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Chapter 1. Examination and Diagnosis of the Psychiatric
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2c Patient Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. Anurse is assessing a client who is experiencing occasional
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feelings 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 the
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client’s behaviors?
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1.
The client’s behaviors demonstrate
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mental illness in the form of
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depression.
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2.
The client’s behaviors are extensive,
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which indicates the presence of mental
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illness.
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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.
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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 2 c 2 c 2 c
behaviors are not reflective of the DSM-5
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criteria.
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2.
When maladaptive responses to stress 2c 2c 2c 2c
are coupled with interference in daily
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functioning.
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3.
When a client communicates significant
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distress.
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4. When a client uses defense mechanisms
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as ego protection.
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3. Anurse is assessing a set of 15-year-old identical twins who
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respond very differently to stress. One twin becomes anxious and irritable, and the
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other withdraws and cries. How should the nurse explain these different stress
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responses to the parents?
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1.
Reactions to stress are relative rather 2c 2c 2c 2c 2c
than absolute; individual 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 similar stressors.
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3.
Identical twins should share the same 2c 2c 2c 2c 2c
temperament and respond similarly to
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stress.
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4.
Environmental influences to stress 2c 2c 2c
weigh more heavily than genetic
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influences.
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, 1.
Reactions to stress are relative rather 2c 2c 2c 2c 2c
than absolute; individual 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 similar stressors.
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3.
Identical twins should share the same2c 2c 2c 2c 2c
temperament and respond similarly to
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stress.
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4.
Environmental influences to stress 2c 2c 2c
weigh more heavily than genetic
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influences.
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4. Which client should the nurse anticipate to be most
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receptive to psychiatric treatment?
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1. AJewish, female social worker.
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2. ABaptist, homeless male.
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3. ACatholic, black male.
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4. AProtestant, Swedish business executive.
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5. Apsychiatric 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 statement?
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1.
Defense mechanisms can be 2c 2c 2c
appropriate responses to stress and
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need not be eliminated.
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, 2. Defense mechanisms are a maladaptive
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attempt of the ego to manage anxiety and
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should always be eliminated.
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3.
Defense mechanisms, used 2cby 2c 2c
individuals with weak ego integrity,
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should be discouraged and not
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eliminated.
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