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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TEST BaNK FOR KaPLaN & SaDOCK’S SYNOPSIS OF
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PSYCHIaTRY 12TH EDITION BY ROBERT
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BOLaND; MaRICa VERDIUN; PEDRO RUIZ b9 b9 b9 b9




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, Kaplan b 9 & Sadock's
b9 b9 Synopsis b9 of b9 Psychiatry b9 Edition b9 12 b9 Test b9 Bank


Chapter b 9 1. Examination
b 9 and Diagnosis b 9 b 9 b 9 of b 9 the b 9 Psychiatric b 9 Patient
Multiple b 9 Choice
Identify b 9 the choice that best completes the
b 9 b 9 b 9 b 9 b 9 b 9 statement b 9 or b 9 answers b 9 the b 9 question.

1. A nurse is assessing a client who is experiencing b 9 b 9 b 9 b 9 b 9 b 9 b 9 b9


b9 occasional feelings of sadness because of the recent death of a
b9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9


b 9 beloved pet. The client‟s appetite, sleep
b 9 b 9patterns, and daily
b 9 b9 b 9 b 9 b 9 b 9


b 9routine have not b changed.
9 How shouldb the nurse interpret
9 b 9 b 9 b 9 b 9 b9 b 9


b 9 the client‟s
b 9 behaviors? b 9




The client‟s behaviors demonstrate
b 9 b 9 b 9
1.
b 9mental illness in the form ofb9 b 9 b 9 b 9 b 9


b 9depression.
The client‟s behaviors are extensive,
b 9 b 9 b 9 b 9
2.
b 9which indicates the presence of mental
b9 b 9 b 9 b 9 b 9


b 9illness.
The client‟s behaviors are not
b 9 b 9 b 9 b 9
3.
congruent with
b 9 b9


cultural norms. b 9


The client‟s behaviors demonstrate no
b 9 b 9 b 9 b 9


4. functional impairment, indicating no
b9 b 9 b 9 b 9


mental
b9


illness.



2. At what point should the nurse determine that a
b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9


b 9 client b 9 is at riskb 9 b9 b 9 for developing a mental illness?
b9 b 9 b 9 b 9



When thoughts, feelings, and b 9 b 9 b 9
1.
behaviors are b 9 b 9


not reflective of the DSM-5 criteria. b 9 b 9 b 9 b 9 b 9


When maladaptive responses to stress are b 9 b 9 b 9 b 9 b 9


2. coupled with interference in daily b9 b 9 b 9 b 9 b9



functioning.
When a client communicates significant b 9 b 9 b 9 b 9
3.
distress.
When a client uses defense b 9 b 9 b 9 b 9
4.
mechanisms as b 9 b 9


ego protection. b 9




3. A nurse is assessing a set of 15-year-old b9 b 9 b 9 b 9 b 9 b 9 b 9


b 9 identical twins who respond very differently to stress. One twin
b 9 b9 b 9 b 9 b 9 b 9 b 9 b 9 b 9


b 9 becomes anxious and irritable, and the other withdraws and cries.
b 9 b 9 b 9 b9 b 9 b 9 b 9 b 9 b 9

,b 9 How should b 9 b 9 the b 9 nurse b 9 explain b 9 these different b9 b 9 stress b 9 responses b 9 to
b9 the parents?
b 9



Reactions to stress are relative rather
b 9 b9 b 9 b 9 b 9


1. than absolute; individual responses to
b 9 b9 b 9 b 9 b 9


stress
b 9



vary.
It is abnormal for identical twins to
b 9 b 9 b 9 b 9 b 9 b 9
2.
react differently to similar stressors.
b 9 b9 b 9 b 9 b 9


Identical twins should share the same
b 9 b 9 b 9 b 9 b 9
3.
temperament and respond similarly to
b9 b 9 b 9 b 9 b 9


stress.
b 9


Environmental influences to stress b 9 b 9 b 9
4.
weigh more heavily than genetic
b 9 b9 b 9 b 9 b 9


influences.
b 9




4. Which client should the nurse anticipate
b 9 b 9 b 9 b9 b 9


b 9to be most
b9 b9 b 9 receptive to psychiatric treatment?
b 9 b 9 b 9



1. A Jewish, female social worker. b9 b 9 b 9 b 9


2. A Baptist, homeless male. b9 b 9 b 9



3. A Catholic, black male. b9 b 9 b 9



4. A Protestant, Swedish business b 9 b 9 b 9


executive. b 9




5. A psychiatric nurse intern states, “This client‟s use
b9 b 9 b 9 b 9 b 9 b 9 b 9


b 9of defense mechanisms should be eliminated.” Which is a correct
b9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9


b 9evaluation of this nurse‟s statement?
b 9 b 9 b9 b 9



Defense mechanisms can be appropriate b 9 b 9 b9 b 9


1. responses to stress and need not be b9 b 9 b9 b9 b 9 b 9 b 9


eliminated.
Defense mechanisms are a b 9 b 9 b9


2. maladaptive attempt of the ego to b 9 b9 b 9 b 9 b 9 b 9


manage anxiety and b 9 b 9 b 9


should always be eliminated. b 9 b 9 b 9


Defense mechanisms, used by b9 b 9 b 9


3. individuals with weak ego integrity, b9 b9 b 9 b9 b 9


should be b 9 b 9


discouraged and not eliminated. b 9 b 9 b 9




Defense mechanisms cause disintegration
b 9 b9 b 9


4. of the ego and should be fostered
b 9 b9 b 9 b 9 b 9 b 9 b 9


and
b 9


encouraged.

, 6. During an intake assessment, a nurse asks both b 9 b 9 b 9 b 9 b 9 b 9 b 9


b9physiological and psychosocial questions. The client angrily responds,
b 9 b 9 b 9 b 9 b 9 b 9 b 9


b 9“I‟m here for my heart, not my head problems.” Which is the
b 9 b9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9


b 9nurse‟s best response?
b 9 b 9



“It is just a routine part of our b 9 b 9 b 9 b 9 b 9 b 9 b 9


1. assessment. All clients are asked b9 b9 b 9 b 9 b 9


these same b 9 b 9


questions.”
“Why are you concerned about these b 9 b 9 b 9 b 9 b 9
2.
types of b 9 b9


questions?”
“Psychological factors, like excessive b 9 b9 b 9


3. stress, have been found to affect b 9 b9 b 9 b 9 b 9 b 9


medical b 9


conditions.”
“We can skip these questions, if b 9 b 9 b 9 b 9 b 9


4. you like. It isn‟t imperative that b 9 b9 b9 b 9 b 9 b 9


we complete this b9 b 9 b 9


section.”


7. An employee uses the defense mechanism of b 9 b 9 b 9 b 9 b 9 b 9


b9displacement when the boss openly disagrees with suggestions. What
b9 b 9 b 9 b 9 b 9 b 9 b 9 b 9


b 9behavior would be expected from this
b 9 employee?
b 9 b9 b 9 b 9 b 9



1. The employee assertively confronts the b 9 b 9 b 9 b 9


boss. b 9


The employee leaves the staff meeting b 9 b 9 b 9 b 9 b 9
2.
to work out in the gym. b 9 b9 b 9 b 9 b 9 b 9



3. The employee criticizes a coworker. b 9 b 9 b 9 b 9



4. The employee takes the boss out to b 9 b 9 b 9 b 9 b 9 b 9


lunch. b 9




8.
A fourth-grade boy teases and makes jokes about a
b9 b 9 b9 b 9 b 9 b 9 b9 b9


b 9cute girl in his class. This behavior should be identified by a
b9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9 b 9


b 9nurse as indicative of which defense mechanism?
b 9 b 9 b 9 b9 b 9 b 9



1. Displacement
2. Projection
3. Reaction formation b 9


4. Sublimation


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


accurate?