, Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
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Chapter 1. Examination and Diagnosis of the Psychiatric
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Patient Multiple Choice
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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
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xfeelings of sadness because of the recent death of a beloved pet. The client’s appet
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ite, sleep patterns, and daily routine have not changed. How should the nurse inte
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rpret the client’s behaviors?
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1. The client’s behaviors demonstrate m
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ental illness in the form of depressio
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n.
2. The client’s behaviors are extensive, wh
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ich indicates the presence of mental illn
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ess.
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 n
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o functional impairment, indicating n
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o mental illness.
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, 2. At what point should the nurse determine that a client is at ri
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sk for developing a mental illness?
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1. When thoughts, feelings, and behaviors
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are not reflective of the DSM-5 criteria.
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2. When maladaptive responses to stress
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are coupled with interference in dail
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y functioning.
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3. When a client communicates signific
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ant distress.
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4. When a client uses defense mechanisms
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as ego protection.
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3. A nurse is assessing a set of 15-year-
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old identical twins who respond very differently to stress. One twin becomes anx
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ious and irritable, and the other withdraws and cries. How should the nurse expla
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in these different stress responses to the parents?
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1. Reactions to stress are relative rather
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than absolute; individual responses t
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o stress vary.
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2. It is abnormal for identical twins to r
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eact differently to similar stressors.
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, 3. Identical twins should share the same
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temperament and respond similarly t
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o stress.
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4. Environmental influences to stress w xx xx xx xx
eigh more heavily than genetic influe
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nces.
1. Reactions to stress are relative rather
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than absolute; individual responses t
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o stress vary.
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2. It is abnormal for identical twins to r
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eact differently to similar stressors.
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3. Identical twins should share the same
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temperament and respond similarly t
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o stress.
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4. Environmental influences to stress w xx xx xx xx
eigh more heavily than genetic influe
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nces.
4. Which client should the nurse anticipate to be mo
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st receptive to psychiatric treatment?
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1. A Jewish, female social worker.
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2. A Baptist, homeless male.
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3. A Catholic, black male.
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4. A Protestant, Swedish business executive.
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5. A psychiatric nurse intern states, “This client’s use of defen
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se mechanisms should be eliminated.” Which is a correct evaluation of this nurse’
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s statement?
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1. Defense mechanisms can be appropri
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ate responses to stress and need not
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be
eliminated.