atry Updated 12th g g
Edition_test_bank2023GRADEDA
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Kaplan&Sadock'sSynopsisofPsychiatryEdition12TestBank
Chapter1.ExaminationandDiagnosisofthePsychiatricgPa
tientgMultiplegChoice
Identifythechoicethatbestcompletesthestatementoranswersthequestion.
1. Anurseisassessingaclientwhoisexperiencingoccasional
feelingsgofsadnessgbecausegofthegrecentgdeathgofgagbelovedgpet.gThegclient’sgappetite,
gsleeppatterns,anddailyroutine ghavegnotchanged.Howgshouldthegnurseinterpretthegclie
nt’sgbehaviors?
1.
Theclient’sbehaviorsdemonstrate g
mentalgillnessgingthegformgofgdepre
ssion.
2.
Thegclient’sgbehaviorsgaregextensive,g
whichgindicatesgthepresencegofgmental
gillness.
3.
Theclient’sbehaviorsarenotcongruentgwit
hgculturalgnorms.
, 4.
Theclient’sbehaviorsdemonstratenogf
unctionalgimpairment,gindicatinggnog
mentalgillness.
2. Atwhatpointshouldgthenursedeterminethataclientisatrisk gforgd
evelopinggagmentalgillness?
1.
Whenthoughts,feelings,andbehaviorsgareg
notgreflectivegofgthegDSM-5gcriteria.
2.
Whengmaladaptivegresponsesgtogstress
garegcoupledgwithginterferencegingdaily
gfunctioning.
3.
Whenaclientcommunicatessignificantgdis
tress.
4. Whengagclientgusesgdefensegmechanismsg
asgegogprotection.
3. Anurseisassessingasetgof15-year-oldidenticaltwinswho
respondgverydifferentlytostress.gOnegtwinbecomesganxiousgandgirritable,gandgthego
thergwithdrawsgandgcries.gHowgshouldgthegnursegexplaingthesegdifferentgstressgres
ponsesgtogthegparents?
1.
Reactionsgtogstressgaregrelativegratherg
thangabsolute;gindividualgresponsesgto
gstressgvary.
2.
Itgisgabnormalgforgidenticaltwinsgtogrea
ctdifferentlytosimilarstressors.
3.
Identicalgtwinsgshouldgsharegthegsame
gtemperamentgandgrespondgsimilarly gt
ogstress.
4.
Environmentalinfluencestostressg
weighgmoregheavilygthanggeneticgi
nfluences.
, 1.
Reactionsgtogstressgaregrelativegrather
gthangabsolute;gindividualresponsesgt
ogstressgvary.
2.
Itgisgabnormalgforgidenticaltwinsgtogrea
ctdifferentlytosimilarstressors.
3.
Identicalgtwinsgshouldgsharegthegsame
gtemperamentgandgrespondgsimilarly gt
ogstress.
4.
Environmentalinfluencestostressg
weighgmoregheavilygthanggeneticgi
nfluences.
4. Whichclientshouldthenurseanticipatetobemost grece
ptivegtogpsychiatricgtreatment?
1. AJewish,femalesocialworker.
2. ABaptist,homelessmale.
3. ACatholic,blackmale.
4. AProtestant,Swedishbusinessexecutive.
5. Apsychiatricnurseinternstates,“Thisclient’suseofdefense
mechanismsshouldbeeliminated.”Whichisacorrectevaluationofthisnurse’sstatement?
1.
Defensegmechanismsgcangbegappro
priateresponsesgtostressgandgneedg
notgbegeliminated.
, 2. Defensegmechanismsgaregagmaladaptivega
ttemptgofgthegegogtogmanageganxietygandg
shouldgalwaysgbegeliminated.
3.
Defensegmechanisms,gusedgbygindividu
alsgwithgweakgegogintegrity,gshouldgbeg
discouragedgandgnotgeliminated.