Deck 29: Concepts of Personality Development

Question 1

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

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

Answer 1

The structure and dynamics of personality

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?

A) Technical expert
B) Resource person
C) Surrogate
D) Leader

Answer 2

Surrogate

Question 3

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?

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

Answer 3

The symbiotic phase

Question 4

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?

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

Question 5

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?

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

Question 6

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?

A) Industry versus inferiority
B) Identity versus role confusion
C) Intimacy versus isolation
D) Initiative versus guilt

Question 7

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?

A) Trust versus mistrust
B) Initiative versus guilt
C) Intimacy versus isolation
D) Ego integrity versus despair

Question 8

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?

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

Question 9

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?

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

Question 10

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?

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

Question 11

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

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

Question 12

Which statement should a nurse associate with predominance of the superego?

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 into trouble and fail my test."
D) "A little bit of vodka makes me feel good."

Question 13

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?

A) The Oedipus complex
B) The bad me
C) The not me
D) The Electra complex

Question 14

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?

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

Question 15

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?

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 16

"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.

Question 17

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?

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