ch 3

Question 1

which theorist believed that a corrective interpersonal relationship with the therapist was the primary mode of treatment?

Answer 1

-Stack-Sullivan

Question 2

dream analysis and free association are techniques in which modality?

Answer 2

psychoanalysis

Question 3

four levels of anxiety were described by

Answer 3

Peplau

Question 4

correcting how one thinks about the world and ones self is the focus of

Answer 4

cognitive therapy

Question 5

the personality structures of id, ego and superego were described by

Answer 5

Freud

Question 6

the nursing role that involves being a substitute for another, such as a parent is called

Answer 6

surrogate

Question 7

psychiatric rehabilitation focuses on

Answer 7

-client’s strength

Question 8

when a nurse develops feelings towards a client that are based on the nurse’s past experience, it is called

Answer 8

countertransference

Question 9

a group that was designed to meet weekly for 10 session to deal with feels of depression would be a

Answer 9

closed group

Question 10

the nurse understands that crises are self-limiting. this implies that upon evaluation of cristi intervention, the nurse should assess or which outcome?

Answer 10

the patient will resume the precrisis level of functioning

Question 11

a patient who has been working on controlling impulsive behavior shows a strengthening ego through which of the following behaviors?

Answer 11

weighing the advantages and disadvantages before making a decision

Question 12

a patient has just been told she has cervical cancer. when asked about how this is impacting her, she states, “it’s just an infection. it will clear up.” the statement indicates that the patient

Answer 12

is using denial to protect herself from an emotionally painful thought

Question 13

a teenage patient defies the nurse’s requests to turn off the video game and go to sleep. the teen says angrily, “you sound just like my mother at home” and continues to play the video game. the nurse understands that this statement likely indicates

Answer 13

viewing the nurse as her mother

Question 14

a patient reports a pattern of being suspicious and mistrusting of others, causing difficulty in sustaining lasting relationships. which stage according to Erikson’s psychosocial development was not successfully completed?

Answer 14

trust

Question 15

the nurse has established a therapeutic relationship with a patient. the patient is beginning to share feelings openly with the nurse. the relationship has entered which phase according to peplaus theory?

Answer 15

identification

Question 16

a nurse is meeting with a crisp support group. in efforts to help patients identify with one another, the nurse explains which of the following about the crisis experience?

Answer 16

even happy events can cause a crisis if the stress is overwhelming

Question 17

which of the following theories would be classified as humanistic theories? select all that apply.

Answer 17

-maslow’s heiarchy of needs

-rogers client centered therapy

Question 18

which of the following are examples of adventitious crises? select all that apply

Answer 18

-natural disasters

-violent crimes

-war

Question 19

a nursing supervisor reprimands an employee for being chronically late for work. if the employee handles the reprimand using the defense mechanism of displacement, he would most likely do which of the following?

Answer 19

tell the unit housekeeper that his work is sloppy

Question 20

the nurse is assessing a client who is talking about her son’s recent death but who shows no emotion of any kind. the nurse recognizes this behavior as which of the following defense mechanisms?

Answer 20

intellectualization

Question 21

a college student decides to go to a party the night before a major exam instead of studying. after getting a low score on the exam, the student tells a fellow student, “i have to work so much and don’t have time to study. It wouldn’t matter anyway because the teacher is so unreasonable” the defense mechanisms the student is using are

Answer 21

rationalization and projection

Question 22

a client is supposed to be ambulating ad lib. instead, he refuses to get out of bed, asks for a bed bath, and makes many demands of the nurses. he also yells that they are lazy and incompetent. the client’s behavior is an example of which of the following defense mechanisms?

Answer 22

projection

Question 23

a client begins to take stock of his life and look into the future. the nurse assesses that this client is in which of eriksons developmental stages?

Answer 23

integrity vs despair

Question 24

a basic assumption of freuds psychoanalytic theory is that

Answer 24

all human behavior can be caused and explained

Question 25

which of the following is a major developmental task of middle adulthood?

Answer 25

re-examining life goals

Question 26

which cognitive mode, according to harry stack sullivan, begins early in childhood as the child begins to connect experiences in sequence?

Answer 26

parataxic mode

Question 27

group members are actively discussing a common topic. members are sharing that they identify with what others are saying. the nurse leader recognizes that the group is in which stage of group development?

Answer 27

working

Question 28

the family members of a patient with bipolar disorder express frustration with the unpredictable behaviors of their loved one. Which group should the nurse suggest as most helpful to this family?

Answer 28

family education group

Question 29

a student nurse attends a self help group as part of a class assignment. while there the student recognizes a family friend. upon returning home, the student talks about the experience with the family. the student’s actions can be described as

Answer 29

inappropriate; those self help groups have a rule of confidentiality

Question 30

the nurse would recommend individual therapy for the patient who expresses a desire to

Answer 30

bring about personal changes

Question 31

which one of the following statements is most accurate regarding the cohesiveness of a group in group therapy?

Answer 31

cohesiveness is a desirable group characteristic that is associated with positive group outcomes

Question 32

which one of the following is an important characteristic of an effective therapist-client relationship in individual psychotherapy?

Answer 32

mutual benefit for the client and the therapist

Question 33

which of the following is most essential when planning care for a client who is experiencing a crisis?

Answer 33

explore previous coping strategies

Question 34

during the initial interview with a client in crisis, the initial priority is to

Answer 34

evaluate the potential for self-harm

Question 35

patients on an inpatient psychiatric unit can earn off-unit privileges for daily use of socially appropriate behavior. this is an example of employing which concept of behavior modification?

Answer 35

operant conditioning

Question 36

a patient states, “I hate spending time with my family. They’re always on my back about something. I wont do anything they ask me to do.” Which response by the nurse reflects a behavioral perspective?

Answer 36

if you agree to start doing what your parents request, then they have agreed to respect your privacy more.

Question 37

a nurse is working with a patient with an eating disorder who refuses to eat a muffin. The nurse asks the patient, “is there any way that you could see the muffin as just flour and water, basic nutrients your body needs?” in this statement, the nurse is using which type of therapy?

Answer 37

cognitive therapy

Question 38

a patient is blaming his impending divorce on the fact that his wife goes out frequently with her girlfriends. If using reality therapy, the nurse would help the patient with which of the following responses?

Answer 38

what role do you think you have played in the end of your marriage

Question 39

a nurse is assisting a patient who is working on the technique of systematic desensitization. when the patient feels anxious, the nurse can best use the principles of this technique my stating

Answer 39

use the deep breathing techniques we practiced yesterday

Question 40

the nurse is working with a client who has a history of inflicting spousal abuse. although the nurse does not condone domestic violence, the nurse treats the client with unconditional positive regard through which of the following?

Answer 40

the client is still viewed as someone worthy of respect and assistance

Question 41

a patient is being admitted to an inpatient unit for treatment of anorexia. of the following assessment data, which should the nurse place as highest priority in the plan of care?

Answer 41

frequent vomiting after meals

Question 42

the primary purpose for generalist nurses to develop skills with psychosocial intervention is

Answer 42

psychosocial interventions are needed in all nursing practice settings

Question 43

which of the following considerations should have the most influence in the nurse’s choice of the treatment for the client?

Answer 43

the client’s feelings and perceptions about his or her situation

Question 44

which approach to therapy is most effective when planning for a client with negative thinking

Answer 44

cognitive therapy