KaplanI&ISadock'sISynopsisIofIPsychiatryIEditionI12TestBank ji ji
ChapterI 1.ExaminationandDiagnosisI ofI theI PsychiatricIPat i
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entIMultipleChoice ji
IdentifyIthechoicethat best completesItheI statementIorIanswersItheI question.
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1. AInurseIisIassessingIaI clientIwhoIisIexperiencingoccasionalfeeli ji ji ji
ngsofIsadnessI becauseIofItheI recentIdeathofIaIbelovedIpet.ITheIclient’sappetite,sleepI pa tt
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erns,I and dailyI routineI have not changed. HowI shouldI the nurse interprettheclient’sIb eha
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viors?
1. Theclient’sbehaviorsdemonstrateI
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mentalillnessintheIformofIdepress i
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on.
2. TheIclient’sIbehaviorsIareIextensive,Iwh ji
ichI indicatesItheI presenceIofImentalIillne
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ss.
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3. Theclient’sbehaviorsarenotIcongruent
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withculturalnorms. ji ji
4. Theclient’sbehaviorsdemonstrate noIf
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unctionalimpairment,indicatingInom e
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ntalillness.
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, 2. At whatpoint shouldthenurse determine thataclientisIatriskfor dev
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elopingamentalillness?
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1. Whenthoughts, feelings, and behaviorsar
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e notreflective oftheDSM-5 criteria.
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2. WhenmaladaptiveresponsesItostressIa r
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eIcoupledIwithIinterferenceIinIdailyIfun ji
ctioning.
3. WhenI aI clientIcommunicatesIs j
ignificantI distress.
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4. WhenIaI client usesI defenseImechanismsIa
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sIegoIprotection.
3. A nurse isIassessingIaI setIofI15-year-
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oldidenticalItwinswhorespond veryIdifferentlyItoI stress.I OneItwinIbecomesIanxiousI a
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ndIirritable,IandI theIotherwithdrawsIandIcries.IHowIshouldItheInurseIexplainthesediff e
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rentIstressresponsesItoItheparents?
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1. ReactionsItoIstressIarerelativeIratherIth ji ji
anI absolute;IindividualresponsesItoIstr ji ji
essIvary.
2. ItIisIabnormalIforIidenticaltwinsItoIre ji ji
actI differentlyItoIsimilarstressors. ji
, 3. Identicaltwinsshouldsharethesametem
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peramentIandrespondsimilarlytostr ess ji ji ji ji ji
.
4. Environmental influencestoI stress ji ji ji
weigh moreheavilythan geneticinfl
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uences.
1. ReactionsItoIstressIareIrelativeIratherIth j
anI absolute;IindividualI responsesItoIstr
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essIvary.
2. ItIisIabnormalforidenticalItwinsItoIre ji ji ji
actI differentlytoIsimilarIstressors. ji
3. IdenticalItwinsIshouldIshareItheIsameIte j
mperamentIandIrespondIsimilarlyItoIstr
i j
ess.
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4. EnvironmentalI influencestoI stressI ji ji
weighI moreIheavilythan geneticIin ji ji ji
fluences.
4. Which clientI shouldItheI nurseI anticipateItoIbeI mostre
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ceptiveItopsychiatrictreatment?
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1. AIJewish,Ifemalesocialworker. ji ji
2. AIBaptist,homeless male.ji ji
3. AICatholic,blackmale. ji ji
4. AIProtestant,SwedishIbusinessIexecutive.
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5. AIpsychiatricInurseinternstates,I “ThisIclient’sI useofIdefensem
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hanismsIshouldIbeIeliminated.”IWhichIisIaIcorrectevaluationIofIthisnurse’sIstatement
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?
1. DefensemechanismscanbeIapprop
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riate responsesItostressandneedno t
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be
eliminated.
, 2. Defensemechanismsareamaladaptive
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attemptoftheegotomanage anxietyand
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should always beeliminated.
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3. Defensemechanisms,usedbyindivid
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ualswithIweakIegoIintegrity,should b
ji ji
e
discouragedIandI notI eliminated.
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