Test Bank For Kaplan & Sadock’s Synopsis of Psychiatry 12th Edition By Robert Boland; Marica Verdiun; Pedro Ruiz 9781975145569 Chapter 1-35 Complete 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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BOLaND; MaRICa VERDIUN; PEDRO RUIZ t1 t1 t1 t1




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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 t1


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 t1 t1 t1 t1 t1 t1 t1 t1


t1 occasional feelings of sadness because of the recent death of a beloved pet. The
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t1 client‟s appetite, sleep patterns, and daily routine have not changed.
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t1 How should the nurse 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. t1 t1 t1 t1 t1


The client‟s behaviors are extensive, which
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2.
indicates the presence of mental illness. t1 t1 t1 t1 t1


The client‟s behaviors are not congruent
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3.
with
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cultural norms. t1


The client‟s behaviors demonstrate no
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4. functional impairment, indicating no
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mental
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illness.


2. At what point should the nurse determine that a client is at t1 t1 t1 t1 t1 t1 t1 t1 t1 t1 t1


t1 risk for developing a mental illness?
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When thoughts, feelings, and behaviors are t1 t1 t1 t1 t1
1.
not reflective of the DSM-5 criteria. t1 t1 t1 t1 t1


When maladaptive responses to stress are t1 t1 t1 t1 t1


2. coupled with interference in daily t1 t1 t1 t1 t1


functioning.
When a client communicates significant t1 t1 t1 t1
3.
distress.
When a client uses defense mechanisms as t1 t1 t1 t1 t1 t1
4.
ego protection. t1




3. A nurse is assessing a set of 15-year-old identical twins t1 t1 t1 t1 t1 t1 t1 t1 t1


t1 who respond very differently to stress. One twin becomes anxious and
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t1 irritable, and the other withdraws and cries. How should the nurse explain
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t1 these different stress responses to the parents?
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Reactions to stress are relative rather than t1 t1 t1 t1 t1 t1


1. absolute; individual responses to stress t1 t1 t1 t1 t1


vary.

, It is abnormal for identical twins to react
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2.
differently to similar stressors. t1 t1 t1


Identical twins should share the same t1 t1 t1 t1 t1
3.
temperament and respond similarly to t1 t1 t1 t1


stress.
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Environmental influences to stress weigh t1 t1 t1 t1
4.
more heavily than genetic influences.
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4. Which client should the nurse anticipate to be
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t1 most receptive to psychiatric treatment?
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1. A Jewish, female social worker. t1 t1 t1 t1


2. A Baptist, homeless male. t1 t1 t1


3. A Catholic, black male. t1 t1 t1


4. A Protestant, Swedish business executive. t1 t1 t1 t1




5. A psychiatric nurse intern states, “This client‟s use of
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t1 defense mechanisms should be eliminated.” Which is a correct evaluation of
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t1 this nurse‟s statement?
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Defense mechanisms can be appropriate t1 t1 t1 t1


1. responses to stress and need not be t1 t1 t1 t1 t1 t1 t1


eliminated.
Defense mechanisms are a maladaptive t1 t1 t1 t1


2. attempt of the ego to manage anxiety and t1 t1 t1 t1 t1 t1 t1 t1


should always be eliminated. t1 t1 t1


Defense mechanisms, used by individuals t1 t1 t1 t1


3. with weak ego integrity, should be t1 t1 t1 t1 t1 t 1


discouraged and not eliminated. t1 t1 t1




Defense mechanisms cause disintegration t1 t1 t1


4. of the ego and should be fostered and
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encouraged.



6. During an intake assessment, a nurse asks both t1 t1 t1 t1 t1 t1 t1


t1 physiological and psychosocial questions. The client angrily responds, “I‟m here
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t1 for my heart, not my head problems.” Which is the nurse‟s best response?
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“It is just a routine part of our assessment. t1 t1 t1 t1 t1 t1 t1 t1


1. All clients are asked these same t1 t1 t1 t1 t1 t 1


questions.”
“Why are you concerned about these t1 t1 t1 t1 t1
2.
types of t1 t1


questions?”

, “Psychological factors, like excessive stress, t1 t1 t1 t1


3. have been found to affect medical
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conditions.”
“We can skip these questions, if you like.
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4. It 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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t1 when the boss openly disagrees with suggestions. What behavior would be
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t1 expected from this employee?
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1. The employee assertively confronts the t1 t1 t1 t1


boss. t1


The employee leaves the staff meeting to t1 t1 t1 t1 t1 t1
2.
work out in the gym. t1 t1 t1 t1


3. The employee criticizes a coworker. t1 t1 t1 t1


4. The employee takes the boss out to lunch. t1 t1 t1 t1 t1 t1 t1




8. A fourth-grade boy teases and makes jokes about a cute
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t1 girl in his class. This behavior should be identified by a nurse as indicative
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t1 of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation t1


4. Sublimation


9. Which nursing statement about the concept of neurosis is most
t1 t1 accurate? t1 t1 t1 t1 t1 t1 t1 t 1


An individual experiencing neurosis is t1 t1 t1 t1


1. unaware that he or she is experiencing t1 t1 t1 t1 t1 t1 t1


distress.
An individual experiencing neurosis feels t1 t1 t1 t1
2.
helpless to change his or her situation. t1 t1 t1 t1 t1 t1


An individual experiencing neurosis is t1 t1 t1 t1


3. aware of the psychological causes of his t1 t1 t1 t1 t1 t1 t1


or t1


her behavior. t1


An individual experiencing neurosis has a t1 t1 t1 t1 t1
4.
loss of contact with reality. t1 t1 t1 t1




10. Which nursing statement regarding the concept of psychosis is most
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accurate?