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 12THEDITION BY ROBERT
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BOLaND; MaRICa VERDIUN; PEDRO RUIZ
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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 m



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 m m m m m m m m



m occasional feelings of sadness because of the recent death of a beloved pet.
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m The client‟s appetite, sleep patterns, and daily routine have not
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m changed. How should the nurse interpret the client‟s behaviors?
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The client‟s behaviors demonstrate mental
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1.
millness in the form of depression.
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The client‟s behaviors are extensive, which
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2.
mindicates the presence of mental illness. m m m m m




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




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 m m m m m m m m m



m is at risk for developing a mental illness?
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When thoughts, feelings, and behaviors m m m m

1.
are m



not reflective of the DSM-5 criteria. m m m m m



When maladaptive responses to stress are m m m m m



2. coupled with interference in daily m m m m m



functioning.
When a client communicates significant m m m m

3.
distress.
When a client uses defense mechanisms m m m m m

4.
as m



ego protection. m




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



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



1. absolute; individual responses to stress
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vary.
It is abnormal for identical twins to react
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2.
mdifferently to similar stressors. m m m




Identical twins should share the same m m m m m

3.
mtemperament and respond similarly to m m m m



m stress.
Environmental influences to stress weigh m m m m

4.
mmore heavily than genetic influences.
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4. Which client should the nurse anticipate to
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m be most receptive to psychiatric treatment?
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1. A Jewish, female social worker. m m m m



2. A Baptist, homeless male. m m m



3. A Catholic, black male. m m m



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




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



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



eliminated.
Defense mechanisms are a maladaptive m m m m



2. attempt of the ego to manage anxiety m m m m m m m



and m



should always be eliminated. m m m



Defense mechanisms, used by individuals m m m m



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



discouraged and not eliminated. m m m




Defense mechanisms cause disintegration m m m



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



6. During an intake assessment, a nurse asks bothm m m m m m m



m physiological and psychosocial questions. The client angrily responds, “I‟m
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m here for my heart, not my head problems.” Which is the nurse‟s best
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m response?

, “It is just a routine part of our
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1. assessment. All clients are asked these
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same
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questions.”
“Why are you concerned about these
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2.
types of
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questions?”
“Psychological factors, like excessive stress, m m m m



3. have been found to affect medical
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conditions.”
“We can skip these questions, if you
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4. like. It isn‟t imperative that we
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complete this
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section.”


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



boss. m



The employee leaves the staff meeting to m m m m m m

2.
work out in the gym. m m m m m




3. The employee criticizes a coworker. m m m m



4. The employee takes the boss out to m m m m m m



lunch. m




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



4. Sublimation


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



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



distress.
An individual experiencing neurosis feels m m m m

2.
helpless to change his or her situation.
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