Question 1

Which underlying concept should the nurse associate with interpersonal theory when assessing clients?

Accepted Answer

A) The effects of social processes on personality development 
B) The effects of unconscious processes and personality structures 
C) The effects on thoughts and perceptual processes 
D) The effects of chemical and genetic influences

Question 2

A married,26-year-old client works as a school teacher.She and her husband have just had their first child.The nurse should recognize that this client is 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

Question 3

According to Peplau,treatment of client symptoms should involve which nursing action?

Accepted Answer

A) Establishing a therapeutic nurse-client relationship 
B) Using the technique of desensitization 
C) Challenging clients' negative thoughts 
D) Uncovering clients' past experiences

Question 4

The nurse observes a 3-year-old client willingly sharing candy with a sibling.According to Peplau,which psychological stage of development should the nurse recognize that this child has completed?

Accepted Answer

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

Question 5

When assessing clients,the psychiatric nurse should understand that psychoanalytic theory is based on which underlying concept?

Accepted Answer

A) A possible genetic basis for the client problems 
B) The structure and dynamics of the personality 
C) Behavioral responses to stressors 
D) Maladaptive cognitions

Question 6

A client has flashbacks of sexual abuse by her uncle.She had not been aware of these memories until recently when she became sexually active with her boyfriend.The nurse should identify this experience as which part of Sullivan's concept of the self-system?

Accepted Answer

A) The good me 
B) The bad me 
C) The not me 
D) The bad you

Question 7

A 29-year-old client living with parents has few interpersonal relationships.The client states,"I have trouble trusting people." Based on Erikson's developmental theory,which should the nurse recognize as a true statement about this client?

Accepted Answer

A) The client has not progressed beyond the trust versus mistrust developmental stage. 
B) Developmental deficits in earlier life stages have impaired the client's adult functioning. 
C) The client cannot move to the next developmental stage until mastering all earlier stages. 
D) The client's developmental problems began in the intimacy versus isolation stage.

Question 8

From an interpersonal theory perspective,which intervention should the nurse use to assist a client diagnosed with Major Depressive Disorder?

Accepted Answer

A) Encourage discussion of feelings. 
B) Offer family therapy sessions. 
C) Discuss childhood events. 
D) Teach alternate coping skills

Question 9

A female complains that her husband only meets his sexual needs and never her needs.According to Freud,which personality structure should the nurse identify is predominantly driving the husband's actions?

Accepted Answer

A) The id 
B) The superid 
C) The ego 
D) The superego

Question 10

A physically healthy,35-year-old single client lives with parents who provide total financial support.According to Erikson's theory,which developmental task should the nurse assist the client to accomplish?

Accepted Answer

A) Establishing the ability to control emotional reactions 
B) Establishing a strong sense of ethics and character structure 
C) Establishing and maintaining self-esteem 
D) Establishing a career,personal relationships,and societal connections

Exam 41: Theoretical Models of Personality Development