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 .

Test Bank
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For Kaplan & Sadock’s Synopsis of Psychiatry 12th Edition By Robert
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Boland; Marica Verdiun; Pedro Ruiz 9781975145569|| Chapter 1-35
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||Complete A+ Guide .
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Nursestar1

, 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 s6


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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s6 feelings of sadness because of the recent death of a beloved pet. The client’s
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s6 appetite, sleep patterns, and daily routine have not changed. How should
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s6 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.
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The client’s behaviors are extensive, which
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2.
indicates the presence of mental illness. s6 s6 s6 s6 s6


The client’s behaviors are not congruent
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3.
s6with
cultural norms. s6


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 s6 s6 s6 s6 s6 s6 s6 s6 s6 s6


s6 at risk for developing a mental illness?
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When thoughts, feelings, and behaviors are s6 s6 s6 s6 s6
1.
not reflective of the DSM-5 criteria. s6 s6 s6 s6 s6


When maladaptive responses to stress are s6 s6 s6 s6 s6


2. coupled with interference in daily s6 s6 s6 s6 s6


functioning.
When a client communicates significant s6 s6 s6 s6
3.
distress.
When a client uses defense mechanisms as s6 s6 s6 s6 s6 s6
4.
ego protection. s6




3. A nurse is assessing a set of 15-year-old identical twins s6 s6 s6 s6 s6 s6 s6 s6 s6


s6 who respond very differently to stress. One twin becomes anxious and
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s6 irritable, and the other withdraws and cries. How should the nurse explain
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s6 these different stress responses to the parents?
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https://www.stuvia.com/user/Nursestar1

, Reactions to stress are relative rather than
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1. absolute; individual responses to stress
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vary.
It is abnormal for identical twins to react
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2.
differently to similar stressors. s6 s6 s6


Identical twins should share the same s6 s6 s6 s6 s6
3.
temperament and respond similarly to s6 s6 s6 s6


s6stress.
Environmental influences to stress weigh s6 s6 s6 s6
4.
more heavily than genetic influences.
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4. Which client should the nurse anticipate to be s6 s6 s6 s6 s6 s6 s6


s6 most receptive to psychiatric treatment?
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1. A Jewish, female social worker. s6 s6 s6 s6


2. A Baptist, homeless male. s6 s6 s6


3. A Catholic, black male. s6 s6 s6


4. A Protestant, Swedish business executive. s6 s6 s6 s6




5. A psychiatric nurse intern states, “This client’s use of
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s6 defense mechanisms should be eliminated.” Which is a correct evaluation of
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s6 this nurse’s statement?
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Defense mechanisms can be appropriate s6 s6 s6 s6


1. responses to stress and need not be s6 s6 s6 s6 s6 s6 s6


eliminated.
Defense mechanisms are a maladaptive s6 s6 s6 s6


2. attempt of the ego to manage anxiety s6 s6 s6 s6 s6 s6 s6


and s6


should always be eliminated. s6 s6 s6


Defense mechanisms, used by individuals s6 s6 s6 s6


3. with weak ego integrity, should be s6 s6 s6 s6 s6 s 6


discouraged and not eliminated. s6 s6 s6




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



6. During an intake assessment, a nurse asks both s6 s6 s6 s6 s6 s6 s6


s6 physiological and psychosocial questions. The client angrily responds, “I’m here
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s6 for my heart, not my head problems.” Which is the nurse’s best response?
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https://www.stuvia.com/user/Nursestar1

, “It is just a routine part of our assessment.
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1. All clients are asked these 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, s6 s6 s6 s6


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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s6 when the boss openly disagrees with suggestions. What behavior would be
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s6 expected from this employee?
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1. The employee assertively confronts the s6 s6 s6 s6


boss. s6


The employee leaves the staff meeting to s6 s6 s6 s6 s6 s6
2.
work out in the gym. s6 s6 s6 s6


3. The employee criticizes a coworker. s6 s6 s6 s6


4. The employee takes the boss out to lunch. s6 s6 s6 s6 s6 s6 s6




8. A fourth-grade boy teases and makes jokes about a cute
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s6 girl in his class. This behavior should be identified by a nurse as indicative of
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s6 which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation s6


4. Sublimation


9. Which nursing statement about the concept of neurosis is most accurate?
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An individual experiencing neurosis is s6 s6 s6 s6


1. unaware that he or she is experiencing
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distress.
An individual experiencing neurosis feels
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2.
helpless to change his or her situation. s6 s6 s6 s6 s6 s6


An individual experiencing neurosis is s6 s6 s6 s6


3. aware of the psychological causes of his
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or s6




https://www.stuvia.com/user/Nursestar1