chapter 2

Question 1

1. A male patient reports to the nurse, “I’m told I have memories of childhood abuse stored in my unconscious mind. I want to work on this.” Based on this statement, what information should the nurse provide the patient?
   a. To seek the help of a trained therapist to help uncover and deal with the trauma associated with those memories.
   b. How to use a defense mechanism such as suppression so that the memories will be less threatening.
   c. Psychodynamic therapy will allow the surfacing of those unconscious memories to occur in just a few sessions.
   d. Group sessions are valuable to identify underlying themes of the memories being suppressed.

Answer 1

a. To seek the help of a trained therapist to help uncover and deal with the trauma associated with those memories.

Question 2

2. Which question should the nurse ask when assessing for what Sullivan’s Interpersonal Theory identifies as the most painful human condition?
   a. “Is self-esteem important to you?”
   b. “Do you think of yourself as being lonely?”
   c. “What do you do to manage your anxiety?”
   d. “Have you ever been diagnosed with depression?”

Answer 2

b. “Do you think of yourself as being lonely?”

Question 3

3. When discussing therapy options, the nurse should provide information about interpersonal therapy to which patient? Select all that apply.
   a. The teenager who is the focus of bullying at school
   b. The older woman who has just lost her life partner to cancer
   c. The young adult who has begun demonstrating hoarding tendencies
   d. The adolescent demonstrating aggressive verbal and physical tendencies
   e. The middle-aged adult who recently discovered her partner has been unfaithful

Answer 3

a. The teenager who is the focus of bullying at school
b. The older woman who has just lost her life partner to cancer
e. The middle-aged adult who recently discovered her partner has been unfaithful

Question 4

4. When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in to ensure that the patient stays the focus of all therapeutic conversations?
   a. Assessing the patient for unexpressed concerns and fears
   b. Evaluating the possible need for additional training and education
   c. Reflecting on personal behaviors and personal needs
   d. Avoiding power struggles with the manipulative patient

Answer 4

c. Reflecting on personal behaviors and personal needs

Question 5

5. Which action reflects therapeutic practices associated with operant conditioning?
   a. Encouraging a parent to read to their children to foster a love for learning
   b. Encouraging a patient to make daily journal entries describing their feelings
   c. Suggesting to a new mother that she spend time cuddling her newborn often during the day
   d. Acknowledging a patient who is often verbally aggressive for complimenting a picture another patient drew

Answer 5

d. Acknowledging a patient who is often verbally aggressive for complimenting a picture another patient drew

Question 6

6. A nurse is assessing a patient who graduated at the top of his class but now obsesses about being incompetent in his new job. The nurse recognizes that this patient may benefit from the following type of psychotherapy:
   a. Interpersonal
   b. Operant conditioning
   c. Behavioral
   d. Cognitive-behavioral

Answer 6

d. Cognitive-behavioral

Question 7

7. According to Maslow’s hierarchy of needs, the most basic needs category for nurses to address is:
   a. physiological
   b. safety
   c. love and belonging
   d. self-actualization

Answer 7

a. physiological

Question 8

8. In an outpatient psychiatric clinic, a nurse notices that a newly admitted young male patient smiles when he sees her. One day the young man tells the nurse, “You are pretty like my mother.” The nurse recognizes that the male is exhibiting:
   a. Transference
   b. Id expression
   c. Countertransference
   d. A cognitive distortion

Answer 8

a. Transference

Question 9

9. Linda is terrified of spiders and cannot explain why. Because she lives in a wooded area, she would like to overcome this overwhelming fear. Her nurse practitioner suggests which therapy?
   a. Behavioral
   b. Biofeedback
   c. Aversion
   d. Systematic desensitization

Answer 9

d. Systematic desensitization

Question 10

10. A patient is telling a tearful story. The nurse listens empathically and responds therapeutically with:
    a. “The next time you find yourself in a similar situation, please call me.”
    b. “I am sorry this situation made you feel so badly. Would you like some tea?”
    c. “Let’s devise a plan on how you will react next time in a similar situation.”
    d. “I am sorry that your friend was so thoughtless. You should be treated better.”

Answer 10

c. “Let’s devise a plan on how you will react next time in a similar situation.”