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Chapter 1. Examination and Diagnosis of the Psychiatric P
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atient Multiple Choice
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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 f
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eelings of sadness because of the recent death of a beloved pet. The client’s appetite,
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sleep patterns, and daily routine have not changed. How should the nurse interpret t
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he client’s behaviors?
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1. The client’s behaviors demonstrate me
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ntal illness in the form of depression.
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2. The client’s behaviors are extensive, whi
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ch indicates the presence of mental illnes
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s.
3. The client’s behaviors are not congruent
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with cultural norms.
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4. The client’s behaviors demonstrate no
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functional impairment, indicating no
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mental illness. ui
, 2. At what point should the nurse determine that a client is at risk
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for developing a mental illness?
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1. When thoughts, feelings, and behaviors a
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re not reflective of the DSM-5 criteria.
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2. When maladaptive responses to stress
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are coupled with interference in daily
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functioning.
3. When a client communicates significa
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nt distress.
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4. When a client uses defense mechanisms
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as ego protection.
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3. A nurse is assessing a set of 15-year-
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old identical twins who respond very differently to stress. One twin becomes anxio
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us and irritable, and the other withdraws and cries. How should the nurse explain th
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ese different stress responses to the parents?
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1. Reactions to stress are relative rather t
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han absolute; individual responses to
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stress vary. ui
2. It is abnormal for identical twins to re
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act differently to similar stressors.
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, 3. Identical twins should share the same
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temperament and respond similarly to ui ui ui ui u
stress.
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4. Environmental influences to stress wei ui ui ui ui
gh more heavily than genetic influenc
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es.
1. Reactions to stress are relative rather t
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han absolute; individual responses to
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stress vary. ui
2. It is abnormal for identical twins to re
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act differently to similar stressors.
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3. Identical twins should share the same
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temperament and respond similarly to ui ui ui ui u
stress.
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4. Environmental influences to stress wei ui ui ui ui
gh more heavily than genetic influenc
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es.
4. Which client should the nurse anticipate to be most
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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 executive.
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5. A psychiatric nurse intern states, “This client’s use of defense
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mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s stat
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ement?
1. Defense mechanisms can be appropri
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ate responses to stress and need not b
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e
eliminated.