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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 5%



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 f
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eelings of sadness because of the recent death of a beloved pet. The client’s appetit
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e, sleep patterns, and daily routine have not changed. How should the nurse i
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nterpret the client’s behaviors?
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The client’s behaviors demonstrate mental
1.
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illness in the form of depression.
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The client’s behaviors are extensive, which
2.
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indicates the presence of mental illness.
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The client’s behaviors are not congruent with
3.
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cultural norms. 5%




The client’s behaviors demonstrate no functi
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4. onal impairment, indicating no mental
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illness.



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




When maladaptive responses to stress are cou 5% 5% 5% 5% 5% 5%



2. pled with interference in daily 5% 5% 5% 5%



functioning.
When a client communicates significant
3.
5% 5% 5% 5%



distress.
When a client uses defense mechanisms as
4.
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ego protection. 5%




3. A nurse is assessing a set of 15-year- 5% 5% 5% 5% 5% 5% 5%



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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Reactions to stress are relative rather than abs 5% 5% 5% 5% 5% 5% 5%



1. olute; individual responses to stress 5% 5% 5% 5%



vary.
It is abnormal for identical twins to react
2.
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differently to similar stressors. 5% 5% 5%




PlusBay.Plus

, Identical twins should share the same
3.
5% 5% 5% 5% 5%



temperament and respond similarly to stress. 5% 5% 5% 5% 5%




Environmental influences to stress weigh
4.
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more heavily than genetic influences.
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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. 5% 5% 5% 5%



2. A Baptist, homeless male. 5% 5% 5%



3. A Catholic, black male. 5% 5% 5%



4. A Protestant, Swedish business executive. 5% 5% 5% 5%




5. A psychiatric nurse intern states, “This client’s use of defens
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e mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s
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statement?
Defense mechanisms can be appropriate respo 5% 5% 5% 5% 5%



1. nses to stress and need not be 5% 5% 5% 5% 5% 5%



eliminated.
Defense mechanisms are a maladaptive atte 5% 5% 5% 5% 5%



2. mpt of the ego to manage anxiety and 5% 5% 5% 5% 5% 5% 5%



should always be eliminated. 5% 5% 5%




Defense mechanisms, used by individuals w 5% 5% 5% 5% 5%



3. ith weak ego integrity, should be 5% 5% 5% 5% 5 %



discouraged and not eliminated. 5% 5% 5%




Defense mechanisms cause disintegration of
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4. the ego and should be fostered and
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encouraged.



6. During an intake assessment, a nurse asks both physiologica
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l and psychosocial questions. The client angrily responds, “I’m here for my heart,
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not my head problems.” Which is the nurse’s best response?
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“It is just a routine part of our assessment. All 5% 5% 5% 5% 5% 5% 5% 5% 5% 5



1. clients are asked these same % 5% 5% 5% 5 %



questions.”
“Why are you concerned about these types o
2.
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f
questions?”
“Psychological factors, like excessive stress, h 5% 5% 5% 5% 5%



3. ave been found to affect medical 5% 5% 5% 5% 5%



conditions.”




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


7. An employee uses the defense mechanism of displacement
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when the boss openly disagrees with suggestions. What behavior would be expecte
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d from this employee?
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1. The employee assertively confronts the boss. 5% 5% 5% 5% 5%




The employee leaves the staff meeting to
2.
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work out in the gym. 5% 5% 5% 5%



3. The employee criticizes a coworker. 5% 5% 5% 5%



4. The employee takes the boss out to lunch. 5% 5% 5% 5% 5% 5% 5%




8. A fourth- 5%



grade boy teases and makes jokes about a cute girl in his class. This behavior sh
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ould be identified by a nurse as indicative of which defense mechanism?
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1. Displacement
2. Projection
3. Reaction formation 5%



4. Sublimation


9. Which nursing statement about the concept of neurosis is most accurate?
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An individual experiencing neurosis is unaw 5% 5% 5% 5% 5%



1. are that he or she is experiencing 5% 5% 5% 5% 5% 5%



distress.
An individual experiencing neurosis feels
2.
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helpless to change his or her situation. 5% 5% 5% 5% 5% 5%




An individual experiencing neurosis is awar 5% 5% 5% 5% 5%



3. e of the psychological causes of his or 5% 5% 5% 5% 5% 5% 5%



her behavior. 5%




An individual experiencing neurosis has a
4.
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loss of contact with reality. 5% 5% 5% 5%




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.
5% 5%



experience little distress. 5% 5%




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