego protection. h j




3. A nurse is assessing a set of 15-year-old identical hj h j h j h j h j h j h j h j


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


1. absolute; individual responses to stress hj h j h j h j h j


vary.
It is abnormal for identical twins to h j h j h j h j h j h j
2.
react differently to similar stressors. h j hj h j h j h j


Identical twins should share the same h j h j h j h j h j
3.
temperament and respond similarly to hj h j h j h j h j


stress. h j


Environmental influences to stress h j h j h j
4.
weigh more heavily than genetic h j hj h j h j h j


influences. h j




4. Which client should the nurse anticipate h j h j h j hj h j


h j to be most receptive to psychiatric treatment?
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1. A Jewish, female social worker. hj h j h j h j


2. A Baptist, homeless male. hj h j h j


3. A Catholic, black male. hj h j h j


4. A Protestant, Swedish business h j h j h j


executive. h j




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


1. responses to stress and need not be hj h j hj hj h j h j h j


eliminated.
Defense mechanisms are a maladaptive h j h j hj h j


2. attempt of the ego to manage hj h j h j h j h j hj


anxiety and h j h j


should always be eliminated. h j h j h j


Defense mechanisms, used by hj hj hj


3. individuals with weak ego integrity, hj hj h j hj h j


should be h j h j


discouraged and not eliminated. h j h j h j




Defense mechanisms cause disintegration h j hj h j


4. of the ego and should be fostered
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and
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encouraged.



6. During h j an h j intake h j assessment, h j a h j nurse h j asks h j both

, hjphysiological and psychosocial questions. The client angrily responds,
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h j“I’m here for my heart, not my head problems.” Which is the
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h jnurse’s best response?
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“It is just a routine part of our h j h j h j h j h j h j h j


1. assessment. All clients are asked hj hj h j h j h j


these same h j h j


questions.”
“Why are you concerned about these h j h j h j h j h j
2.
types of h j hj


questions?”
“Psychological factors, like excessive hj hj hj


3. stress, have been found to affect hj hj h j h j h j h j


medical h j


conditions.”
“We can skip these questions, if you h j h j h j h j h j h j


4. like. It isn’t imperative that we hj hj h j h j h j hj


complete this h j h j


section.”


7. An employee uses the defense mechanism of h j h j h j h j h j h j


hjdisplacement when the boss openly disagrees with suggestions. What
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h jbehavior would be expected from this employee?
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1. The employee assertively confronts the h j h j h j h j


boss. h j


The employee leaves the staff meeting h j h j h j h j h j
2.
to work out in the gym. h j hj h j h j h j h j


3. The employee criticizes a coworker. h j h j h j h j


4. The employee takes the boss out to h j h j h j h j h j h j


lunch. h j




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


4. Sublimation


9. Which h j nursing h j statement h j about h j the h j concept h j of h j neurosis is most h j h j


accurate?