300 Mental Health Exam 1 Tb8

Front 1

1. According to Eriksons developmental theory, when planning care for a 47-year-old client, which developmental task should a nurse identify as appropriate for this client?

Back 1

To achieve established life goals and consider the welfare of future generations

Front 2

2. A jilted college student is admitted to a hospital following a suicide attempt and states, No one will ever love a loser like me. According to Eriksons theory of personality development, a nurse should recognize a deficit in which developmental stage?

Back 2

Intimacy versus isolation

Front 3

3. A 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?

Back 3

Learning to delay satisfaction

Front 4

4. When a mother brings her 9-month-old to daycare, the child smiles and reaches for the daycare caregiver. The nurse should recognize that according to Mahlers developmental theory, this childs development is at which phase?

Back 4

The differentiation subphase of the separation individuation phase

Front 5

5. 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 Peplaus interpersonal theory, in which stage of development should the nurse identify a need for improvement?

Back 5

Developing skills in participation

Front 6

6. According to Peplau, a nurse who provides an abandoned child with parental guidance and praise following small accomplishments is serving which therapeutic role?

Back 6

The role of surrogate

Front 7

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

Back 7

The role of leader

Front 8

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

Back 8

The structure and dynamics of the personality

Front 9

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

Back 9

The effects of social processes on personality development

Front 10

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

Back 10

Establishing a career, personal relationships, and societal connections

Front 11

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

Back 11

The autistic phase

Front 12

A 6-year-old boy uses his fathers flashlight to explore his 3-year-old sisters genitalia. According to Freud, in which stage of psychosocial development should a nurse identify this behavior as normal?

Back 12

Phallic

Front 13

A married, 26-year-old client works as a schoolteacher. She and her husband have just had their first child. A nurse should recognize that this client is successfully accomplishing which stage of Eriksons developmental theory?

Back 13

Intimacy versus isolation

Front 14

A 10-year-old child wins the science fair competition and is chosen as a cheerleader for the basketball team. A nurse should recognize that this child is in the process of successfully accomplishing which stage of Eriksons developmental theory?

Back 14

Industry versus inferiority

Front 15

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. A nurse should identify this experience as which part of Sullivans concept of the self-system?

Back 15

The not me

Front 16

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

Back 16

I don't ever cheat on tests; it is wrong

Front 17

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

Back 17

The id

Front 18

A father of a 5-year-old demeans and curses at his child for disobedience. In turn, when upset, the child uses swear words in kindergarten. A school nurse recognizes this behavior as unsuccessful completion of which stage of development according to Peplau?

Back 18

Identifying oneself

Front 19

A nurse is caring for a hospitalized client who is quarrelsome and opinionated and has little regard for others. According to Sullivans interpersonal theory, the nurse should associate the clients behaviors with a previous deficit in which stage of development?

Back 19

Childhood

Front 20

According to psychoanalytic theory, treatment of symptoms should involve which nursing action?

Back 20

Recognizing and discussing the clients use of ego defense mechanisms

Front 21

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

Back 21

Developmental deficits in earlier life stages have impaired the clients adult functioning.

Front 22

Which statement is most likely to be made by a nurse practitioner who shares the philosophy of an interpersonal theorist?

Back 22

We need to examine how your relationships affect your ability to cope

Front 23

Which statement describes achievement of

Eriksons generativity versus stagnation developmental stage?

Back 23

I've been a girl scout leader for troop 259 for 7 years.

Front 24

A psychiatric nurse uses Sullivans theories in group and individual therapy. According to Sullivan and other theorists like him, how are client symptoms viewed?

Back 24

Client symptoms are viewed as responses to

anxiety arising from interpersonal relationships.

Front 25

A nursing instructor is teaching about the application of Peplaus theory to nursing care. Which student statement indicates that learning has occurred?

Back 25

The nurse applies principles of human relations to the problems that arise at all levels of experience.

Front 26

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

Back 26

Establishing a therapeutic nurse client relationship

Front 27

The nurse practitioner plans to use a psychoanalytical framework when treating a client diagnosed with an anxiety disorder. Which would be the focus of this nursing intervention?

Back 27

Exploring behaviors and defense mechanisms associated with the superego.

Front 28

Which is a nursing intervention to assist a client to achieve Eriksons developmental task of ego integrity?

Back 28

Encourage a life review of triumphs and disappointments.

Front 29

From an interpersonal theory perspective, which intervention would a nurse use to assist a client diagnosed with major depressive disorder?

Back 29

Offer family therapy sessions

Front 30

Which concepts are included in the definition of personality? Select all that apply.

Back 30

A. Personality is the characteristic way in which a person thinks, feels, and behaves.

B. Personality is the ingrained pattern of behavior that evolves as ones style of life.

D. Personality develops both consciously and unconsciously.

Front 31

A depressed client states, I have a chemical imbalance in my brain. I have no control over my behavior. Medications are my only hope to feel normal again. Which nursing response is appropriate?

Back 31

Medications are one way to address chemical imbalances. Environmental and interpersonal factors can also have an impact on biological factors.

Front 32

A client diagnosed with major depressive disorder asks, What part of my brain controls my emotions? Which nursing response is appropriate?

Back 32

The limbic system is largely responsible for ones emotional state.

Front 33

Which part of the nervous system should a nurse identify as playing a major role during stressful situations?

Back 33

Sympathetic nervous system

Front 34

Which client statement reflects an understanding of the effect of circadian rhythms on a persons ability to function?

Back 34

Im a morning person. I get my best work done in the a.m.

Front 35

Which types of adoption studies should a nurse recognize as providing useful information for the psychiatric community?

Back 35

A. Studies in which children with mentally ill biological parents are raised by adoptive parents who were mentally healthy

B. Studies in which children with mentally healthy biological parents are raised by adoptive parents who were mentally ill

C. Studies in which monozygotic twins from mentally ill parents were raised separately by different adoptive parents

D. Studies in which monozygotic twins were raised together by mentally ill biological parents

E. All of the above

Front 36

Six months after her husband and children were killed in a car accident, a client is diagnosed with ulcerative colitis. The nurse should recognize that this situation validates which study perspective?

Back 36

The study of psychoimmunology

Front 37

A withdrawn client diagnosed with schizophrenia expresses little emotion and refuses to attend group therapy. What altered component of the nervous system should a nurse recognize as being implicated in this behavior?

Back 37

Neurotransmitters

Front 38

An instructor is teaching nursing students about neurotransmitters. Which term best explains the process of how neurotransmitters released into the synaptic cleft may return to the presynaptic neuron

Back 38

Reuptake

Front 39

A nurse concludes that a restless, agitated client is manifesting a fight-or-flight response. The nurse should associate this response with which neurotransmitter?

Back 39

Norepinephrine

Front 40

A client is admitted to a psychiatric unit with the diagnosis of catatonic schizophrenia. Which of the clients neurotransmitters should a nurse expect to be elevated?

Back 40

Dopamine

Front 41

A clients wife of 34 years dies unexpectedly. The client cries often and becomes socially isolated. The clients therapist stresses the importance of proper sleep, nutrition, and exercise. What is the best rationale for the therapists advice?

Back 41

The client is susceptible to illness due to effects of stress on the immune system.

Front 42

Which mental illness should a nurse identify as being associated with a decrease in prolactin hormone level?

Back 42

Schizophrenia

Front 43

Which cerebral structure should a nursing instructor describe to students as the emotional brain?

Back 43

The limbic system

Front 44

A nurse understands that the abnormal secretion of growth hormone may play a role in which illness?

Back 44

Anorexia nervosa

Front 45

A client is admitted to an emergency department experiencing memory deficits and decreased motor function. What alteration in brain chemistry should a nurse correlate with the presentation of these symptoms?

Back 45

Decreased levels of acetylcholine

Front 46

A nurse should recognize that a decrease in

norepinephrine levels would play a significant role in which mental illness?

Back 46

Depression

Front 47

Which client diagnosis should a nurse associate with a decrease in gamma-aminobutyric acid (GABA)?

Back 47

Panic disorder

Front 48

A nurse should expect that an increase in dopamine activity might play a significant role in the development of which mental illness?

Back 48

Schizophrenia

Front 49

A nursing instructor is teaching about the monoamine category of neurotransmitters. Which student statement indicates that learning about the function of norepinephrine has occurred?

Back 49

Norepinephrine functions to regulate mood, cognition, and perception.

Front 50

A student nurse is studying the effect of the drug isocarboxazid (Marplan) on neurobiology. The student should recognize that the neurotransmitter serotonin is catabolized by which enzyme?

Back 50

Monoamine oxidase

Front 51

During a sleep study, a delta rhythm has been recorded for a client experiencing sleep apnea. The nurse recognizes that which characteristic is associated with this rhythm, and what stage of sleep activity would be documented?

Back 51

Delta rhythm is a period of deep and restful sleep, occurring in stage 3 of sleep activity.

Front 52

Which of the following information should a nurse include when explaining causes of

anorexia nervosa to a client?

Select all that apply.

Back 52

A. There is a possible correlation between abnormal secretion of growth hormone and anorexia nervosa.

C. There is a possible correlation between low levels of gonadotropin and anorexia nervosa.

Front 53

Which of the following symptoms should a nurse associate with increased levels of thyroid-stimulating hormone (TSH) in a newly admitted client?

Select all that apply.

Back 53

Depression

Fatigue

Front 54

Which of the following symptoms should a nurse expect to assess in a client experiencing

elevated levels of thyroid hormone?

Select all that apply.

Back 54

A. Emotional lability

C. Insomnia

D. Restlessness

Front 55

According to Maslow’s Hierarchy of Needs, what is the first need that must be met?

Back 55

Physiological

Front 56

Maslow believed that basic needs should be met in order to move to a higher level.

Back 56

True

Front 57

Self-actualization refers to:

Back 57

The motivation to develop to one’s full potential as a human being

Front 58

Our needs for belonging, love, and affection best fall under which category according to Maslow’s Hierarchy of Needs?

Back 58

Social Needs

Front 59

When assessing how well a client has managed to meet Maslow's fourth-level needs related to self-esteem, the nurse would consider the individual's

Back 59

competence

Front 60

The id, ego, and superego can be best

characterized as which of the following?

Back 60

Systems that make up personality

Front 61

According to Freud, which part of our personality are we born with that allows our basic needs to be met?

Back 61

Id

Front 62

A patient is obsessed with cleanliness and control. On which stage of Freud’s Stages of Psychosexual Development has the patient become fixated?

Back 62

Anal Stage

Front 63

This term refers to Freud's idea that children have an unconscious desire to possess their

opposite-sex parent.

Back 63

Oedipus complex

Front 64

According to Freud, which part of our personality is the moral part that develops due to the moral and ethical restraints placed on us by our caregivers?

Back 64

Superego

Front 65

A husband accuses his wife of infidelity. Which situation would indicate to the nurse the husband’s use of the ego defense mechanism of projection?

Back 65

The husband has already admitted to having an affair with a coworker.

Front 66

Which is an example of the ego defense mechanism of regression?

Back 66

An adult throws a temper tantrum when he does not get his own way.

Front 67

Which should the nurse recognize as an example of the defense mechanism of repression?

Back 67

A woman was raped when she was 12 and no longer remembers the incident.

Front 68

Which is the most significant consequence of the excessive use of defense mechanisms?

Back 68

Problem-solving will be limited.

Front 69

A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, No! when given directions. Using Freuds stages of psychosexual development, a nurse would assess the child's behavior is based on which stage?

Back 69

Anal

Front 70

A 10-year-old child wins the science fair competition and is chosen as a cheerleader for the basketball team. A nurse should recognize that this child is in the process of successfully accomplishing which stage of Erikson’s developmental theory?

Back 70

Industry versus inferiority

Front 71

What do people face during each psychosocial stage that can serve as a turning point in personality development?

Back 71

Conflict

Front 72

The nurse would evaluate that an 85-year-old patient who displays satisfaction in a life well lived is adapting to the need for:

Back 72

Integrity versus despair

Front 73

Which of the individuals below is in the identity versus confusion stage?

Back 73

D (angry looking teenager)

Front 74

A married, 26-year-old client works as a schoolteacher. She and her husband have just had their first child. A nurse should recognize that this client is successfully accomplishing which stage of Erikson’s developmental theory?

Back 74

Intimacy versus isolation

Front 75

According to Maslow’s hierarchy of needs, the nursing strategies a psychiatric nurse would use to assist in meeting self-esteem needs of elderly clients would include:

Back 75

Maintaining level of control & independence

Front 76

A 26-month-old child displays negative behaviors. The parent says, My child refuses toilet training and shouts, No! when given direction. What do you think is wrong? Select the nurse's best reply.

Back 76

This is normal for your child's age. The child is striving for independence.

Front 77

A jilted college student is admitted to a hospital 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 a deficit in which developmental stage?

Back 77

Intimacy versus isolation

Front 78

A teenage boy is attracted to a female teacher. Without objective evidence, a school nurse overhears the boy state, “I know she wants me.” This statement reflects which defense mechanism?

Back 78

Projection

Front 79

An employee uses the defense mechanism of displacement when the boss openly disagrees with suggestions. What behavior would be expected from this employee?

Back 79

The employee criticizes a coworker

Front 80

Which statement describes achievement of

Erikson’s generativity versus stagnation developmental stage?

Back 80

“I’ve been a girl scout leader for troop 259 for 7 years.”

Front 81

What did Freud call the process through which children come to identify with their same-sex parent?

Back 81

Identification

Front 82

If a child struggles to do well in school, what problem might emerge?

Back 82

Struggle with feelings of inferiority

Front 83

A client has a history of excessive drinking, which has led to multiple arrests for driving under the influence (DUI). The client states, “I work hard to provide for my family. I don’t see why I can’t drink to relax.” The nurse recognizes the use of which defense mechanism?

Back 83

Rationalization

Front 84

Utilizing Maslow's Hierarchy of Needs, the nurse gives priority to which of the following nursing diagnoses?

Back 84

Altered nutrition: less than body requirements

Front 85

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?

Back 85

Establishing a career, personal relationships, and societal connections

Front 86

According to psychoanalytic theory, treatment of symptoms should involve which nursing action?

Back 86

Recognizing and discussing the client’s use of ego defense mechanisms

Front 87

During Family Therapy a female patient complains that her husband only meets his sexual needs and never her needs. According to Freud, which personality structure should a nurse identify as predominantly driving the husband’s actions?

Back 87

The id

Front 88

A college student is hospitalized after suicide attempt. During an interview, the father reveals that his ex-wife was punitive and scolded his daughter during toilet training. Freud would describe this student as fixated in which stage of psychosexual development?

Back 88

Anal

Front 89

Which of the following statements should a nurse recognize as true about defense

mechanisms?

(Select all that apply)

Back 89

They are mechanisms that are characteristically self-deceptive.

They are used in an effort to relieve mild to moderate anxiety.

They are employed when there is a threat to

psychological integrity.

Front 90

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?

Back 90

Developmental deficits in earlier life stages have impaired the client’s adult functioning.

Front 91

A new psychiatric nurse states, “This client’s use of defense mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s statement?

Back 91

Defense mechanisms can be self-protective responses to stress and need not be eliminated.

Front 92

A 6-year-old boy uses his father’s flashlight to explore his 3-year-old sister’s genitalia. According to Freud, in which stage of psychosocial development should a nurse identify this behavior as normal?

Back 92

Phallic