KaplanI&ISadock'sISynopsisIofIPsychiatryIEditionI12TestBank r r
ChapterI 1. Examination and DiagnosisI ofI theI PsychiatricIPat
r r r r r r r
ientIMultipleChoice
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IdentifyIthe choice that best completesItheIstatementIorIanswersItheIquestion.
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1. AInurseIisIassessingIaIclientIwhoIisIexperiencingoccasionalfeeli r r
r ngs ofIsadnessIbecauseIofItheIrecentIdeath ofIaIbelovedIpet.ITheIclient’s appetite,sleepIpa
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r tterns,Iand dailyIroutineIhave not changed. HowIshouldIthe nurse interpret the client’sIb
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r ehaviors?
1. The client’s behaviors demonstrateI
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rmental illness in theIform ofIdepress
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ion.
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2. TheIclient’sIbehaviorsIareIextensive,Iwh
ichI indicatesItheIpresenceIofImentalIillne
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ss.
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3. The client’s behaviors are notIcongruent
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with cultural norms.
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4. The client’s behaviors demonstrate noIf
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unctional impairment, indicatingIno m
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entalillness.
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, 2. At what point should the nurse determine that a client isIat riskfor
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developing a mental illness?
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1. When thoughts, feelings, and behaviorsa re
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not reflective of the DSM-5 criteria.
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2. When maladaptive responsesIto stressIa
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reIcoupledIwithIinterferenceIinIdailyIfun
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ctioning.
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3. WhenIaIclientIcommunicatesIs
ignificantIdistress.
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4. WhenIaIclient usesIdefenseImechanismsIa
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sIegoIprotection.
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3. A nurse isIassessingIaIsetIofI15-year-
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old identicalItwins whorespond veryIdifferentlyItoIstress.IOneItwinIbecomesIanxiousIa
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ndIirritable,IandItheIother withdrawsIandIcries.IHowIshouldItheInurseIexplain these diff
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erentIstress responsesItoIthe parents?
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1. ReactionsItoIstressIare relativeIratherIth r
anIabsolute;Iindividual responsesItoIstr
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essIvary.
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2. ItIisIabnormalIforIidenticaltwinsItoIre r
actIdifferentlyItoIsimilarstressors.
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, 3. Identical twins should share the same te
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mperamentIand respond similarly to str
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ess.
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4. Environmental influences toIstress r r
weigh more heavily than genetic in
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fluences.
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1. ReactionsItoIstressIareIrelativeIratherIth
anIabsolute;IindividualIresponsesItoIstr
r
essIvary.
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2. ItIisIabnormal foridenticalItwinsItoIre
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actIdifferentlytoIsimilarIstressors.
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3. IdenticalItwinsIshouldIshareItheIsameIte
mperamentIandIrespondIsimilarlyItoIstr
r
ess.
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4. EnvironmentalIinfluences toIstressI r
weighImoreIheavily
r than r
geneticIin fluences.
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4. Which clientIshouldItheInurseIanticipateItoIbeImostre
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r ceptiveIto psychiatric treatment?
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1. AIJewish,Ifemale social worker. r r
2. AIBaptist, homeless male.
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3. AICatholic, black male. r r
4. AIProtestant, SwedishIbusinessIexecutive.
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5. AIpsychiatricInurseinternstates,I“ThisIclient’sIuseofIdefenseIm
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echanismsIshouldIbeIeliminated.”IWhichIisIaIcorrect evaluationIofIthis nurse’sIstatement
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?
1. Defense mechanisms can beIapprop
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riate responsesIto stress andneed no
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tbe
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eliminated.
, 2. Defense mechanisms are a maladaptiv
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e attempt of the ego to manage anxiety
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and should always beeliminated.
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3. Defense mechanisms, used by indivi
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duals withIweakIegoIintegrity,should
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be
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discouragedIandInotIeliminated.
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