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Chapter 1. Examination and Diagnosis of the Psychiatric Pa
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tient 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 feel
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ings of sadness because of the recent death of a beloved pet. The client’s appetite, sleep p
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atterns, and daily routine have not changed. How should the nurse interpret the client’s
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behaviors?
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, whic
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h indicates the presence of mental illness.
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3. The client’s behaviors are not congruent w
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ith cultural norms.
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4. The client’s behaviors demonstrate no f
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unctional impairment, indicating no m
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ental illness. x
, 2. At what point should the nurse determine that a client is at risk fo
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r developing a mental illness?
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1. When thoughts, feelings, and behaviors ar
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e not reflective of the DSM-5 criteria.
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2. When maladaptive responses to stress a
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re coupled with interference in daily fu
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nctioning.
3. When a client communicates significa
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nt distress.x
4. When a client uses defense mechanisms as
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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 anxious a
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nd irritable, and the other withdraws and cries. How should the nurse explain these diff
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erent stress responses to the parents?
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1. Reactions to stress are relative rather th x x x x x x
an absolute; individual responses to str
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ess vary. x
2. It is abnormal for identical twins to rea
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ct differently to similar stressors.
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, 3. Identical twins should share the same te
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mperament and respond similarly to str x x x x x
ess.
4. Environmental influences to stress wei x x x x
gh more heavily than genetic influence
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s.
1. Reactions to stress are relative rather th
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an absolute; individual responses to str
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ess vary. x
2. It is abnormal for identical twins to rea
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ct differently to similar stressors.
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3. Identical twins should share the same te
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mperament and respond similarly to str x x x x x
ess.
4. Environmental influences to stress wei x x x x
gh more heavily than genetic influence
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s.
4. Which client should the nurse anticipate to be most r
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eceptive 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 statem
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ent?
1. Defense mechanisms can be appropriat
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e responses to stress and need not be
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eliminated.