Mental Health Ch. 2 Latest recent and frequently
tested exam with questions and verified accurate
solutions (detailed & elaborated) GRADED A+
,A depressed patient tells the nurse "I have never been able to have a successful relationship. I am not
able to trust anybody. Is there a problem with me?" This type of behavior suggests an issue in what
area?
1
Grief
2
Role disputes
3
Role transitions
4
Interpersonal deficit - correct ans:4
Interpersonal deficit
According to interpersonal psychotherapy, there are four types of problems. They are grief, role
disputes, role transition, and interpersonal deficit. Interpersonal deficit refers to the problems where an
individual is unable to initiate or sustain close relationships. In this case, the patient has problems with
developing trust and having close relationships. This is an example of interpersonal deficit. Grief refers
to the problems occurring during the process of bereavement following death or loss of a loved one.
Role disputes refer to the problems arising due to conflicts with an important person in an individual's
life. Role transitions refer to the problematic situations due to changes in life status, social, and
vocational role.
A nurse is assessing a patient who is impulsive and lacks control regarding basic desires. Which system
of personality should the nurse consider for this patient?
1
Id
2
Ego
3
Superego
4
Transference - correct ans:1
,Id
A patient who lacks control about basic desires has a personality that defines the id. The id works on
basic instincts, and its focus is to fulfill the needs. The ego is a problem solver, appreciates reality, and
logically plans to fulfill desires. The superego appreciates the ideal and seeks perfection more than being
real. Transference is not a system of personality. It is the set of feelings that the patient has for the
health care worker, which were earlier experienced for someone else.
Which statements concerning Erikson's developmental model are true? Select all that apply.
1
This model is an essential component of the patient's evaluation process.
2
Analysis of this model allows for identification of arrested development.
3
This model focuses on the recognition of interpersonal skills.
4
The role of defense mechanisms is evaluated using this model.
5
Correct identification of the developmental stage supports effective care planning. - correct ans:2,3,5
Erikson's developmental model is an essential component of patient assessment. Analysis of behavior
patterns using Erikson's framework can identify age-appropriate or arrested development of normal
interpersonal skills. A developmental framework helps the nurse know what types of interventions are
most likely to be effective. Treatment approaches and interventions can be tailored to the patient's
developmental level. Evaluation of the patient's progress does not involve this model. The use of
defense mechanisms is associated with Freud, not Erikson.
Which nursing activity demonstrates the role of a professional psychiatric nurse as identified by
Hildegard Peplau?
1
Managing the milieu
2
, Caring for the patient's physiological needs
3
Providing counseling
4
Documenting patient behaviors - correct ans:3
Providing counseling
Hildegard Peplau identified the role of counselor or psychotherapist as the heart of psychiatric nursing
and a role unique to this nursing specialty. Managing the milieu, attending to the patient's physiological
needs, and documenting patient behaviors and responses are responsibilities of all professional nurses
and are not unique to the role of a psychiatric nurse.
Which patient problem would be suited most to the use of interpersonal therapy?
1
Disturbed sensory perception
2
Impaired social interaction
3
Medication noncompliance
4
Dysfunctional grieving - correct ans:4
Dysfunctional grieving
Interpersonal therapy is considered to be effective in resolving problems of grief, role disputes, role
transition, and interpersonal deficit.
The nurse is speaking to the mother of a student. The mother complains, "My child has performed very
badly on exams. My child is quite intelligent, but somehow doesn't seem to enjoy studying." Based on B.
F. Skinner's theory of operant conditioning, what advice should the nurse give the mother to help her
resolve this problem?
1
tested exam with questions and verified accurate
solutions (detailed & elaborated) GRADED A+
,A depressed patient tells the nurse "I have never been able to have a successful relationship. I am not
able to trust anybody. Is there a problem with me?" This type of behavior suggests an issue in what
area?
1
Grief
2
Role disputes
3
Role transitions
4
Interpersonal deficit - correct ans:4
Interpersonal deficit
According to interpersonal psychotherapy, there are four types of problems. They are grief, role
disputes, role transition, and interpersonal deficit. Interpersonal deficit refers to the problems where an
individual is unable to initiate or sustain close relationships. In this case, the patient has problems with
developing trust and having close relationships. This is an example of interpersonal deficit. Grief refers
to the problems occurring during the process of bereavement following death or loss of a loved one.
Role disputes refer to the problems arising due to conflicts with an important person in an individual's
life. Role transitions refer to the problematic situations due to changes in life status, social, and
vocational role.
A nurse is assessing a patient who is impulsive and lacks control regarding basic desires. Which system
of personality should the nurse consider for this patient?
1
Id
2
Ego
3
Superego
4
Transference - correct ans:1
,Id
A patient who lacks control about basic desires has a personality that defines the id. The id works on
basic instincts, and its focus is to fulfill the needs. The ego is a problem solver, appreciates reality, and
logically plans to fulfill desires. The superego appreciates the ideal and seeks perfection more than being
real. Transference is not a system of personality. It is the set of feelings that the patient has for the
health care worker, which were earlier experienced for someone else.
Which statements concerning Erikson's developmental model are true? Select all that apply.
1
This model is an essential component of the patient's evaluation process.
2
Analysis of this model allows for identification of arrested development.
3
This model focuses on the recognition of interpersonal skills.
4
The role of defense mechanisms is evaluated using this model.
5
Correct identification of the developmental stage supports effective care planning. - correct ans:2,3,5
Erikson's developmental model is an essential component of patient assessment. Analysis of behavior
patterns using Erikson's framework can identify age-appropriate or arrested development of normal
interpersonal skills. A developmental framework helps the nurse know what types of interventions are
most likely to be effective. Treatment approaches and interventions can be tailored to the patient's
developmental level. Evaluation of the patient's progress does not involve this model. The use of
defense mechanisms is associated with Freud, not Erikson.
Which nursing activity demonstrates the role of a professional psychiatric nurse as identified by
Hildegard Peplau?
1
Managing the milieu
2
, Caring for the patient's physiological needs
3
Providing counseling
4
Documenting patient behaviors - correct ans:3
Providing counseling
Hildegard Peplau identified the role of counselor or psychotherapist as the heart of psychiatric nursing
and a role unique to this nursing specialty. Managing the milieu, attending to the patient's physiological
needs, and documenting patient behaviors and responses are responsibilities of all professional nurses
and are not unique to the role of a psychiatric nurse.
Which patient problem would be suited most to the use of interpersonal therapy?
1
Disturbed sensory perception
2
Impaired social interaction
3
Medication noncompliance
4
Dysfunctional grieving - correct ans:4
Dysfunctional grieving
Interpersonal therapy is considered to be effective in resolving problems of grief, role disputes, role
transition, and interpersonal deficit.
The nurse is speaking to the mother of a student. The mother complains, "My child has performed very
badly on exams. My child is quite intelligent, but somehow doesn't seem to enjoy studying." Based on B.
F. Skinner's theory of operant conditioning, what advice should the nurse give the mother to help her
resolve this problem?
1
