Test Bank For Kaplan & Sadock’s Synopsis of Psychiatry 12th Edition By Robert Boland; Marica Verdiun; Pedro Ruiz .| Chapter 1-35 Complete Guide Questions with correct answers & Rationales. A+ GRADED.

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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 f r


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 fr f r f r fr fr f r fr fr


fr occasional feelings of sadness because of the recent death of a
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f r beloved pet. The client‟s appetite, sleep patterns, and daily routine
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f rhave not changed. How should the nurse interpret the client‟s
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f rbehaviors?

The client‟s behaviors demonstrate
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1.
mental illness in the form of
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depression.
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The client‟s behaviors are extensive,
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2.
which indicates the presence of mental
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illness.
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The client‟s behaviors are not
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3.
congruent with
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cultural norms. f r


The client‟s behaviors demonstrate no
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4. functional impairment, indicating no
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mental
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illness.



2. At what point should the nurse determine that a fr fr fr fr fr fr fr fr


fr client is at risk for developing a mental illness?
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When thoughts, feelings, and behaviors f r f r f r f r
1.
are f r


not reflective of the DSM-5 criteria. f r f r f r f r f r


When maladaptive responses to stress are fr fr fr fr fr


2. coupled with interference in daily fr f r f r f r fr


functioning.
When a client communicates significant f r f r f r f r
3.
distress.
When a client uses defense f r f r f r f r
4.
mechanisms as f r f r


ego protection. f r




3. A nurse is assessing a set of 15-year-old identical fr f r f r f r f r f r f r f r


f r twins who respond very differently to stress. One twin becomes
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fr anxious and irritable, and the other withdraws and cries. How should
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,f r the nurse explain these different stress responses to the parents?
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Reactions to stress are relative rather than fr fr fr fr fr fr


1. absolute; individual responses to stress fr f r f r f r f r


vary.
It is abnormal for identical twins to f r f r f r f r f r f r
2.
react differently to similar stressors. f r fr f r f r f r


Identical twins should share the same f r f r f r f r f r
3.
temperament and respond similarly to fr f r f r f r f r


stress. f r


Environmental influences to stress f r f r f r
4.
weigh more heavily than genetic f r fr f r f r f r


influences. f r




4. Which client should the nurse anticipate fr fr fr fr fr


fr to be most receptive to psychiatric treatment?
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1. A Jewish, female social worker. fr f r f r f r


2. A Baptist, homeless male. fr f r f r


3. A Catholic, black male. fr f r f r


4. A Protestant, Swedish business fr f r f r


executive. f r




5. A psychiatric nurse intern states, “This client‟s use
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f r of defense mechanisms should be eliminated.” Which is a correct
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fr evaluation of this nurse‟s statement?
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Defense mechanisms can be appropriate fr fr fr fr


1. responses to stress and need not be fr f r fr fr f r f r f r


eliminated.
Defense mechanisms are a maladaptive f r f r fr f r


2. attempt of the ego to manage anxiety fr fr fr fr fr fr fr


and fr


should always be eliminated. f r f r f r


Defense mechanisms, used by individuals fr fr fr fr


3. with weak ego integrity, should be fr f r fr f r f r f r


discouraged and not eliminated. f r f r f r




Defense mechanisms cause disintegration fr fr fr


4. of the ego and should be fostered
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andf r


encouraged.


6. During an intake assessment, a nurse asks both f r f r f r f r f r f r f r


fr physiological and psychosocial questions. The client angrily responds,
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f r “I‟m here for my heart, not my head problems.” Which is the
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, f r nurse‟s best response?
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“It is just a routine part of our
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1. assessment. All clients are asked
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these same
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questions.”
“Why are you concerned about these f r f r f r f r f r
2.
types of
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questions?”
“Psychological factors, like excessive stress, fr fr fr fr


3. have been found to affect medical
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conditions.”
“We can skip these questions, if you
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4. like. It isn‟t imperative that we
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complete this
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section.”


7. An employee uses the defense mechanism of fr fr fr fr fr fr


fr displacement when the boss openly disagrees with suggestions. What
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f r behavior would be expected from this employee?
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1. The employee assertively confronts the f r f r f r f r


boss. f r


The employee leaves the staff meeting f r f r f r f r f r
2.
to work out in the gym. f r fr f r f r f r f r


3. The employee criticizes a coworker. f r f r f r f r


4. The employee takes the boss out to f r f r f r f r f r f r


lunch. f r




8. A fourth-grade boy teases and makes jokes about a
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f r cute girl in his class. This behavior should be identified by a nurse
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fr as indicative of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation f r


4. Sublimation


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


1. unaware that he or she is experiencing fr f r f r f r f r f r f r


distress.
An individual experiencing neurosis feels f r f r f r f r
2.
helpless to change his or her situation. fr f r f r f r f r f r f r