Test Banks 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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PSYCHIaTRY12THEDITIONBYROBERT
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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 d s



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 d s d s d s d s d s d s d s ds



ds occasional feelings of sadness because of the recent death of a beloved
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d s pet. The client‟s appetite, sleep patterns, and daily routine have
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d snot changed. How should the nurse interpret the client‟s
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d sbehaviors?

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,
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2.
which indicates the presence of mental
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illness.
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The client‟s behaviors are not
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3.
congruent with
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cultural norms. d s



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 d s d s d s d s d s d s d s d s



d s client is at risk for developing a mental illness?
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When thoughts, feelings, and behaviors d s d s d s d s

1.
are d s



not reflective of the DSM-5 criteria. d s d s d s d s d s



When maladaptive responses to stress are d s d s d s d s d s



2. coupled with interference in daily ds d s d s d s ds



functioning.
When a client communicates significant d s d s d s d s

3.
distress.
When a client uses defense d s d s d s d s

4.
mechanisms as d s d s



ego protection. d s




3. A nurse is assessing a set of 15-year-old identical ds d s d s d s d s d s d s d s



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



1. absolute; individual responses to stress
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vary.
It is abnormal for identical twins to
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2.
react differently to similar stressors.
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Identical twins should share the same d s d s d s d s d s

3.
temperament and respond similarly to
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stress.
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Environmental influences to stress d s d s d s

4.
weigh more heavily than genetic
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influences.
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4. Which client should the d s d s d s ds nurse anticipate to d s d s



ds be most receptive to psychiatric treatment?
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1. A Jewish, female social worker.
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2. A Baptist, homeless male.
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3. A Catholic, black male.
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4. A Protestant, Swedish business
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d s executive.


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



1. responses to stress and need not be ds d s ds ds d s d s d s



eliminated.
Defense mechanisms are a maladaptive d s d s ds d s



2. attempt of the ego to manage anxiety ds d s d s d s d s d s d s



and d s



should always be eliminated. d s d s d s



Defense mechanisms, used by individuals ds d s d s ds



3. with weak ego integrity, should be ds d s ds d s d s d s



discouraged and not eliminated. d s d s d s




Defense mechanisms cause disintegration ds ds d s



4. of the ego and should be fostered
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andd s



encouraged.


6.
During an intake assessment, a nurse asks both d s d s d s d s d s d s d s



ds physiological and psychosocial questions. The client angrily responds,
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d s “I‟m here for my heart, not my head problems.” Which is the
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d s nurse‟s best response?
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, “It is just a routine part of our
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1. assessment. All clients are asked
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these same
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questions.”
“Why are you concerned about these d s d s d s d s d s

2.
types of
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questions?”
“Psychological factors, like excessive stress, d s ds ds d s



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



boss. d s



The employee leaves the staff meeting d s d s d s d s d s

2.
to work out in the gym. d s ds d s d s d s d s




3. The employee criticizes a coworker. d s d s d s d s



4. The employee takes the boss out to d s d s d s d s d s d s



lunch. d s




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



4. Sublimation


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



1. unaware that he or she is experiencing ds d s d s d s d s d s d s



distress.
An individual experiencing neurosis feels d s d s d s d s

2.
helpless to change his or her situation. ds d s d s d s d s d s d s