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Kaplan & Sadock's Synopsis of Psychiatry Edition3 f 123 f Test3 f Bank
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Chapter 1.3fExamination3fand3fDiagnosis of the Psychiatric3fPatient M
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ultiple3fChoice
Identify3fthe3 f choice3 f that best3 f completes the3 f statement or answers the 3fquestion.
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1. A3fnurse is assessing a client who is experiencing3foccasional3f
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feelings of sadness because of the3frecent3fdeath of a beloved pet.3fThe3fclient’s3fappeti
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te,3fsleep3fpatterns, and daily3froutine3 f have3fnot3 f changed.3fHow3fshould3fthe3fnurs
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e3finterpret3fthe3fclient’s3fbehaviors?
1. Theclient’s3fbehaviorsdemonstrate3fmen
tal3fillness3fin3fthe3fform3fof
depression.
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2. The client’s3fbehaviors3fare extensive,3f
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which indicates the3fpresence of mental3f
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illness.
3. The3fclient’s3fbehaviors3fare3fnot3fcongrue
nt3fwith3fcultural3fnorms.
4. The3fclient’s3fbehaviors3fdemonstrate3f
no3ffunctional3fimpairment,3findicati
ng3fno3fmental3fillness.
, 2. At3fwhat3fpoint3fshould3fthe3fnurse3fdetermine3fthat3fa3fclient3fis3f
at3frisk3ffor3fdeveloping3fa3fmental3fillness?
1. When3fthoughts,3ffeelings,3fand3fbehavio
rs3fare3fnot3freflective3fof3fthe3fDSM-
53fcriteria.
2. When3 f maladaptive3 f responses3 f to3 f stress
are3f coupled3f with3f interference3f in3f daily
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functioning.
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3. When a client communicates ,. ,. ,.
significant distress.
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4. When a client3f uses defense mechanisms ,. ,. ,. ,.
as ego protection.
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3. A3fnurse3fis3fassessing3fa set of 15-year-old identical twins3fwho
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respond very3fdifferently3fto3fstress.3fOne twin3fbecomes anxious and irritable, and t
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he3fother withdraws and cries.3fHow3fshould the nurse explain these different stress
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responses to3fthe parents?
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1. Reactions to stress3fare3frelative rather ,. ,. ,.
than absolute; individual3fresponses 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 to3fsimilarstressors.
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, 3. Identical3ftwins3fshould3fshare3fthe3fsa
me3ftemperament3fand3frespond3fsimil
arly3fto3fstress.
4. Environmentalinfluences3fto3fstress
3fweigh3fmore3fheavily3fthan3fgene
tic3finfluences.
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 abnormal3f for identical twins to
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react3fdifferently to similar stressors.
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3. Identical3f twins3f should3f share3f the3f same
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temperament3f and3frespond3fsimilarly3fto
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stress.
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4. Environmental influences3fto3fstress ,.
weigh more heavily3fthan3fgenetic
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influences.
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4. Which3fclient should the nurse anticipate to be most
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receptive3fto3fpsychiatric3ftreatment?
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1. A Jewish, female3fsocial3 f worker.
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2. A Baptist,3f homeless3f male.
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3. A3fCatholic,3fblack3fmale.
4. A Protestant,3fSwedish3fbusiness executive.
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5. A psychiatric nurse3fintern3fstates, “This client’s use3fof3fdefense
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mechanisms should be eliminated.” Which is a3 f correct evaluation of this3 f nurse’s
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statement?
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1. Defense3fmechanisms3fcan3fbe3fap
propriate3fresponses3fto3fstress3fand3
fneed3fnot3fbe
eliminated.
, 2. Defense3fmechanisms3fare3fa3fmalada
ptive3fattempt3fof3fthe3fego3fto3fmana
ge3fanxiety3fand3fshould3falways3fbe3fel
iminated.
3. Defense3fmechanisms,3fused3fby3findivi
duals3fwithweakegointegrity,
should be
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discouraged and not 3 f eliminated.
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