Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
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Chapter 1. Examination and Diagnosis of the
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PsychiatricPatient Multiple Choice
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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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n feelings of sadness because of the recent death of a beloved pet. The client’s
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n appetite,sleep patterns, and daily routine have not changed. How should the nurse
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n interpret the client’s behaviors?
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1. The client’s behaviors demonstrate
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mental illness in the form of
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depression.
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2. The client’s behaviors are extensive,
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which indicates the presence of
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mentalillness.
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3. The client’s behaviors are not
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congruentwith cultural norms.
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4. The client’s behaviors demonstrate
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nofunctional impairment, indicating
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no mental illness.
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, 2. At what point should the nurse determine that a client is at
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n riskfor developing a mental illness?
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1. When thoughts, feelings, andn n n
behaviorsare not reflective of the
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DSM-5 criteria.
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2. When maladaptive responses to stress
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are coupled with interference in daily
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functioning.
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3. When a client n n
communicatessignificant
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distress.
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4. When a client uses defense n n n n
mechanismsas ego protection.
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3. A nurse is assessing a set of 15-year-old identical twins
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n whorespond very differently to stress. One twin becomes anxious and irritable,
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n and the other withdraws and cries. How should the nurse explain these different
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n stress responses to the parents?
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1. Reactions to stress are relative rather
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than absolute; individual responses
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tostress vary.
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2. It is abnormal for identical twins to
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nreact differently to similar
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nstressors.
,
, 3. Identical twins should share the same n n n n n
ntemperament and respond similarly to n n n n
nstress.
4. Environmental influences to n n
stressweigh more heavily than
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genetic influences.
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1. Reactions to stress are relative rather n n n n n
than absolute; individual responses
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tostress vary.
n n n
2. It is abnormal for identical twins to
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nreact differently to similarn n n
nstressors.
3. Identical twins should share the same n n n n n
ntemperament and respond similarly to n n n n
nstress.
4. Environmental influences to n n
stressweigh more heavily than
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genetic influences.
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4. Which client should the nurse anticipate to be
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n mostreceptive to psychiatric treatment?
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1. A Jewish, female social worker.
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2. A Baptist, homeless male.
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3. A Catholic, black male.
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4. A Protestant, Swedish business executive.
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5. A psychiatric nurse intern states, “This client’s use of
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n defensemechanisms should be eliminated.” Which is a correct evaluation of this
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n nurse’s statement?
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1. Defense mechanisms can be n n n
appropriate responses to stress
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andneed not be
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eliminated.
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