Exam 4: Relevant Theories and Therapies for Nursing Practice

A nurse influenced by Peplau's interpersonal theory works with an anxious, withdrawn patient. Interventions should focus on which of the following?

A patient is fearful of riding on elevators. The therapist first rides an escalator with the patient. The therapist and patient then stand in an elevator with the door open for five minutes and later with the elevator door closed for five minutes. Which technique has the therapist used?

Which comment best indicates a patient is self-actualized?

Which approach would be best to provide therapy in which peers as well as staff have a voice in determining patients' privileges and psychoeducational topics?

The parent of a child diagnosed with schizophrenia tearfully asks the nurse, "What could I have done differently to prevent this illness?" Select the nurse's best response.

A 26-month-old displays negative behaviour, refuses toilet training, and often says, "No!" Which stage of psychosexual development is evident?

Which stage of psychosexual development is most relevant to the patient that expresses a desire to be cared for by others and often behaves in a helpless fashion?

A patient states, "I'm starting cognitive-behavioural therapy. What can I expect from the sessions?" Which responses by the nurse would be appropriate?

Operant conditioning is part of the treatment plan to encourage speech in a child who is nearly mute. Which technique applies?

Which comments by an elderly person best indicate successful completion of the developmental task?

A 26-month-old displays negative behaviour, refuses toilet training, and often says, "No!" Which psychosocial crisis is evident?

The parent of a 4-year-old rewards and praises the child for helping a younger sibling, being polite, and using good manners. The nurse supports this use of praise related to these behaviours. These qualities are likely to be internalized and become part of which system of the personality?

Although ego defence mechanisms and security operations are mainly unconscious and designed to relieve anxiety, the major difference is which of the following?

An adult says, "I never know the answers," and "My opinion doesn't count." Which psychosocial crisis was unsuccessfully resolved for this adult?

A patient is suspicious and frequently manipulates others. To which psychosexual stage do these traits relate?

A student nurse says, "I don't need to interact with my patients. I learn what I need to know by observation." An instructor can best interpret the nursing implications of Sullivan's theory to this student by responding with which of the following?

A 4-year-old grabs toys from siblings and says, "I want that now!" The siblings cry, and the child's parent becomes upset with the behaviour. According to Freudian theory, this behaviour is a product of impulses originating in which system of the personality?