Test Banks For Kaplan & Sadock’s Synopsis of Psychiatry 12th Edition by Robert Boland; Marica Verdiun; Pedro Ruiz, 9781975145569, Chapter 1-35 Complete Guide

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TEST BaNK FOR KaPLaN & SaDOCK’S SYNOPSIS OF
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PSYCHIaTRY 12TH EDITION BY ROBERT
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BOLaND; MaRICa VERDIUN; PEDRO RUIZ
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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 w


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 w w w w w w w w


woccasional feelings of sadness because of the recent death of a beloved
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wpet. The client‟s appetite, sleep patterns, and daily routine have not
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w changed. How should the nurse interpret the client‟s behaviors?
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The client‟s behaviors demonstrate mental
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1.
willness in the form of depression. w w w w w


The client‟s behaviors are extensive,
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2.
w which indicates the presence of mental
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w illness.
The client‟s behaviors are not
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3.
congruent with
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cultural norms. w


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 client w w w w w w w w w


w is at risk for developing a mental illness?
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When thoughts, feelings, and behaviors w w w w
1.
are w


not reflective of the DSM-5 criteria. w w w w w


When maladaptive responses to stress are w w w w w


2. coupled with interference in daily w w w w w


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


ego protection. w




3. A nurse is assessing a set of 15-year-old identical w w w w w w w w


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


1. absolute; individual responses to stress
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vary.
It is abnormal for identical twins to
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2.
w react differently to similar stressors.
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Identical twins should share the same w w w w w
3.
wtemperament and respond similarly to w w w w


w stress.
Environmental influences to stress w w w
4.
w weigh more heavily than genetic w w w w


w influences.


4. Which client should the w w w w nurse anticipate to w w


be most receptive to psychiatric treatment?
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1. A w Jewish, female social worker. w w w


2. A w Baptist, homeless male. w w


3. A w Catholic, black male. w w


4. A w Protestant, Swedish business executive. w w w




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


1. responses to stress and need not be w w w w w w w


eliminated.
Defense mechanisms are a maladaptive w w w w


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


and w


should always be eliminated. w w w


Defense mechanisms, used by individuals w w w w


3. with weak ego integrity, should be w w w w w w


discouraged and not eliminated. w w w




Defense mechanisms cause disintegration w w w


4. of the ego and should be fostered and
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encouraged.



6. During an intake assessment, a nurse asks bothw w w w w w w


physiological and psychosocial questions. The client angrily responds, “I‟m
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here for my heart, not my head problems.” Which is the nurse‟s best
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response?
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, “It is just a routine part of our
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1. assessment. All clients are asked these
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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 stress, w w w w


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


boss. w


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


3. The employee criticizes a coworker. w w w w


4. The employee takes the boss out to w w w w w w


lunch. w




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


4. Sublimation


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


1. unaware that he or she is experiencing w w w w w w w


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