Test Bank for Kaplan and Sadock's Synopsis of Psychiatry 12th Edition (LWW, 2021) by Robert Boland, Marcia Verduin and Dr. Pedro Ruiz, Isbn no; 9781975145569, all 35 Chapters Covered

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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 c2 c2 c2 c2




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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 c2


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 occasional
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c2 feelings of sadness because of the recent death of a beloved pet. The client‟s
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c2 appetite, sleep patterns, and daily routine have not changed. How should
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c2 the nurse interpret the client‟s behaviors?
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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, which
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2.
indicates the presence of mental illness.
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The client‟s behaviors are not congruent
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3.
with
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cultural norms. c2


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 client is at
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c2 risk for developing a mental illness?
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When thoughts, feelings, and behaviors are c2 c2 c2 c2 c2
1.
not reflective of the DSM-5 criteria. c2 c2 c2 c2 c2


When maladaptive responses to stress are c2 c2 c2 c2 c2


2. coupled with interference in daily c2 c2 c2 c2 c2


functioning.
When a client communicates significant c2 c2 c2 c2
3.
distress.
When a client uses defense mechanisms as c2 c2 c2 c2 c2 c2
4.
ego protection. c2




3. A nurse is assessing a set of 15-year-old identical twins
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c2 who respond very differently to stress. One twin becomes anxious and
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c2 irritable, and the other withdraws and cries. How should the nurse explain
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c2 these different stress responses to the parents?
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Reactions to stress are relative rather than c2 c2 c2 c2 c2 c2


1. absolute; individual responses to stress c2 c2 c2 c2 c2


vary.

, It is abnormal for identical twins to react
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2.
differently to similar stressors. c2 c2 c2


Identical twins should share the samec2 c2 c2 c2 c2
3.
temperament and respond similarly to c2 c2 c2 c2


stress.
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Environmental influences to stress weigh c2 c2 c2 c2
4.
more heavily than genetic influences.
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4. Which client should the nurse anticipate to be
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c2 most receptive to psychiatric treatment?
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1. A Jewish, female social worker. c2 c2 c2 c2


2. A Baptist, homeless male. c2 c2 c2


3. A Catholic, black male. c2 c2 c2


4. A Protestant, Swedish business executive. c2 c2 c2 c2




5. A psychiatric nurse intern states, “This client‟s use of
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c2 defense mechanisms should be eliminated.” Which is a correct evaluation of
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c2 this nurse‟s statement?
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Defense mechanisms can be appropriate c2 c2 c2 c2


1. responses to stress and need not be c2 c2 c2 c2 c2 c2 c2


eliminated.
Defense mechanisms are a maladaptive c2 c2 c2 c2


2. attempt of the ego to manage anxiety and c2 c2 c2 c2 c2 c2 c2 c2


should always be eliminated. c2 c2 c2


Defense mechanisms, used by individuals c2 c2 c2 c2


3. with weak ego integrity, should be c2 c2 c2 c2 c2 c 2


discouraged and not eliminated. c2 c2 c2




Defense mechanisms cause disintegration of
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4. the ego and should be fostered and
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encouraged.



6. During an intake assessment, a nurse asks both c2 c2 c2 c2 c2 c2 c2


c2 physiological and psychosocial questions. The client angrily responds, “I‟m here
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c2 for my heart, not my head problems.” Which is the nurse‟s best response?
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“It is just a routine part of our assessment. c2 c2 c2 c2 c2 c2 c2 c2


1. All clients are asked these same c2 c2 c2 c2 c2 c 2


questions.”
“Why are you concerned about these types c2 c2 c2 c2 c2 c2
2.
of c2


questions?”

, “Psychological factors, like excessive stress, c2 c2 c2 c2


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


7. An employee uses the defense mechanism of displacement
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c2 when the boss openly disagrees with suggestions. What behavior would be
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c2 expected from this employee?
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1. The employee assertively confronts the c2 c2 c2 c2


boss. c2


The employee leaves the staff meeting to c2 c2 c2 c2 c2 c2
2.
work out in the gym. c2 c2 c2 c2


3. The employee criticizes a coworker. c2 c2 c2 c2


4. The employee takes the boss out to lunch. c2 c2 c2 c2 c2 c2 c2




8. A fourth-grade boy teases and makes jokes about a cute
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c2 girl in his class. This behavior should be identified by a nurse as indicative of
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c2 which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation c2


4. Sublimation


9. Which nursing statement about the concept of neurosis is most accurate?
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An individual experiencing neurosis is c2 c2 c2 c2


1. unaware that he or she is experiencing c2 c2 c2 c2 c2 c2 c2


distress.
An individual experiencing neurosis feels c2 c2 c2 c2
2.
helpless to change his or her situation. c2 c2 c2 c2 c2 c2


An individual experiencing neurosis is c2 c2 c2 c2


3. aware of the psychological causes of his c2 c2 c2 c2 c2 c2 c2


or c2


her behavior. c2


An individual experiencing neurosis has a c2 c2 c2 c2 c2
4.
loss of contact with reality. c2 c2 c2 c2




10. Which nursing statement regarding the concept of psychosis is most
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accurate?