PSYCH FINAL EXAM: TOWNSEND QUESTIONS AND
ANSWERS 100% CORRECT!!
,Three years ago, Anna's dog Lucky, whom she had had for 16 years, was run over by a
car and killed. Anna's daughter reports that since that time, Anna has lost weight, rarely
leaves her home, and just sits and talks about Lucky. Anna's behavior would be
considered maladaptive because
a. it has been more than 3 years since Lucky died.
b. her grief is too intense over just the loss of a dog.
c. her grief is interfering with her functioning.
d. people in this culture would not comprehend such behavior over the loss of a pet. -
ANSWER C
Based on the information in Question 1, Anna's grieving behavior would most likely be
considered to be
a. delayed.
b. inhibited.
c. prolonged.
d. distorted. - ANSWER D
Anna is diagnosed with Major Depressive Disorder. She is most likely fixed in which
stage of the grief process?
a. Denial
b. Anger
c. Depression
d. Acceptance - ANSWER B
Anna, who is 72 years old, is of the age when she may have experienced many losses
coming close together. What is this called?
a. Bereavement overload
b. Normal mourning
c. Isolation
d. Cultural relativity - ANSWER A
Anna, age 72, has been grieving the death of her dog, Lucky, for 3 years. She is not
able to take care of her activities of daily living and wants only to make daily visits to
Lucky's grave. Her daughter has likely put off seeking help for Anna because
a. Women are less likely than men to seek help for emotional problems.
b. Relatives often try to "normalize" the behavior rather than label it mental illness.
c. She knows that all older people are expected to be a little depressed.
,d. She is afraid that the neighbors "will think her mother is crazy." - ANSWER B
Anna's dog Lucky got away from her while they were taking a walk. He ran into the
street and was hit by a car. Anna cannot remember any of these circumstances of his
death. This is an example of what defense mechanism?
a. Rationalization
b. Suppression
c. Denial
d. Repression - ANSWER D
For what reason would Anna's illness be considered a neurosis rather than a
psychosis?
a. She is unaware that her behavior is maladaptive.
b. She exhibits inappropriate affect (emotional tone).
c. She experiences no loss of contact with reality.
d. She tells the nurse, "There is nothing wrong with me!" - ANSWER C
Which of the following statements by Anna might suggest that she is achieving
resolution of her grief over Lucky's death?
a. "I don't cry anymore when I think about Lucky."
b. "It's true. Lucky didn't always mind me. Sometimes he ignored my commands."
c. "I remember how it happened now. I should have held tighter to his leash!"
d. "I won't ever have another dog. It's just too painful to lose them." - ANSWER B
Mr. J. is a new client on the psychiatric unit. He is 35 years old. Theoretically, in which
level of psychosocial development (according to Erikson) would you place Mr. J.?
a. Intimacy vs. isolation
b. Generativity vs. self-absorption
c. Trust vs. mistrust
d. Autonomy vs. shame and doubt - ANSWER B
Mr. J. has been diagnosed with Schizophrenia. He refuses to eat, and told the nurse he
knew he was "being poisoned." According to Erikson's theory, in what developmental
stage would you place Mr. J.?
a. Intimacy vs. isolation
b. Generativity vs. self-absorption
c. Trust vs. mistrust
d. Autonomy vs. shame and doubt - ANSWER C
Janet, a psychiatric client diagnosed with Borderline Personality Disorder, has just been
hospitalized for threatening suicide. According to Mahler's theory, Janet did not receive
, the critical "emotional refueling" required during the rapprochement phase of
development. What are the consequences of this deficiency?
a. She has not yet learned to delay gratification.
b. She does not feel guilt about wrongdoings to others.
c. She is unable to trust others.
d. She has internalized rage and fears of abandonment. - ANSWER D
John is on the Alcohol Treatment Unit. He walks into the dayroom where other clients
are watching a program on TV. He picks up the remote and changes the channel,
saying, "That's a stupid program! I want to watch something else!" In what stage of
development is John fixed according to Sullivan's interpersonal theory?
a. Juvenile. He is learning to form satisfactory peer relationships.
b. Childhood. He has not learned to delay gratification.
c. Early adolescence. He is struggling to form an identity.
d. Late adolescence. He is working to develop a lasting relationship. - ANSWER B
Adam has Antisocial Personality Disorder. He says to the nurse, "I'm not crazy. I'm just
fun-loving. I believe in looking out for myself. Who cares what anyone thinks? If it feels
good, do it!" Which of the following describes the psychoanalytical structure of Adam's
personality?
a. Weak id, strong ego, weak superego
b. Strong id, weak ego, weak superego
c. Weak id, weak ego, punitive superego
d. Strong id, weak ego, punitive superego - ANSWER B
Larry, who has Antisocial Personality Disorder, feels no guilt about violating the rights of
others. He does as he pleases without thought to possible consequences. In which of
Peplau's stages of development would you place Larry?
a. Learning to count on others
b. Learning to delay gratification
c. Identifying oneself
d. Developing skills in participation - ANSWER B
Danny has been diagnosed with Schizophrenia. On the unit he appears very anxious,
paces back and forth, and darts his head from side to side in a continuous scanning of
the area. He has refused to eat, making some barely audible comment related to "being
poisoned." In planning care for Danny, which of the following would be the primary focus
for nursing?
a. To decrease anxiety and develop trust
b. To set limits on his behavior
c. To ensure that he gets to group therapy
ANSWERS 100% CORRECT!!
,Three years ago, Anna's dog Lucky, whom she had had for 16 years, was run over by a
car and killed. Anna's daughter reports that since that time, Anna has lost weight, rarely
leaves her home, and just sits and talks about Lucky. Anna's behavior would be
considered maladaptive because
a. it has been more than 3 years since Lucky died.
b. her grief is too intense over just the loss of a dog.
c. her grief is interfering with her functioning.
d. people in this culture would not comprehend such behavior over the loss of a pet. -
ANSWER C
Based on the information in Question 1, Anna's grieving behavior would most likely be
considered to be
a. delayed.
b. inhibited.
c. prolonged.
d. distorted. - ANSWER D
Anna is diagnosed with Major Depressive Disorder. She is most likely fixed in which
stage of the grief process?
a. Denial
b. Anger
c. Depression
d. Acceptance - ANSWER B
Anna, who is 72 years old, is of the age when she may have experienced many losses
coming close together. What is this called?
a. Bereavement overload
b. Normal mourning
c. Isolation
d. Cultural relativity - ANSWER A
Anna, age 72, has been grieving the death of her dog, Lucky, for 3 years. She is not
able to take care of her activities of daily living and wants only to make daily visits to
Lucky's grave. Her daughter has likely put off seeking help for Anna because
a. Women are less likely than men to seek help for emotional problems.
b. Relatives often try to "normalize" the behavior rather than label it mental illness.
c. She knows that all older people are expected to be a little depressed.
,d. She is afraid that the neighbors "will think her mother is crazy." - ANSWER B
Anna's dog Lucky got away from her while they were taking a walk. He ran into the
street and was hit by a car. Anna cannot remember any of these circumstances of his
death. This is an example of what defense mechanism?
a. Rationalization
b. Suppression
c. Denial
d. Repression - ANSWER D
For what reason would Anna's illness be considered a neurosis rather than a
psychosis?
a. She is unaware that her behavior is maladaptive.
b. She exhibits inappropriate affect (emotional tone).
c. She experiences no loss of contact with reality.
d. She tells the nurse, "There is nothing wrong with me!" - ANSWER C
Which of the following statements by Anna might suggest that she is achieving
resolution of her grief over Lucky's death?
a. "I don't cry anymore when I think about Lucky."
b. "It's true. Lucky didn't always mind me. Sometimes he ignored my commands."
c. "I remember how it happened now. I should have held tighter to his leash!"
d. "I won't ever have another dog. It's just too painful to lose them." - ANSWER B
Mr. J. is a new client on the psychiatric unit. He is 35 years old. Theoretically, in which
level of psychosocial development (according to Erikson) would you place Mr. J.?
a. Intimacy vs. isolation
b. Generativity vs. self-absorption
c. Trust vs. mistrust
d. Autonomy vs. shame and doubt - ANSWER B
Mr. J. has been diagnosed with Schizophrenia. He refuses to eat, and told the nurse he
knew he was "being poisoned." According to Erikson's theory, in what developmental
stage would you place Mr. J.?
a. Intimacy vs. isolation
b. Generativity vs. self-absorption
c. Trust vs. mistrust
d. Autonomy vs. shame and doubt - ANSWER C
Janet, a psychiatric client diagnosed with Borderline Personality Disorder, has just been
hospitalized for threatening suicide. According to Mahler's theory, Janet did not receive
, the critical "emotional refueling" required during the rapprochement phase of
development. What are the consequences of this deficiency?
a. She has not yet learned to delay gratification.
b. She does not feel guilt about wrongdoings to others.
c. She is unable to trust others.
d. She has internalized rage and fears of abandonment. - ANSWER D
John is on the Alcohol Treatment Unit. He walks into the dayroom where other clients
are watching a program on TV. He picks up the remote and changes the channel,
saying, "That's a stupid program! I want to watch something else!" In what stage of
development is John fixed according to Sullivan's interpersonal theory?
a. Juvenile. He is learning to form satisfactory peer relationships.
b. Childhood. He has not learned to delay gratification.
c. Early adolescence. He is struggling to form an identity.
d. Late adolescence. He is working to develop a lasting relationship. - ANSWER B
Adam has Antisocial Personality Disorder. He says to the nurse, "I'm not crazy. I'm just
fun-loving. I believe in looking out for myself. Who cares what anyone thinks? If it feels
good, do it!" Which of the following describes the psychoanalytical structure of Adam's
personality?
a. Weak id, strong ego, weak superego
b. Strong id, weak ego, weak superego
c. Weak id, weak ego, punitive superego
d. Strong id, weak ego, punitive superego - ANSWER B
Larry, who has Antisocial Personality Disorder, feels no guilt about violating the rights of
others. He does as he pleases without thought to possible consequences. In which of
Peplau's stages of development would you place Larry?
a. Learning to count on others
b. Learning to delay gratification
c. Identifying oneself
d. Developing skills in participation - ANSWER B
Danny has been diagnosed with Schizophrenia. On the unit he appears very anxious,
paces back and forth, and darts his head from side to side in a continuous scanning of
the area. He has refused to eat, making some barely audible comment related to "being
poisoned." In planning care for Danny, which of the following would be the primary focus
for nursing?
a. To decrease anxiety and develop trust
b. To set limits on his behavior
c. To ensure that he gets to group therapy
