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 h1 h1 h1 h1




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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 h1


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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h1 feelings of sadness because of the recent death of a beloved pet. The client‟s
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h1 appetite, sleep patterns, and daily routine have not changed. How should
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h1 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.
h1with
cultural norms. h1


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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h1 risk for developing a mental illness?
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When thoughts, feelings, and behaviors are h1 h1 h1 h1 h1
1.
not reflective of the DSM-5 criteria. h1 h1 h1 h1 h1


When maladaptive responses to stress are h1 h1 h1 h1 h1


2. coupled with interference in daily h1 h1 h1 h1 h1


functioning.
When a client communicates significant h1 h1 h1 h1
3.
distress.
When a client uses defense mechanisms as h1 h1 h1 h1 h1 h1
4.
ego protection. h1




3. A nurse is assessing a set of 15-year-old identical twins
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h1 who respond very differently to stress. One twin becomes anxious and
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h1 irritable, and the other withdraws and cries. How should the nurse explain
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h1 these different stress responses to the parents?
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Reactions to stress are relative rather than h1 h1 h1 h1 h1 h1


1. absolute; individual responses to stress h1 h1 h1 h1 h1


vary.

, It is abnormal for identical twins to react
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2.
differently to similar stressors. h1 h1 h1


Identical twins should share the same h1 h1 h1 h1 h1
3.
temperament and respond similarly to h1 h1 h1 h1


h1stress.
Environmental influences to stress weigh h1 h1 h1 h1
4.
more heavily than genetic influences.
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4. Which client should the nurse anticipate to be
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h1 most receptive to psychiatric treatment?
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1. A Jewish, female social worker. h1 h1 h1 h1


2. A Baptist, homeless male. h1 h1 h1


3. A Catholic, black male. h1 h1 h1


4. A Protestant, Swedish business executive. h1 h1 h1 h1




5. A psychiatric nurse intern states, “This client‟s use of
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h1 defense mechanisms should be eliminated.” Which is a correct evaluation of
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h1 this nurse‟s statement?
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Defense mechanisms can be appropriate h1 h1 h1 h1


1. responses to stress and need not be h1 h1 h1 h1 h1 h1 h1


eliminated.
Defense mechanisms are a maladaptive h1 h1 h1 h1


2. attempt of the ego to manage anxiety and h1 h1 h1 h1 h1 h1 h1 h1


should always be eliminated. h1 h1 h1


Defense mechanisms, used by individuals h1 h1 h1 h1


3. with weak ego integrity, should be h1 h1 h1 h1 h1 h 1


discouraged and not eliminated. h1 h1 h1




Defense mechanisms cause disintegration h1 h1 h1


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



6. During an intake assessment, a nurse asks both
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h1 physiological and psychosocial questions. The client angrily responds, “I‟m here
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h1 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. h1 h1 h1 h1 h1 h1 h1 h1


1. All clients are asked these same h1 h1 h1 h1 h1 h 1


questions.”
“Why are you concerned about these types h1 h1 h1 h1 h1 h1
2.
of h1


questions?”

, “Psychological factors, like excessive stress, h1 h1 h1 h1


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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h1 when the boss openly disagrees with suggestions. What behavior would be
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h1 expected from this employee?
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1. The employee assertively confronts the h1 h1 h1 h1


boss. h1


The employee leaves the staff meeting to h1 h1 h1 h1 h1 h1
2.
work out in the gym. h1 h1 h1 h1


3. The employee criticizes a coworker. h1 h1 h1 h1


4. The employee takes the boss out to lunch. h1 h1 h1 h1 h1 h1 h1




8. A fourth-grade boy teases and makes jokes about a cute
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h1 girl in his class. This behavior should be identified by a nurse as indicative
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h1 of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation h1


4. Sublimation


9. Which nursing statement about the concept of neurosis is most accurate?
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An individual experiencing neurosis is h1 h1 h1 h1


1. unaware that he or she is experiencing h1 h1 h1 h1 h1 h1 h1


distress.
An individual experiencing neurosis feels h1 h1 h1 h1
2.
helpless to change his or her situation. h1 h1 h1 h1 h1 h1


An individual experiencing neurosis is h1 h1 h1 h1


3. aware of the psychological causes of his h1 h1 h1 h1 h1 h1 h1


or h1


her behavior. h1


An individual experiencing neurosis has a h1 h1 h1 h1 h1
4.
loss of contact with reality. h1 h1 h1 h1




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