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Exam (elaborations)

Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank

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1. A nurse is assessing a client who is experiencing occasionalfeelings of sadness because of the recent death of a beloved pet. The client's appetite,sleep patterns, and daily routine have not changed. How should the nurse interpretthe client's behaviors?1.The client's behaviors demonstratemental illness in the form ofdepression.2.The client's behaviors are extensive,which indicates the presence of mentalillness.3.The client's behaviors are not congruentwith cultural norms.4.The client's behaviors demonstrate nofunctional impairment, indicating nomental illness. 2. At what point should the nurse determine that a client is at riskfor developing a mental illness?1.When thoughts, feelings, and behaviorsare not reflective of theDSM-5criteria.2.When maladaptive responses to stressare coupled with interference in dailyfunctioning.3.When a client communicatessignificant distress.4.When a client uses defense mechanismsas ego protection. 3. A nurse is assessing a set of 15-year-old identical twins whorespond very differently to stress. One twin becomes anxious and irritable, and theother withdraws and cries. How should the nurse explain these different stressresponses to the parents?1.Reactions to stress are relative ratherthan absolute; individual responses tostress vary.2.It is abnormal for identical twins toreact differently to similar stressors. 3.Identical twins should share the sametemperament and respond similarly tostress.4.Environmental influences to stressweigh more heavily than geneticinfluences.1.Reactions to stress are relative ratherthan absolute; individual responses tostress vary.2.It is abnormal for identical twins toreact differently to similar stressors.3.Identical twins should share the sametemperament and respond similarly tostress.4.Environmental influences to stressweigh more heavily than geneticinfluences. 4. Which client should the nurse anticipate to be mostreceptive to psychiatric treatment?1.A Jewish, female social worker.2.A Baptist, homeless male.3.A Catholic, black male.4.A Protestant, Swedish business executive.

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