Exam 7: Models for Working With Psychiatric Patients

A patient experiencing severe panic attacks uses denial, repression, and displacement. Which nursing statement reflects an appropriate intervention regarding this patient's needs?

A young adult reports overwhelming guilt about minor social errors, feels self-pity, and says, "I stay on the sidelines of life so I can avoid the embarrassment of being noticed." The nurse can assess deficits in mastery of critical tasks associated with which developmental stage?

The parent of a 26-month-old child says, "My child refuses toilet training and shouts 'No!' when given direction. What do you think is wrong?" Select the nurse's best reply.

An older retired executive reports, "I am unable to say 'no' when asked to help with community causes. These projects overtax my strength, but if I don't do them, who will?" The nurse can assess that this person is having difficulty with critical tasks related to which developmental stage?

During an interdisciplinary team meeting, a nurse shares that, "The patient's psychological distress seems to result from automatic thoughts that cause self-defeating behaviors." The nurse is conceptualizing the patient's problem from the viewpoint of which model?

The nurse who uses the interpersonal model as a basis for practice will focus assessment on identifying which patient issue?

A patient says, "It's my fault because I always make bad decisions. I should never have taken that job." Using a rational-emotive approach, how would the nurse respond?

What should be the initial assessment in the rational-emotive therapy process implemented to help the chronically depressed patient?

A patient asks, "Why is it important to uncover memories and conflicts hidden in the unconscious?" According to Freud, what effect does this intervention support?

An individual diagnosed with alcohol dependence will begin motivational enhancement therapy. The nurse will explain this therapy to significant others as a way of achieving what patient goal?

When the nurse conducts a developmental assessment with a new patient, the assessment can be expected to yield information regarding what patient characteristic?

A patient uses defense mechanisms excessively. The nurse should expect to find evidence that the patient is demonstrating what resulting effect?

A student nurse says, "I don't need to interact with my patients. I learn by observing them." The instructor can best interpret the nursing implications of Sullivan theory to this student by responding which statement?

A patient tells the nurse, "The reason I use drugs is because everybody nags me to do things that don't interest me." The patient shows use of which defense mechanism?

A patient is mute, curled in a fetal position, and incontinent of urine. The patient eats small amounts only if spoon-fed. The nurse assesses this behavior as most indicative of what defense mechanism?

After an episode of self-mutilation, a patient diagnosed with borderline personality disorder will begin individual therapy and group skills training. The goals are to decrease use of dissociation, increase distress tolerance, and regulate affect. Which type of therapy is evident?

A patient diagnosed with lung cancer continues to smoke and says, "I think my cancer is more the result of a bad gene than of smoking." The patient shows the use of which defense mechanism?

Which statement by an adult would lead a nurse to suspect deficits in mastery of the developmental task of infancy?

A nurse plans an intervention to support a patient's ego. What makes supporting ego a therapeutic intervention?

When a nurse uses the interpersonal model as a basis for practice, which goal is most appropriate for the patient care plan?