Test Bank For Kaplan & Sadock’s Synopsis of Psychiatry 12th Edition By Robert Boland; Marica Verdiun; Pedro Ruiz 9781975145569|| Chapter 1-35 ||Complete A+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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, 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 b


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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feelings 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
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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. b b b b b


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


The client‟s behaviors are not congruent with
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3.
cultural norms. b


The client‟s behaviors demonstrate no
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4. bfunctional impairment, indicating no mental b b b b


illness.



2. At what point should the nurse determine that a client is at risk
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b for developing a mental illness?
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When thoughts, feelings, and behaviors are b b b b b
1.
not reflective of the DSM-5 criteria. b b b b b


When maladaptive responses to stress are b b b b b


2. coupled with interference in daily b b b b b


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




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


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


vary.
It is abnormal for identical twins to react b b b b b b b
2.
differently to similar stressors. b b b

, Identical twins should share the same b b b b b
3.
temperament and respond similarly to stress. b b b b b


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


2. A Baptist, homeless male. b b b


3. A Catholic, black male. b b b


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




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
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statement?
b


Defense mechanisms can be appropriate b b b b


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


eliminated.
Defense mechanisms are a maladaptive b b b b


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


should always be eliminated. b b b


Defense mechanisms, used by individuals b b b b


3. with weak ego integrity, should be b b b b b b


discouraged and not eliminated. b b b




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



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


1. clients are asked these same b b b b b


questions.”
“Why are you concerned about these types of b b b b b b b
2.
questions?”
“Psychological factors, like excessive stress, b b b b


3. have been found to affect medical b b b b b b


conditions.”

, “We can skip these questions, if you like. It
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4. 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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when the boss openly disagrees with suggestions. What behavior would be expected
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from this employee?
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1. The employee assertively confronts the boss. b b b b b


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


3. The employee criticizes a coworker. b b b b


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




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


4. Sublimation


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


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


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


An individual experiencing neurosis is aware b b b b b


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


her behavior. b


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




10. Which nursing statement regarding the concept of psychosis is most
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accurate?
Individuals experiencing psychoses are aware b b b b
1.
that their behaviors are maladaptive.
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Individuals experiencing psychoses b b
2.
experience little distress. b b