Kaplan & Sadock's Synopsis of Psychiatry Edition 12 Test Bank
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Chapter 1. Examination and Diagnosis of the
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PsychiatricPatient 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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b feelings of sadness because of the recent death of a beloved pet. The client’s
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b appetite,sleep patterns, and daily routine have not changed. How should the
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b nurse interpret the client’s behaviors?
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1. The client’s behaviors demonstrate
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mental illness in the form of
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depression.
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2. The client’s behaviors are extensive,
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bwhich indicates the presence of bn b b b n
bmental illness. n
3. The client’s behaviors are not
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congruentwith cultural norms.
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4. The client’s behaviors demonstrate
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no functional impairment,
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indicating no mental illness.
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, 2. At what point should the nurse determine that a client is at
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b riskfor developing a mental illness?
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1. When thoughts, feelings, and
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behaviorsare not reflective of the
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DSM-5 criteria. b
2. When maladaptive responses to stress
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are coupled with interference in daily
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functioning.
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3. When a client n n
communicates significant
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distress.
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4. When a client uses defensen n b b
mechanismsas ego protection.
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3. A nurse is assessing a set of 15-year-old identical twins
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bn who respond very differently to stress. One twin becomes anxious and irritable,
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n and the other withdraws and cries. How should the nurse explain these different
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n stress responses to the parents?
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1. Reactions to stress are relative rather n bn b b bn
than absolute; individual responses
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to stress vary.
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2. It is abnormal for identical twins to
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react differently to similar
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nstressors.
,
, 3. Identical twins should share the same b b b b b
btemperament and respond similarly b b b
bto stress. b
4. Environmental influences to b b
stressweigh more heavily than
b b b b
genetic influences.
b b
1. Reactions to stress are relative rather n bn n n bn
than absolute; individual responses
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to stress vary.
n n n
2. It is abnormal for identical twins to
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bnreact differently to similarb n n
nstressors.
3. Identical twins should share the same bn bn bn bn bn
temperament and respond similarly to
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stress.
bn
4. Environmental influences to n b
stress weigh more heavily than
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genetic influences.
bn n
4. Which client should the nurse anticipate to be
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bn most receptive to psychiatric treatment?
n b b b
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.
n b n n
5. A psychiatric nurse intern states, “This client’s use of
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bn defense mechanisms should be eliminated.” Which is a correct evaluation of this
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bn nurse’s statement?
b
1. Defense mechanisms can be b b b
bappropriate responses to stress b b b
bandneed not be b b
eliminated.
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