Kaplan & Sadock Synopsis of Psychia
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023 GRADED A+ z z
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Chapterz 1.z Examinationz andz Diagnosisz ofz thez PsychiatriczP
atientzMultiplezChoice
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1. Aznurseziszassessingzazclientzwhoziszexperiencingzoccasionalzfee
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priatez responsesztoz stressz andzneedzn
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ez attemptzofzthezegoztozmanagez anxiety
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z z z z z
try Updated 12th Edition_test_bank 2
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023 GRADED A+ z z
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Chapterz 1.z Examinationz andz Diagnosisz ofz thez PsychiatriczP
atientzMultiplezChoice
Identifyzthezchoicezthatzbestzcompleteszthezstatementzorzanswerszthezquestion.
1. Aznurseziszassessingzazclientzwhoziszexperiencingzoccasionalzfee
lingszofzsadnessz becausezofzthez recentzdeathzofzazbelovedzpet.zThezclient’szappetite,zsleep
z patterns,z andz dailyz routinez havez notz changed.z Howz shouldz thez nursez interpretzthezclien
t’szbehaviors?
1. Thezclient’szbehaviorszdemonstratez
mentalzillnesszinzthezformzofzdepres
sion.
2. Thezclient’szbehaviorszarezextensive,zw
hichz indicateszthez presencezofzmentalzill
ness.
3. Thezclient’szbehaviorszareznotzcongruentz
withzculturalznorms.
4. Thezclient’szbehaviorszdemonstrateznoz
functionalzimpairment,z indicatingznoz
mentalzillness.
, 2. Atz whatzpointz shouldztheznursez determinezthatzazclientz iszatzriskzf
orzdevelopingzazmentalzillness?
1. Whenzthoughts,z feelings,z andzbehaviorsz
arez notzreflectivez ofzthezDSM-5zcriteria.
2. Whenzmaladaptivezresponsesztozstressz
arezcoupledzwithzinterferencezinzdailyzf
unctioning.
3. Whenz az clientz communicatesz
significantz distress.
4. Whenzazclientz usesz defensez mechanismsz
aszegozprotection.
3. Az nursez iszassessingzaz setzofz15-year-
oldz identicalztwinszwhozrespondz veryzdifferentlyztoz stress.z Oneztwinz becomeszanxiousz
andzirritable,zandzthezotherzwithdrawszandzcries.zHowzshouldztheznursezexplainzthesezd
ifferentzstresszresponsesztozthezparents?
1. Reactionsztozstresszarezrelativezratherzt
hanz absolute;zindividualz responsesztozs
tresszvary.
2. Itziszabnormalzforzidenticalz twinsztozr
eactz differentlyztozsimilarzstressors.
, 3. Identicalztwinszshouldzsharezthezsamezt
emperamentzandzrespondzsimilarlyztozs
tress.
4. Environmentalzinfluencesztoz stressz
weighz morezheavilyzthanzgeneticzin
fluences.
1. Reactionsztozstresszarezrelativezratherzt
hanz absolute;zindividualz responsesztozs
tresszvary.
2. Itziszabnormalzforzidenticalz twinsztozr
eactz differentlyztozsimilarzstressors.
3. Identicalztwinszshouldzsharezthezsamezt
emperamentzandzrespondzsimilarlyztozs
tress.
4. Environmentalzinfluencesztoz stressz
weighz morezheavilyzthanzgeneticzin
fluences.
4. Whichz clientz shouldzthez nursezanticipatez tozbezmostzr
eceptiveztozpsychiatricztreatment?
1. AzJewish,zfemalezsocialzworker.
2. AzBaptist,z homelesszmale.
3. AzCatholic,z blackzmale.
4. AzProtestant,zSwedishzbusinesszexecutive.
5. Azpsychiatricznursezinternzstates,z “Thiszclient’sz usezofzdefensez
mechanismszshouldzbezeliminated.”zWhichziszazcorrectzevaluationzofzthisznurse’szstatem
ent?
1. Defensezmechanismszcanzbezappro
priatez responsesztoz stressz andzneedzn
otzbe
eliminated.
, 2. Defensezmechanismszarezazmaladaptiv
ez attemptzofzthezegoztozmanagez anxiety
z andz shouldz alwaysz bezeliminated.
3. Defensezmechanisms,zusedzbyzindivi
dualszwithzweakzegozintegrity,zshoul
dzbe
discouragedz andz notzeliminated.
