TEST BaNK FOR KaPLaN & SaDOCK’S SYNOPSIS OF
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PSYCHIaTRY12THEDITIONBYROBERT
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BOLaND; MaRICa VERDIUN; PEDRO RUIZ dd dd dd dd
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Complete Test bank, All Chapters are included.
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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 d d
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 d d d d d d d d d d d d d d dd
dd occasional feelings of sadness because of the recent death of a
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d d beloved pet. The client‟s appetite, sleep patterns, and daily routine
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d dhave not changed. How should the nurse interpret the client‟s
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d dbehaviors?
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. d d
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 d d d d d d d d d d d d d d d d
d d client is at risk for developing a mental illness?
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When thoughts, feelings, and behaviors d d d d d d d d
1.
are d d
not reflective of the DSM-5 criteria. d d d d d d d d d d
When maladaptive responses to stress are d d d d d d d d d d
2. coupled with interference in daily dd d d d d d d dd
functioning.
When a client communicates significant d d d d d d d d
3.
distress.
When a client uses defense d d d d d d d d
4.
mechanisms as d d d d
ego protection. d d
3. A nurse is assessing a set of 15-year-old identical dd d d d d d d d d d d d d d d
d d twins who respond very differently to stress. One twin becomes
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d d anxious and irritable, and the other withdraws and cries. How should
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,d d the nurse explain these different stress responses to the parents?
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Reactions to stress are relative rather than d d dd d d d d d d d d
1. absolute; individual responses to stress dd d d d d d d d d
vary.
It is abnormal for identical twins to d d d d d d d d d d d d
2.
react differently to similar stressors. d d dd d d d d d d
Identical twins should share the same d d d d d d d d d d
3.
temperament and respond similarly to dd d d d d d d d d
stress. d d
Environmental influences to stress d d d d d d
4.
weigh more heavily than genetic d d dd d d d d d d
influences. d d
4. Which client should the nurse anticipate d d d d d d dd d d
d d to be most receptive to psychiatric treatment?
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1. A Jewish, female social worker. dd d d d d d d
2. A Baptist, homeless male. dd d d d d
3. A Catholic, black male. dd d d d d
4. A Protestant, Swedish business d d d d d d
executive. d d
5. A psychiatric nurse intern states, “This client‟s use
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d d of defense mechanisms should be eliminated.” Which is a correct
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d d evaluation of this nurse‟s statement?
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Defense mechanisms can be appropriate dd dd dd d d
1. responses to stress and need not be dd d d dd dd d d d d d d
eliminated.
Defense mechanisms are a maladaptive d d d d dd d d
2. attempt of the ego to manage anxiety dd d d d d d d d d d d d d
and d d
should always be eliminated. d d d d d d
Defense mechanisms, used by dd d d dd
3. individuals with weak ego integrity, dd dd d d dd d d
should be d d d d
discouraged and not eliminated. d d d d d d
Defense mechanisms cause disintegration
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4. of the ego and should be fostered
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and
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encouraged.
6. During an intake assessment, a nurse asks both
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dd physiological d d and d d psychosocial questions. The client angrily responds,
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, d d “I‟m here for my heart,
d d dd d d d d d d not d d my d d head d d problems.” d d Which d d is d d the
d d 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
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2.
types of
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questions?”
“Psychological factors, like excessive dd dd dd
3. stress, have been found to affect
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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 d d d d d d d d d d d d
dd displacement when the boss openly disagrees with suggestions. What
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d d behavior would be expected from this employee?
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1. The employee assertively confronts the d d d d d d d d
boss. d d
The employee leaves the staff meeting d d d d d d d d d d
2.
to work out in the gym. d d dd d d d d d d d d
3. The employee criticizes a coworker. d d d d d d d d
4. The employee takes the boss out to d d d d d d d d d d d d
lunch. d d
8. A fourth-grade boy teases and makes jokes about a
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d d cute girl in his class. This behavior should be identified by a nurse
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d d as indicative of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation d d
4. Sublimation
9. Which nursing statement about the concept of neurosis is most
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accurate?
An individual experiencing neurosis is d d d d d d d d
1. unaware that he or she is experiencing dd d d d d d d d d d d d d
distress.