, Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
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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 occasion
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al feelings of sadness because of the recent death of a beloved pet. The client’s
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appetite, sleep patterns, and daily routine have not changed. How should the nu
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rse 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 depres
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sion.
2. The client’s behaviors are extensive, w
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hich indicates the presence of mental il
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lness.
3. The client’s behaviors are not congruen
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t with cultural norms.
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4. The client’s behaviors demonstrate n
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o functional 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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@r risk 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-
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5 criteria.
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2. When maladaptive responses to stres
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s are coupled with interference in d
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aily functioning.
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3. When a client communicates signifi
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cant distress. @r
4. When a client uses defense mechanism
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s 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 a
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nxious and irritable, and the other withdraws and cries. How should the nurse
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explain these different stress responses to the parents?
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1. Reactions to stress are relative rathe
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r than absolute; individual responses
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to stress vary.
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2. It is abnormal for identical twins to
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react differently to similar stressors.
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, 3. Identical twins should share the sam
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e temperament and respond similarl
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y to stress.
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4. Environmental influences to stress w @r @r @r @r
eigh more heavily than genetic influ
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ences.
1. Reactions to stress are relative rathe
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r than absolute; individual responses
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to stress vary.
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2. It is abnormal for identical twins to
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react differently to similar stressors.
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3. Identical twins should share the sam
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e temperament and respond similarl
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y to stress.
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4. Environmental influences to stress w @r @r @r @r
eigh more heavily than genetic influ
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ences.
4. Which client should the nurse anticipate to be
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most 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 def
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ense mechanisms should be eliminated.” Which is a correct evaluation of this n
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urse’s statement?
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1. Defense mechanisms can be appropr
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iate responses to stress and need no
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t be
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eliminated.
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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 occasion
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al feelings of sadness because of the recent death of a beloved pet. The client’s
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appetite, sleep patterns, and daily routine have not changed. How should the nu
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rse 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 depres
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sion.
2. The client’s behaviors are extensive, w
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hich indicates the presence of mental il
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lness.
3. The client’s behaviors are not congruen
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t with cultural norms.
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4. The client’s behaviors demonstrate n
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o functional 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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@r risk 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-
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5 criteria.
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2. When maladaptive responses to stres
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s are coupled with interference in d
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aily functioning.
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3. When a client communicates signifi
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cant distress. @r
4. When a client uses defense mechanism
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s 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 a
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nxious and irritable, and the other withdraws and cries. How should the nurse
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explain these different stress responses to the parents?
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1. Reactions to stress are relative rathe
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r than absolute; individual responses
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to stress vary.
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2. It is abnormal for identical twins to
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react differently to similar stressors.
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, 3. Identical twins should share the sam
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e temperament and respond similarl
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y to stress.
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4. Environmental influences to stress w @r @r @r @r
eigh more heavily than genetic influ
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ences.
1. Reactions to stress are relative rathe
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r than absolute; individual responses
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to stress vary.
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2. It is abnormal for identical twins to
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react differently to similar stressors.
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3. Identical twins should share the sam
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e temperament and respond similarl
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y to stress.
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4. Environmental influences to stress w @r @r @r @r
eigh more heavily than genetic influ
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ences.
4. Which client should the nurse anticipate to be
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most 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 def
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ense mechanisms should be eliminated.” Which is a correct evaluation of this n
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urse’s statement?
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1. Defense mechanisms can be appropr
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iate responses to stress and need no
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t be
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eliminated.