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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 t y




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 feelin ty ty ty ty ty ty ty ty ty ty




gs of sadness because of the recent death of a beloved pet. The client’s appetite, sleep patte
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rns, and daily routine have not changed. How should the nurse interpret the client’s
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behaviors?

The client’s behaviors demonstrate mental
1.
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illness in the form of depression. ty ty ty ty ty




The client’s behaviors are extensive, which
2.
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indicates the presence of mental illness. ty ty ty ty ty




The client’s behaviors are not congruent with
3.
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cultural norms. t y




The client’s behaviors demonstrate no function
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4. al impairment, indicating no mental
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illness.



2. At what point should the nurse determine that a client is at risk for d ty ty ty ty ty ty ty ty ty ty ty ty ty ty




eveloping a mental illness? ty ty ty




When thoughts, feelings, and behaviors are
1.
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not reflective of the DSM-5 criteria. ty ty ty ty ty




When maladaptive responses to stress are coupled ty ty ty ty ty ty




2. with interference in daily ty ty ty ty




functioning.
When a client communicates significant
3.
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distress.
When a client uses defense mechanisms as
4.
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ego protection. ty




3. A nurse is assessing a set of 15-year- ty ty ty ty ty ty ty




old identical twins who respond very differently to stress. One twin becomes anxious an
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d irritable, and the other withdraws and cries. How should the nurse explain these differ
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ent stress responses to the parents?
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Reactions to stress are relative rather than absolut ty ty ty ty ty ty ty




1. e; individual responses to stress ty ty ty ty




vary.
It is abnormal for identical twins to react
2.
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differently to similar stressors. ty ty ty




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, Identical twins should share the same
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temperament and respond similarly to stress. t y t y t y t y ty




Environmental influences to stress weigh
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more heavily than genetic influences.ty ty ty ty




4. Which client should the nurse anticipate to be most rec
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eptive to psychiatric treatment?
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1. A Jewish, female social worker. ty ty ty ty




2. A Baptist, homeless male. ty ty ty




3. A Catholic, black male. ty ty ty




4. A Protestant, Swedish business executive. ty t y ty t y




5. A psychiatric nurse intern states, “This client’s use of defense me
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chanisms should be eliminated.” Which is a correct evaluation of this nurse’s statement?
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Defense mechanisms can be appropriate response ty ty ty ty ty




1. s to stress and need not be ty ty ty ty ty ty




eliminated.
Defense mechanisms are a maladaptive attemp ty ty ty ty ty




2. t of the ego to manage anxiety and ty ty ty ty ty ty ty




should always be eliminated. ty ty ty




Defense mechanisms, used by individuals with ty ty ty ty ty ty




3. weak ego integrity, should be ty ty ty t y




discouraged and not eliminated. ty ty ty




Defense mechanisms cause disintegration of th ty ty ty ty ty




4. e ego and should be fostered and
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encouraged.



6. During an intake assessment, a nurse asks both physiological and
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psychosocial questions. The client angrily responds, “I’m here for my heart, not my head
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problems.” Which is the nurse’s best response?
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“It is just a routine part of our assessment. All clien ty ty ty ty ty ty ty ty ty ty




1. ts are asked these same ty ty ty t y




questions.”
“Why are you concerned about these types of
2.
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questions?”
“Psychological factors, like excessive stress, hav ty ty ty ty ty




3. e been found to affect medical ty ty ty ty ty




conditions.”




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, “We can skip these questions, if you like. It isn’
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4. t imperative that we complete this
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section.”


7. An employee uses the defense mechanism of displacement when
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the boss openly disagrees with suggestions. What behavior would be expected from this
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employee?
1. The employee assertively confronts the boss. ty ty ty ty ty




The employee leaves the staff meeting to
2.
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work out in the gym. ty ty ty ty




3. The employee criticizes a coworker. ty ty ty ty




4. The employee takes the boss out to lunch. ty ty ty ty ty ty ty




8. A fourth- ty




grade boy teases and makes jokes about a cute girl in his class. This behavior should be i
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dentified by a nurse as indicative of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation t y




4. Sublimation


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




1. e that he or she is experiencing ty ty ty ty ty ty




distress.
An individual experiencing neurosis feels
2.
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helpless to change his or her situation. ty ty ty ty ty ty




An individual experiencing neurosis is aware o ty ty ty ty ty ty




3. f the psychological causes of his or ty ty ty ty ty ty




her behavior. ty




An individual experiencing neurosis has a
4.
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loss of contact with reality. ty ty ty ty




10. Which nursing statement regarding the concept of psychosis is most
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accurate?
Individuals experiencing psychoses are aware
1.
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that their behaviors are maladaptive.
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Individuals experiencing psychoses
2.
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experience little distress. ty t y




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