Exam 2: Relevant Theories and Therapies for Nursing Practice

Which patient is the best candidate for brief psychodynamic therapy?

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:

A patient repeatedly stated,"I'm stupid." Which statement by that patient would show progress resulting from cognitive behavioral therapy?

A patient says,"All my life I've been surrounded by stupidity.Everything I buy breaks because the entire American workforce is incompetent." This patient is experiencing a:

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.

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

A nurse consistently encourages patient to do his or her own activities of daily living (ADLs).If the patient is unable to complete an activity,the nurse helps until the patient is once again independent.This nurse's practice is most influenced by which theorist?

A parent says,"My 2-year-old child refuses toilet training and shouts 'No!' when given directions.What do you think is wrong?" Select the nurse's best reply.

A patient had psychotherapy weekly for 5 months.The therapist used free association,dream analysis,and facilitated transference to help the patient understand conflicts and foster change.Select the term that applies to this method.

Although ego defense mechanisms and security operations are mainly unconscious and designed to relieve anxiety,the major difference is that:

A nurse listens to a group of recent retirees.One says,"I volunteer with Meals on Wheels,coach teen sports,and do church visitation." Another laughs and says,"I'm too busy taking care of myself to volunteer to help others." Which developmental task do these statements contrast?

A patient would benefit from therapy in which peers as well as staff have a voice in determining patients' privileges and psychoeducational topics.Which approach would be best?

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

Which comments by an adult best indicate self-actualization? Select all that apply.

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

A college student received an invitation to attend the wedding of a close friend who lives across the country.The student is afraid of flying.Which type of therapy would be most helpful for this patient?

A patient says,"I always feel good when I wear a size 2 petite." Which type of cognitive distortion is evident?

A nurse influenced by Peplau's interpersonal theory works with an anxious,withdrawn patient.Interventions should focus on:

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

A person says,"I was the only survivor in a small plane crash.Three business associates died.I got depressed and saw a counselor twice a week for 4 weeks.We talked about my feelings related to being a survivor,and I'm better now." Which type of therapy was used?