KaplanI&ISadock'sISynopsisIofIPsychiatryIEditionI12 TestBank ki k
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ChapterI 1. Examination and DiagnosisI ofI theI PsychiatricIPat
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ientIMultiple Choice
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IdentifyIthe choice that best completesItheI statementIorIanswersItheI question.
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1. AInurseIisIassessingIaI clientIwhoIisIexperiencing occasional feeli ki ki ki
ngs ofIsadnessI becauseIofItheI recentIdeath ofIaIbelovedIpet.ITheIclient’s appetite,sleepI pa t
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terns,I and dailyI routineI have not changed. HowI shouldI the nurse interpret the client’sIb e
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haviors?
1. The client’s behaviors demonstrateI
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mental illness in theIform ofIdepress
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ion.
2. TheIclient’sIbehaviorsIareIextensive,Iwh k
ichI indicatesItheI presenceIofImentalIilln
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e ss.ki
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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ental illness. ki
, 2. At what point should the nurse determine that a client isIat riskfor d
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eveloping a mental illness?
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1. When thoughts, feelings, and behaviorsa
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re not reflective of the DSM-5 criteria.
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2. When maladaptive responsesIto stressIa
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reIcoupledIwithIinterferenceIinIdailyIfun
ctioning.
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3. WhenI aI clientIcommunicatesIs
ignificantI distress.
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4. WhenIaI client usesI defenseImechanismsIa
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sIegoIprotection.
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3. A nurse isIassessingIaI setIofI15-year-
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old identicalItwins whorespond veryIdifferentlyItoI stress.I OneItwinIbecomesIanxiousI a
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ndIirritable,IandI theIother withdrawsIandIcries.IHowIshouldItheInurseIexplain these diff
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erentIstress responsesItoIthe parents?
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1. ReactionsItoIstressIare relativeIratherIth ki k
anI absolute;Iindividual responsesItoIstr
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essIvary.
2. ItIisIabnormalIforIidentical twinsItoIre ki k
actI differentlyItoIsimilar stressors.
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, 3. Identical twins should share the same te
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k
mperamentIand respond similarly to str ki ki ki ki ki
ess.
4. Environmental influences toI stress ki ki ki
weigh more heavily than genetic in
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k
fluences.
1. ReactionsItoIstressIareIrelativeIratherIth
anI absolute;IindividualI responsesItoIstr
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essIvary.
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2. ItIisIabnormal for identicalItwinsItoIre ki ki k
actI differently toIsimilarIstressors.
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3. IdenticalItwinsIshouldIshareItheIsameIte
mperamentIandIrespondIsimilarlyItoIst
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r ess.
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4. EnvironmentalI influences toI stressI ki
weighI moreIheavily than geneticIi
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n fluences.ki
4. Which clientI shouldItheI nurseI anticipateItoIbeI mostre
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ceptiveIto psychiatric treatment?
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1. AIJewish,Ifemale social worker. ki ki
2. AIBaptist, homeless male. ki ki
3. AICatholic, black male. ki ki
4. AIProtestant, SwedishIbusinessIexecutive. ki
5. AIpsychiatricInurse intern states,I “ThisIclient’sI use ofIdefensem
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chanismsIshouldIbeIeliminated.”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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t be ki
eliminated.
, 2. Defense mechanisms are a maladaptiv
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e attempt of the ego to manage anxietya
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nd 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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discouragedIandI notI eliminated.
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