Question 1

Which statement describes achievement of Erikson's developmental stage of generativity versus stagnation?

Accepted Answer

A) "I've been a girl scout leader for troop 259 for 7 years." 
B) "I feel great that I could pay for my bike with my paper route money." 
C) "My parents are so pleased that John and I are going to be married." 
D) "I've had a very full life.I'm not afraid to leave this world." 
A) "I've been a girl scout leader for troop 259 for 7 years." 
B) "I feel great that I could pay for my bike with my paper route money." 
C) "My parents are so pleased that John and I are going to be married." 
D) "I've had a very full life.I'm not afraid to leave this world." A

Question 2

Which statement is most likely to be made by the nurse practitioner who shares the philosophy of an interpersonal theorist?

Accepted Answer

A) "Let's discuss your use of defense mechanisms." 
B) "We need to examine how your relationships affect your ability to cope." 
C) "It is important that you take the medications that I have prescribed for you." 
D) "Your genetic background is a factor in your predisposition to mental illness." 
A) "Let's discuss your use of defense mechanisms." 
B) "We need to examine how your relationships affect your ability to cope." 
C) "It is important that you take the medications that I have prescribed for you." 
D) "Your genetic background is a factor in your predisposition to mental illness." B

Question 3

A father of a 5-year-old demeans and curses at his child for disobedience.In turn,when upset,the child uses swear words in kindergarten.The school nurse recognizes this behavior as unsuccessful completion of which of Peplau's Stages of Personality Development?

Accepted Answer

A) Learning to count on others 
B) Learning to delay satisfaction 
C) Identifying oneself 
D) Developing skills in participation 
A) Learning to count on others 
B) Learning to delay satisfaction 
C) Identifying oneself 
D) Developing skills in participation C

Question 4

A 1-month-old infant is left alone for extended periods,has little physical stimulation,and is malnourished.Based on this infant's history,in which phase of development,according to Mahler's theory,should the nurse expect to see a deficit?

Accepted Answer

A) The symbiotic phase 
B) The autistic phase 
C) The consolidation phase 
D) The rapprochement phase 
A) The symbiotic phase 
B) The autistic phase 
C) The consolidation phase 
D) The rapprochement phase

Question 5

The nurse directs the client interaction and plans for interventions to achieve client goals.According to Peplau's framework for psychodynamic nursing,which therapeutic role is this nurse assuming?

Accepted Answer

A) Technical expert 
B) Resource person 
C) Teacher 
D) Leader 
A) Technical expert 
B) Resource person 
C) Teacher 
D) Leader

Question 6

A 12-year-old girl becomes hysterical every time she strikes out in softball,falls down when roller-skating,or loses when playing games.According to Peplau's interpersonal theory,which stage of development should the nurse identify the client needs to improve?

Accepted Answer

A) Learning to count on others 
B) Learning to delay satisfaction 
C) Identifying oneself 
D) Developing skills in participation 
A) Learning to count on others 
B) Learning to delay satisfaction 
C) Identifying oneself 
D) Developing skills in participation

Question 7

The nurse is caring for a hospitalized client who is quarrelsome and opinionated and has little regard for others.According to Sullivan's interpersonal theory,the nurse should associate the client's behaviors with a deficit in which stage of development?

Accepted Answer

A) Infancy 
B) Childhood 
C) Early adolescence 
D) Late adolescence 
A) Infancy 
B) Childhood 
C) Early adolescence 
D) Late adolescence

Question 8

Which is the best nursing intervention to assist a client in achieving Erikson's developmental task of ego integrity?

Accepted Answer

A) Encourage a life review of triumphs and disappointments. 
B) Provide opportunities for success experiences. 
C) Focus on embracing the future. 
D) Foster the development of creativity. 
A) Encourage a life review of triumphs and disappointments. 
B) Provide opportunities for success experiences. 
C) Focus on embracing the future. 
D) Foster the development of creativity.

Question 9

A jilted college student is admitted to the hospital following a suicide attempt and states,"No one will ever love a loser like me." According to Erikson's theory of personality development,the nurse recognizes a deficit in which developmental stage?

Accepted Answer

A) Trust versus mistrust 
B) Initiative versus guilt 
C) Intimacy versus isolation 
D) Ego integrity versus despair 
A) Trust versus mistrust 
B) Initiative versus guilt 
C) Intimacy versus isolation 
D) Ego integrity versus despair

Question 10

When a mother brings her 9-month-old to day care,the child smiles and reaches for the day-care caregiver.The nurse should recognize that,according to Mahler's developmental theory,this child's development is at which phase?

Accepted Answer

A) The autistic phase 
B) The symbiotic phase 
C) The differentiation subphase of the separation-individuation phase 
D) The rapprochement subphase of the separation-individuation phase 
A) The autistic phase 
B) The symbiotic phase 
C) The differentiation subphase of the separation-individuation phase 
D) The rapprochement subphase of the separation-individuation phase

Question 11

According to Freud,which statement should the nurse associate with predominance of the superego?

Accepted Answer

A) "No one is looking,so I will take three cigarettes from Mom's pack." 
B) "I don't ever cheat on tests;it is wrong." 
C) "If I skip school,I will get in trouble and fail my test." 
D) "Dad won't miss this little bit of vodka." 
A) "No one is looking,so I will take three cigarettes from Mom's pack." 
B) "I don't ever cheat on tests;it is wrong." 
C) "If I skip school,I will get in trouble and fail my test." 
D) "Dad won't miss this little bit of vodka."

Question 12

A 6-year-old boy uses his father's flashlight to explore his 3-year-old sister's genitalia.According to Freud,in which stage of psychosocial development should the nurse identify this behavior as normal?

Accepted Answer

A) Oral 
B) Anal 
C) Phallic 
D) Latency 
A) Oral 
B) Anal 
C) Phallic 
D) Latency

Question 13

According to Erikson's developmental theory,when planning care for a 47-year-old client,which developmental task should the nurse identify as appropriate for this client?

Accepted Answer

A) To develop a basic trust in others 
B) To achieve a sense of self-confidence and recognition from others 
C) To reflect back on life events to derive pleasure and meaning 
D) To achieve established life goals and consider the welfare of future generations 
A) To develop a basic trust in others 
B) To achieve a sense of self-confidence and recognition from others 
C) To reflect back on life events to derive pleasure and meaning 
D) To achieve established life goals and consider the welfare of future generations

Question 14

A 10-year-old child wins the science fair competition and is chosen as a cheerleader for the basketball team.The nurse should recognize that this child is in the process of successfully accomplishing which stage of Erikson's developmental theory?

Accepted Answer

A) Industry versus inferiority 
B) Identity versus role confusion 
C) Intimacy versus isolation 
D) Generativity versus stagnation 
A) Industry versus inferiority 
B) Identity versus role confusion 
C) Intimacy versus isolation 
D) Generativity versus stagnation

Question 15

According to Peplau,the nurse who provides an abandoned child with parental guidance and praise following small accomplishments is serving which therapeutic role?

Accepted Answer

A) Technical expert 
B) Resource person 
C) Surrogate 
D) Leader 
A) Technical expert 
B) Resource person 
C) Surrogate 
D) Leader

Question 16

According to psychoanalytic theory,treatment of symptoms should involve which nursing action?

Accepted Answer

A) Modifying client behaviors by manipulating the environment 
B) Expressing empathy and presenting reality 
C) Encouraging the client to note cause and effect of actions 
D) Discussing the client's use of ego defense mechanisms 
A) Modifying client behaviors by manipulating the environment 
B) Expressing empathy and presenting reality 
C) Encouraging the client to note cause and effect of actions 
D) Discussing the client's use of ego defense mechanisms

Question 17

A nursing instructor is teaching about the application of Peplau's theory to nursing care.Which student statement indicates learning has occurred?

Accepted Answer

A) "The nurse assumes the role of a parenting figure,instructing the client in good health practices." 
B) "The nurse is concerned more about psychosocial functioning than physiological functioning." 
C) "The nurse bases the client care plan on standardized nursing approaches and physician orders." 
D) "The nurse applies principles of human relations to the problems that arise at all levels of experience." 
A) "The nurse assumes the role of a parenting figure,instructing the client in good health practices." 
B) "The nurse is concerned more about psychosocial functioning than physiological functioning." 
C) "The nurse bases the client care plan on standardized nursing approaches and physician orders." 
D) "The nurse applies principles of human relations to the problems that arise at all levels of experience."

Question 18

The nurse practitioner plans to use a psychoanalytical framework when treating a client diagnosed with an anxiety disorder.Which should be the focus of this nursing intervention?

Accepted Answer

A) Correcting inappropriate learning patterns 
B) Changing a dysfunctional social environment 
C) Exploring the here and now with the client and family 
D) Exploring behaviors and defense mechanisms associated with the superego 
A) Correcting inappropriate learning patterns 
B) Changing a dysfunctional social environment 
C) Exploring the here and now with the client and family 
D) Exploring behaviors and defense mechanisms associated with the superego

Question 19

Which concepts are included in the definition of personality? Select all that apply.

Accepted Answer

A) Personality is the characteristic way in which a person thinks,feels,and behaves. 
B) Personality is the ingrained pattern of behavior that evolves as one's style of life. 
C) Personality is developed in sporadic stages that vary from person to person. 
D) Personality develops both consciously and unconsciously. 
E) Personality is inborn and cannot be influenced by developmental progression. 
A) Personality is the characteristic way in which a person thinks,feels,and behaves. 
B) Personality is the ingrained pattern of behavior that evolves as one's style of life. 
C) Personality is developed in sporadic stages that vary from person to person. 
D) Personality develops both consciously and unconsciously. 
E) Personality is inborn and cannot be influenced by developmental progression.

Question 20

A psychiatric nurse uses Sullivan's theories in group and individual therapy.According to Sullivan and other theorists like him,how are client symptoms viewed?

Accepted Answer

A) Client symptoms are viewed as learned behaviors that are maintained because they are reinforced. 
B) Client symptoms are viewed as responses to anxiety arising from interpersonal relationships. 
C) Client symptoms are viewed as internal conflicts arising from early childhood trauma. 
D) Client symptoms are viewed as the misinterpretations of experiences. 
A) Client symptoms are viewed as learned behaviors that are maintained because they are reinforced. 
B) Client symptoms are viewed as responses to anxiety arising from interpersonal relationships. 
C) Client symptoms are viewed as internal conflicts arising from early childhood trauma. 
D) Client symptoms are viewed as the misinterpretations of experiences.

Exam 41: Theoretical Models of Personality Development

Which statement describes achievement of Erikson's developmental stage of generativity versus stagnation?

Which statement is most likely to be made by the nurse practitioner who shares the philosophy of an interpersonal theorist?

A father of a 5-year-old demeans and curses at his child for disobedience.In turn,when upset,the child uses swear words in kindergarten.The school nurse recognizes this behavior as unsuccessful completion of which of Peplau's Stages of Personality Development?

A 1-month-old infant is left alone for extended periods,has little physical stimulation,and is malnourished.Based on this infant's history,in which phase of development,according to Mahler's theory,should the nurse expect to see a deficit?

The nurse directs the client interaction and plans for interventions to achieve client goals.According to Peplau's framework for psychodynamic nursing,which therapeutic role is this nurse assuming?

A 12-year-old girl becomes hysterical every time she strikes out in softball,falls down when roller-skating,or loses when playing games.According to Peplau's interpersonal theory,which stage of development should the nurse identify the client needs to improve?

The nurse is caring for a hospitalized client who is quarrelsome and opinionated and has little regard for others.According to Sullivan's interpersonal theory,the nurse should associate the client's behaviors with a deficit in which stage of development?

Which is the best nursing intervention to assist a client in achieving Erikson's developmental task of ego integrity?

A jilted college student is admitted to the hospital following a suicide attempt and states,"No one will ever love a loser like me." According to Erikson's theory of personality development,the nurse recognizes a deficit in which developmental stage?

When a mother brings her 9-month-old to day care,the child smiles and reaches for the day-care caregiver.The nurse should recognize that,according to Mahler's developmental theory,this child's development is at which phase?

According to Freud,which statement should the nurse associate with predominance of the superego?

A 6-year-old boy uses his father's flashlight to explore his 3-year-old sister's genitalia.According to Freud,in which stage of psychosocial development should the nurse identify this behavior as normal?

According to Erikson's developmental theory,when planning care for a 47-year-old client,which developmental task should the nurse identify as appropriate for this client?

A 10-year-old child wins the science fair competition and is chosen as a cheerleader for the basketball team.The nurse should recognize that this child is in the process of successfully accomplishing which stage of Erikson's developmental theory?

According to Peplau,the nurse who provides an abandoned child with parental guidance and praise following small accomplishments is serving which therapeutic role?

According to psychoanalytic theory,treatment of symptoms should involve which nursing action?

A nursing instructor is teaching about the application of Peplau's theory to nursing care.Which student statement indicates learning has occurred?

The nurse practitioner plans to use a psychoanalytical framework when treating a client diagnosed with an anxiety disorder.Which should be the focus of this nursing intervention?

Which concepts are included in the definition of personality? Select all that apply.

A psychiatric nurse uses Sullivan's theories in group and individual therapy.According to Sullivan and other theorists like him,how are client symptoms viewed?

The Concept of Stress Adaptation

Mental Health and Mental Illness: Historical and Theoretical Concepts

Concepts of Psychobiology

Psychopharmacology

Ethical and Legal Issues

Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing

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The Nursing Process in Psychiatric-Mental Health Nursing

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