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Kaplan & Sadock's Synopsis of Psychiatry Edition
,. ,. ,. ,. ,. ,. f # 12 f # Test f# Bank
Chapter 1. f#Examination f#and f#Diagnosis of the Psychiatric
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f#Patient Multiple f#Choice
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Identify f# the f # choice f # that best f # completes the f # statement or answers the f#question.
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1. A f#nurse is assessing a client who is experiencing f#occasional
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f#feelings of sadness because of the f#recent f#death of a beloved pet. f#The f#client’s
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f#appetite, f#sleep f#patterns, and daily f#routine
,. f # have f#not
,. f # changed. f#How
f#should f#the f#nurse f#interpret f#the f#client’s f#behaviors?
1. Theclient’s#fbehaviorsdemonstrate
f#mental f#illness f#in f#the f#form f#of
depression.
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2. The client’s f#behaviors f#are extensive,
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f#which indicates the f#presence of mental
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f#illness.
3. The f#client’s f#behaviors f#are f#not
f#congruent f#with f#cultural f#norms.
4. The f#client’s f#behaviors f#demonstrate
f#no f#functional f#impairment,
f#indicating f#no f#mental f#illness.
, 2. At f#what f#point f#should f#the f#nurse f#determine f#that f#a f#client f#is f#at
f#risk f#for f#developing f#a f#mental f#illness?
1. When f#thoughts, f#feelings, f#and
f#behaviors f#are f#not f#reflective f#of f#the
f#DSM-5 f#criteria.
2. When f # maladaptive f # responses f # to f # stress
are f# coupled f# with f# interference f# in f# daily
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functioning.
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3. When a client communicates ,. ,. ,.
significant distress.
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4. When a client f# uses defense mechanisms ,. ,. ,. ,.
as ego protection.
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3. A f#nurse f#is f#assessing f#a set of 15-year-old identical twins f#who
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respond very f#differently f#to f#stress. f#One twin
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f#becomes anxious and irritable, and the f#other withdraws and cries. f#How
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f#should the nurse explain these different stress
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responses to f#the parents?
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1. Reactions to stress f#are f#relative rather ,. ,. ,.
than absolute; individual f#responses to
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stress vary.
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2. It is abnormal for identical twins to
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react differently to f#similarstressors.
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, 3. Identical f#twins f#should f#share f#the
f#same f#temperament f#and f#respond
f#similarly f#to f#stress.
4. Environmentalinfluences#fto#fstress
f#weigh f#more f#heavily f#than
f#genetic f#influences.
1. Reactions to stress are relative rather ,. ,. ,. ,. ,.
than absolute; individual responses to
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stress vary.
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2. It is abnormal f# for identical twins to
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react f#differently to similar stressors.
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3. Identical f# twins f# should f# share f# the f# same
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temperament f# and f# respond f#similarlyf#to
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stress.
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4. Environmental influences f#to f#stress ,.
weigh more heavily f#than f#genetic
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influences.
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4. Which f#client should the nurse anticipate to be most
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receptive f#to f#psychiatric f#treatment?
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1. A Jewish, female f#social f # worker.
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2. A Baptist, f# homeless f# male.
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3. A f#Catholic, f#black f#male.
4. A Protestant, f#Swedish f# business executive.
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5. A psychiatric nurse f#intern f#states, “This client’s use f#of f#defense
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mechanisms should be eliminated.” Which is a f # correct evaluation of this f # nurse’s
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statement?
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1. Defense f#mechanisms f#can f#be
f#appropriate f#responsesf#to f#stress
f#and f#need f#not f#be
eliminated.
, 2. Defense f#mechanisms f#are f#a
f#maladaptive f#attempt f#of f#the f#ego
f#to f#manage f#anxiety f#and f#should
f#always f#be f#eliminated.
3. Defense f#mechanisms, f#used f#by
f#individuals f#withweakegointegrity,
should be
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discouraged and not f # eliminated.
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