Question 1

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 2

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 3

Which statement describes achievement of Erikson's generativity versus stagnation developmental stage?

Accepted Answer

A) "I've been a girl scout leader for troop 259 for 7 years." 
B) "I feel great that I could pay for my bike with my paper route money." 
C) "My parents are so pleased that John and I are going to be married." 
D) "I've had a very full life.I'm not afraid to leave this world."

Question 4

A 12-year-old girl becomes hysterical every time she strikes out in softball, falls down when roller-skating, or loses when playing games. According to Peplau's interpersonal theory, in which stage of development should the nurse identify a need for improvement?

Accepted Answer

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

Question 5

Which underlying concept should a 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 6

According to Freud, which statement should a nurse associate with predominance of the superego?

Accepted Answer

A) "No one is looking, so I will take three cigarettes from Mom's pack." 
B) "I don't ever cheat on tests.It is wrong." 
C) "If I skip school I will get in trouble and fail my test." 
D) "Dad won't miss this little bit of vodka."

Question 7

When assessing clients, a 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 8

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 a 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

Question 9

A nurse directs the client interaction and plans for interventions to achieve client goals. According to Peplau's framework for psychodynamic nursing, what therapeutic role is this nurse assuming?

Accepted Answer

A) The role of technical expert 
B) The role of resource person 
C) The role of teacher 
D) The role of leader

Question 10

From an interpersonal theory perspective, which intervention would a 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

Exam 3: Theoretical Models of Personality Development