Kaplan & Sadock Synopsis of Psychi z! z! z! z! z!z!
atry Updated 12th Edition_test_bank
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2023 GRADED A+ z! z!
Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
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Chapter 1. Examination and Diagnosis of the Psychiatric P
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atient 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 f
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eelings of sadness because of the recent death of a beloved pet. The client’s appetite,
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sleep patterns, and daily routine have not changed. How should the nurse interpret t
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he client’s behaviors?
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1. The client’s behaviors demonstrate me
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ntal illness in the form of depression.
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2. The client’s behaviors are extensive, whi
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ch indicates the presence of mental illnes
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s.
3. The client’s behaviors are not congruent
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with cultural norms.
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4. The client’s behaviors demonstrate no
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functional impairment, indicating no
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mental illness. z!
, 2. At what point should the nurse determine that a client is at risk
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z! for developing a mental illness?
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1. When thoughts, feelings, and behaviors a
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re not reflective of the 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.
3. When a client communicates significa
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nt distress.
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4. When a client uses defense mechanisms
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as ego protection.
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3. A nurse is assessing a set of 15-year-
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old identical twins who respond very differently to stress. One twin becomes anxio
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us and irritable, and the other withdraws and cries. How should the nurse explain th
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ese different stress responses to the parents?
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1. Reactions to stress are relative rather t
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han absolute; individual responses to
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stress vary. z!
2. It is abnormal for identical twins to re
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act differently to similar stressors.
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, 3. Identical twins should share the same
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temperament and respond similarly to z! z! z! z! z
stress.
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4. Environmental influences to stress wei z! z! z! z!
gh more heavily than genetic influenc
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es.
1. Reactions to stress are relative rather t
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han absolute; individual responses to
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stress vary. z!
2. It is abnormal for identical twins to re
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act differently to similar stressors.
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3. Identical twins should share the same
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temperament and respond similarly to z! z! z! z! z
stress.
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4. Environmental influences to stress wei z! z! z! z!
gh more heavily than genetic influenc
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es.
4. Which client should the nurse anticipate to be most
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z! receptive 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 defense
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mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s stat
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ement?
1. Defense mechanisms can be appropri
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ate responses to stress and need not b
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e
eliminated.
, 2. Defense mechanisms are a maladaptiv
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e attempt of the ego to manage anxiet
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y and should always be eliminated.
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3. Defense mechanisms, used by individ
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uals with weak ego integrity, should b
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e
discouraged and not eliminated.
z! z! z!
atry Updated 12th Edition_test_bank
z! z! z!z! z!
2023 GRADED A+ z! z!
Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
z! z! z! z! z! z! z! z! z!
Chapter 1. Examination and Diagnosis of the Psychiatric P
z! z! z! z! z! z! z! z!
atient Multiple Choice
z! z!
Identify the choice that best completes the statement or answers the question.
z! z! z! z! z! z! z! z! z! z! z!
1. A nurse is assessing a client who is experiencing occasional f
z! z! z! z! z! z! z! z! z! z!
eelings of sadness because of the recent death of a beloved pet. The client’s appetite,
z! z! z! z! z! z! z! z! z! z! z! z! z! z! z!
sleep patterns, and daily routine have not changed. How should the nurse interpret t
z! z! z! z! z! z! z! z! z! z! z! z! z !
he client’s behaviors?
z! z!
1. The client’s behaviors demonstrate me
z! z! z! z!
ntal illness in the form of depression.
z! z! z! z! z! z!
2. The client’s behaviors are extensive, whi
z! z! z! z! z!
ch indicates the presence of mental illnes
z! z! z! z! z! z!
s.
3. The client’s behaviors are not congruent
z! z! z! z! z! z!
with cultural norms.
z! z!
4. The client’s behaviors demonstrate no
z! z! z! z! z
functional impairment, indicating no
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mental illness. z!
, 2. At what point should the nurse determine that a client is at risk
z! z! z! z! z! z! z! z! z! z! z! z!
z! for developing a mental illness?
z! z! z! z!
1. When thoughts, feelings, and behaviors a
z! z! z! z! z!
re not reflective of the DSM-5 criteria.
z! z! z! z! z! z!
2. When maladaptive responses to stress
z! z! z! z! z!
are coupled with interference in daily
z! z! z! z! z! z!
functioning.
3. When a client communicates significa
z! z! z! z!
nt distress.
z!
4. When a client uses defense mechanisms
z! z! z! z! z! z!
as ego protection.
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3. A nurse is assessing a set of 15-year-
z! z! z! z! z! z! z!
old identical twins who respond very differently to stress. One twin becomes anxio
z! z! z! z! z! z! z! z! z! z! z! z!
us and irritable, and the other withdraws and cries. How should the nurse explain th
z! z! z! z! z! z! z! z! z! z! z! z! z! z!
ese different stress responses to the parents?
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1. Reactions to stress are relative rather t
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han absolute; individual responses to
z! z! z! z! z!
stress vary. z!
2. It is abnormal for identical twins to re
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act differently to similar stressors.
z! z! z! z!
, 3. Identical twins should share the same
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temperament and respond similarly to z! z! z! z! z
stress.
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4. Environmental influences to stress wei z! z! z! z!
gh more heavily than genetic influenc
z! z! z! z! z!
es.
1. Reactions to stress are relative rather t
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han absolute; individual responses to
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stress vary. z!
2. It is abnormal for identical twins to re
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act differently to similar stressors.
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3. Identical twins should share the same
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temperament and respond similarly to z! z! z! z! z
stress.
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4. Environmental influences to stress wei z! z! z! z!
gh more heavily than genetic influenc
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es.
4. Which client should the nurse anticipate to be most
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z! receptive 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.
z! z! z! z!
5. A psychiatric nurse intern states, “This client’s use of defense
z! z! z! z! z! z! z! z! z!
mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s stat
z! z! z! z! z! z! z! z! z! z! z! z! z!
ement?
1. Defense mechanisms can be appropri
z! z! z! z!
ate responses to stress and need not b
z! z! z! z! z! z! z!
e
eliminated.
, 2. Defense mechanisms are a maladaptiv
z! z! z! z!
e attempt of the ego to manage anxiet
z! z! z! z! z! z! z!
y and should always be eliminated.
z! z! z! z! z!
3. Defense mechanisms, used by individ
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uals with weak ego integrity, should b
z! z! z! z! z! z!
e
discouraged and not eliminated.
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