Essentials of Psychiatric-Mental Health Nursing – Comprehensive Study Guide & Review Textbook

TESTBANK
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,(Answers are at the end of each Chapter)
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Chapter 1: Concepts of Personality Development
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MultipleChoice
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Identify the choice that best completes the statement or answers the question.
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1. A jilted college student is admitted to a hospital following a suicide attempt and
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states, “No one will ever love a loser like me.” According to Erikson’s theory of
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personality development, a nurse should recognize that this patient has a deficit in
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which developmental stage?
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1. Trust versus mistrust n n




2. Initiative versus guilt n n




3. Intimacy versus isolation n n




4. Ego integrityversus despair n n n




2. A nurse observes a 3-year-old client willingly sharing candy with a sibling.
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According to Peplau, which psychological stage of development should the
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nurse determine that this child has completed?
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1. Learning to count on others n n n n




2. Learning to delaysatisfaction n n n




3. Identifying oneself n




4. Developing skills inparticipation n n n




3. A 9-month-old child screams every time his mother leaves and will not
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tolerate anyone else changing his diaper.The nurse should determine that,
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accordingtoMahler’sdevelopmental theory, thischild’s developmentwas
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arrested at which phase?
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1. Theautistic phase n n




2. Thesymbiotic phase n n




3. The separation-individuation phase n n




4. The rapprochement phase n n




4. According to Peplau, a nurse who provides an abandoned child with n n n n n n n n n n




parentalguidanceandpraise followingsmallaccomplishmentsisserving
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which therapeutic role?
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1. Technicalexpert n




2. Resource person n




3. Surrogate
4. Leader

5. When assessing clients,apsychiatric nurseshouldunderstand that
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psychoanalytic theory is based on which underlying concept?
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1. Apossiblegeneticbasisforthe client’s problems
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2. Thestructure and dynamics ofthe personality
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3. Behavioral responses to stressors n n n




4. Maladaptive cognitions n

, 6. Which underlying conceptshould anurseassociate with interpersonal
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n theory when assessing a client?
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1. Theeffects of social processes on personalitydevelopment
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2. Theeffects ofunconscious processes andpersonality structures
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3. Theeffects on thoughts and perceptual processes
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4. Theeffects of chemical and genetic influences
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7. Aphysicallyhealthy, 35-year-old, singleclientliveswith hisparents,who
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provide total financial support. According to Erikson’s theory, which
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developmental task should a nurse assist the client to accomplish?
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1. Establishingthe abilityto control emotional reactions n n n n n n




2. Establishinga strong sense ofethics and character structure n n n n n n n n




3. Establishing and maintaining self-esteem n n n




4. Establishing a career, personal relationships, and societal connections n n n n n n n




8. A 1-month-old infant is left alone for extended periods, has little physical
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stimulation, and is malnourished. Based on this infant’s situation, in
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which phase of development, according to Mahler’s theory, should a
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nurse expect to see a potential deficit?
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1. Thesymbiotic phase n n




2. Theautistic phase n n




3. The consolidation phase n n




4. The rapprochement phase n n




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

10. Amarried, 26-year-old client works as a schoolteacher. She and her husband have
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just had their first child. A nurse should recognize that this client is
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successfullyaccomplishingwhich stageof Erikson’s developmental theory?
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1. Industryversus inferiority n n




2. Identityversus role confusion n n n




3. Intimacy versus isolation n n




4. Generativity versus stagnation n n




11. A 10-year-old child wins the science fair competition and is chosen as a
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cheerleader for the basketball team. A nurse should recognize that
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thischildis intheprocess ofsuccessfully accomplishing which stage of
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Erikson’s developmental theory?
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1. Industryversus inferiority n n




2. Identityversus role confusion n n n




3. Intimacy versus isolation n n




4. Generativity versus stagnation n n




12. A client has flashbacks of sexual abuse by her uncle. She did not have these
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n memories until recently, when she became sexually active with her
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Copyright © 2022
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, boyfriend.Anurseshouldidentifythisexperienceas which partofSullivan’s n n n n n n n n n n n




concept of the self-system?
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1. The good me n n




2. The bad me n n




3. The not me n n




4. The bad you n n




13. Accordingto Freud, whichstatement shouldanurseassociate with n n n n n n n n n




n predominance of the superego? n n n




1. “No one is looking, so Iwill take three cigarettes from Mom’s pack.”
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2. “Idon’t ever cheat on tests; it is wrong.”
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3. “If Iskip school, Iwill get into trouble and fail my test.”
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4. “Dad won’t miss this littlebit of vodka.” n n n n n n n




14. A female complains that her husband only satisfies his sexual needs and never her
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needs. According to Freud, which personality structure should a nurse identify as
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predominantly driving the husband’s actions?
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1. The id n




2. Thesuperid n




3. The ego n




4. Thesuperego n




15. A father of a 5-year-old demeans and curses his child for disobedience. In turn,
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when upset,thechild usesswearwords at kindergarten.Aschool nurse
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recognizes this behavior as unsuccessful completion of which stage of
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development, according to Peplau?
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1. Learning to count on others n n n n




2. Learning to delaysatisfaction n n n




3. Identifying oneself n




4. Developing skills inparticipation n n n




16. A nurse is caring for a hospitalized client who is quarrelsome, opinionated, and
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haslittle regardfor others.Accordingto Sullivan’s interpersonal theory, the
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nurse should associate the client’s behaviors with a previous deficit in which
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stage of development?
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1. Infancy
2. Childhood
3. Earlyadolescence n




4. Late adolescence n




Completion
Complete each statement.
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17. “It is never right totakesomething thatdoesn’t belong to you.”According to
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n Sigmund Freud, this n n




statement reflects the predominance of the n n n n n