,Chapter 1. Examination and Diagnosis of the Psychiatric
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Patient 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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qfeelings of sadness because of the recent death of a beloved pet. The client’s appet
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ite, sleep patterns, and daily routine have not changed. How should the nurse inte
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rpret the client’s behaviors?
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1. The client’s behaviors demonstrate m
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ental illness in the form of depressio
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n.
2. The client’s behaviors are extensive, wh
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ich indicates the presence of mental illn
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ess.
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 n
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o functional impairment, indicating n
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o mental illness.
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, 2. At what point should the nurse determine that a client is at ri
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sk for developing a mental illness?
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1. When thoughts, feelings, and behaviors
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are 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 dail
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y functioning.
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3. When a client communicates signific
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ant 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 anx
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ious and irritable, and the other withdraws and cries. How should the nurse expla
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in these different stress responses to the parents?
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1. Reactions to stress are relative rather
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than absolute; individual responses t
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o stress vary.
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2. It is abnormal for identical twins to r
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eact differently to similar stressors.
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, 3. Identical twins should share the same
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temperament and respond similarly t
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o stress.
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4. Environmental influences to stress w xq xq xq xq
eigh more heavily than genetic influe
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nces.
1. Reactions to stress are relative rather
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than absolute; individual responses t
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o stress vary.
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2. It is abnormal for identical twins to r
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eact differently to similar stressors.
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3. Identical twins should share the same
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temperament and respond similarly t
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o stress.
xq
4. Environmental influences to stress w xq xq xq xq
eigh more heavily than genetic influe
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nces.
4. Which client should the nurse anticipate to be mo
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st 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 defen
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se mechanisms should be eliminated.” Which is a correct evaluation of this nurse’
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s statement?
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1. Defense mechanisms can be appropri
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ate responses to stress and need not
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be
eliminated.
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Patient 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
xq xq xq xq xq xq xq xq xq x
qfeelings of sadness because of the recent death of a beloved pet. The client’s appet
xq xq xq xq xq xq xq xq xq xq xq xq xq xq
ite, sleep patterns, and daily routine have not changed. How should the nurse inte
xq xq xq xq xq xq xq xq xq xq xq xq xq
rpret the client’s behaviors?
x q xq xq
1. The client’s behaviors demonstrate m
xq xq xq xq
ental illness in the form of depressio
xq xq xq xq xq xq
n.
2. The client’s behaviors are extensive, wh
xq xq xq xq xq
ich indicates the presence of mental illn
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ess.
3. The client’s behaviors are not congruent
xq xq xq xq xq x
with cultural norms.
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4. The client’s behaviors demonstrate n
xq xq xq xq
o functional impairment, indicating n
xq xq xq xq
o mental illness.
xq xq
, 2. At what point should the nurse determine that a client is at ri
xq xq xq xq xq xq xq xq xq xq xq xq
sk for developing a mental illness?
xq xq xq xq xq
1. When thoughts, feelings, and behaviors
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are not reflective of the DSM-5 criteria.
xq xq xq xq xq xq
2. When maladaptive responses to stress
xq xq xq xq
are coupled with interference in dail
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y functioning.
xq
3. When a client communicates signific
xq xq xq xq
ant distress.
xq
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 anx
xq xq xq xq xq xq xq xq xq xq xq xq
ious and irritable, and the other withdraws and cries. How should the nurse expla
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in these different stress responses to the parents?
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1. Reactions to stress are relative rather
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than absolute; individual responses t
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o stress vary.
xq xq
2. It is abnormal for identical twins to r
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eact differently to similar stressors.
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, 3. Identical twins should share the same
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temperament and respond similarly t
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o stress.
xq
4. Environmental influences to stress w xq xq xq xq
eigh more heavily than genetic influe
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nces.
1. Reactions to stress are relative rather
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than absolute; individual responses t
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o stress vary.
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2. It is abnormal for identical twins to r
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eact differently to similar stressors.
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3. Identical twins should share the same
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temperament and respond similarly t
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o stress.
xq
4. Environmental influences to stress w xq xq xq xq
eigh more heavily than genetic influe
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nces.
4. Which client should the nurse anticipate to be mo
xq xq xq xq xq xq xq xq
st receptive to psychiatric treatment?
xq xq xq xq
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 defen
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se mechanisms should be eliminated.” Which is a correct evaluation of this nurse’
xq xq xq xq xq xq xq xq xq xq xq xq
s statement?
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1. Defense mechanisms can be appropri
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ate responses to stress and need not
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be
eliminated.