TEST BANK FOR Kaplan & Sadock’s Synopsis of Psychiatry, Twelfth, North American Edition by Robert Boland, Marcia Verduin, Dr. Pedro Ruiz ISBN: 978-1975145569 COMPLETE GUIDE 100% VERIFIED ALL CHAPTERS COVERED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!!!!

, 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 ap



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 feel ap ap ap ap ap ap ap ap ap ap



ings of sadness because of the recent death of a beloved pet. The client’s appetite, slee
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p 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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The client’s behaviors demonstrate mental
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1.
illness in the form of depression. ap ap ap ap ap




The client’s behaviors are extensive, which
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2.
indicates the presence of mental illness. ap ap ap ap ap




The client’s behaviors are not congruent with
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3.
cultural norms. ap



The client’s behaviors demonstrate no functio
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4. nal impairment, indicating no mental
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illness.



2. At what point should the nurse determine that a client is at risk f ap ap ap ap ap ap ap ap ap ap ap ap ap



or developing a mental illness?
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When thoughts, feelings, and behaviors are ap ap ap ap ap

1.
not reflective of the DSM-5 criteria. ap ap ap ap ap




When maladaptive responses to stress are coupl ap ap ap ap ap ap



2. ed with interference in daily ap ap ap ap



functioning.
When a client communicates significant ap ap ap ap

3.
distress.
When a client uses defense mechanisms as ap ap ap ap ap ap

4.
ego protection. ap




3. A nurse is assessing a set of 15-year- ap ap ap ap ap ap ap



old identical twins who respond very differently to stress. One twin becomes anxiou
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s and irritable, and the other withdraws and cries. How should the nurse explain thes
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e different stress responses to the parents?
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Reactions to stress are relative rather than absol ap ap ap ap ap ap ap



1. ute; individual responses to stress ap ap ap ap



vary.
It is abnormal for identical twins to react ap ap ap ap ap ap ap

2.
differently to similar stressors. ap ap ap




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, Identical twins should share the same ap ap ap ap ap

3.
temperament and respond similarly to stress. ap ap ap ap ap



Environmental influences to stress weigh ap ap ap ap

4.
more heavily than genetic influences.
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4. Which client should the nurse anticipate to be most ap ap ap ap ap ap ap ap ap



receptive to psychiatric treatment?
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1. A Jewish, female social worker. ap ap ap ap



2. A Baptist, homeless male. ap ap ap



3. A Catholic, black male. ap ap ap



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




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 state
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ment?
Defense mechanisms can be appropriate respon ap ap ap ap ap



1. ses to stress and need not be ap ap ap ap ap ap



eliminated.
Defense mechanisms are a maladaptive attem ap ap ap ap ap



2. pt of the ego to manage anxiety and ap ap ap ap ap ap ap



should always be eliminated. ap ap ap




Defense mechanisms, used by individuals wit ap ap ap ap ap



3. h weak ego integrity, should be ap ap ap ap a p



discouraged and not eliminated. ap ap ap




Defense mechanisms cause disintegration of t
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4. he ego and should be fostered and
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encouraged.



6. During an intake assessment, a nurse asks both physiological a
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nd psychosocial questions. The client angrily responds, “I’m here for my heart, not m
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y head problems.” Which is the nurse’s best response?
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“It is just a routine part of our assessment. All cl ap ap ap ap ap ap ap ap ap ap



1. ients are asked these same ap ap ap a p



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

2.
questions?”
“Psychological factors, like excessive stress, ha ap ap ap ap ap



3. ve been found to affect medical ap ap ap ap ap



conditions.”




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, “We can skip these questions, if you like. It is
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4. n’t imperative that we complete this
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section.”


7. An employee uses the defense mechanism of displacement wh
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en the boss openly disagrees with suggestions. What behavior would be expected fro
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m this employee?
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1. The employee assertively confronts the boss. ap ap ap ap ap




The employee leaves the staff meeting to ap ap ap ap ap ap

2.
work out in the gym. ap ap ap ap



3. The employee criticizes a coworker. ap ap ap ap



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




8. A fourth- ap



grade boy teases and makes jokes about a cute girl in his class. This behavior shoul
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d be identified by a nurse as indicative of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation ap



4. Sublimation


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



1. re that he or she is experiencing ap ap ap ap ap ap



distress.
An individual experiencing neurosis feels ap ap ap ap

2.
helpless to change his or her situation. ap ap ap ap ap ap



An individual experiencing neurosis is aware ap ap ap ap ap ap



3. of the psychological causes of his or ap ap ap ap ap ap



her behavior. ap




An individual experiencing neurosis has a ap ap ap ap ap

4.
loss of contact with reality. ap ap ap ap




10. Which nursing statement regarding the concept of psychosis is most
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accurate?
Individuals experiencing psychoses are aware ap ap ap ap

1.
that their behaviors are maladaptive.
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Individuals experiencing psychoses ap ap

2.
experience little distress. ap ap




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