Question 1

During couple's therapy, the female client reports that her husband only satisfies his sexual needs and never hers. Which personality structure should the nurse identify as predominantly driving the husband's actions?

Accepted Answer

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

Question 2

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 C

Question 3

An 11-year-old child wins the science fair competition and is chosen as a cheerleader for the football 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)  Initiative versus guilt A

Question 4

"It is never right to take something that doesn't belong to you." According to Sigmund Freud, this statement reflects the predominance of the ____________________ structure of the personality.

Accepted Answer

The answer of "It is never right to take something...

Question 5

Which primary factor should a nurse associate with interpersonal theory when assessing a client?

Accepted Answer

A)  Social processes on personality development 
B)  Unconscious processes and personality structures 
C)  Thoughts and perceptual processes 
D)  Chemical and genetic influences

Question 6

A jilted college student is admitted to a mental health unit following a suicide attempt and states, "No one will ever love a loser like me." According to Erikson's theory of personality development, a nurse should recognize that this client has 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

Question 7

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

Accepted Answer

A)  Symbiotic 
B)  Autistic 
C)  Consolidation 
D)  Rapprochement

Question 8

A male 7-month-old cries and screams every time his mother leaves and will not tolerate anyone else changing his diaper. According to Mahler's developmental theory, the nurse should determine this child's development was arrested at which phase?

Accepted Answer

A)  The autistic phase 
B)  The symbiotic phase 
C)  The separation-individuation phase 
D)  The rapprochement phase

Question 9

The nurse is caring for a hospitalized client who is quarrelsome when gratification is delayed. According to Sullivan's interpersonal theory, the nurse should associate the client's behaviors with a previous deficit in which stage of development?

Accepted Answer

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

Question 10

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

Accepted Answer

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

Question 11

The female client has flashbacks of sexual abuse by her uncle. She did not have 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 Oedipus complex 
B)  The bad me 
C)  The not me 
D)  The Electra complex

Question 12

A 6-year-old boy uses his father's flashlight to explore his 3-year-old sister's genitalia. In which stage of psychosexual development would a nurse identify this behavior as normal?

Accepted Answer

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

Question 13

The mother of a 6-year-old demeans and curses her child for disobedience. In turn, when upset, the child uses swear words at school. According to Peplau, the school nurse recognizes this behavior as unsuccessful completion of which stage of development?

Accepted Answer

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

Question 14

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's problems 
B)  The structure and dynamics of personality 
C)  Behavioral responses to stressors 
D)  Maladaptive cognitions

Question 15

A married, 27-year-old male works as a mail carrier. He and his spouse have just had their first child. The nurse should recognize that this client is successfully accomplishing which stage of psychosocial development?

Accepted Answer

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

Question 16

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

Accepted Answer