TEST BANK FOR PSYCHIATRIC CH.
1 ,2,4, 5, 6 EXAM QUESTIONS WITH
VERIFIED ANSWERS
A client in the emergency department says, "Voices say someone is stalking me.
They want to kill me because I developed a cure for cancer. I have a knife and will
stab anyone who is a threat." Which aspects of the client's mental health have the
greatest and most immediate concern to the nurse? (Select all that apply.)
Happiness
Appraisal of reality
Control over behavior
Effectiveness in work
Healthy self-concept - Answer-Appraisal of reality
Control over behavior
Healthy self-concept
A parent says, "My 2-year-old child refuses toilet training and shouts 'No!' when
given directions. What do you think is wrong?" What is the nurse's best reply?
"Your child needs firmer control. It is important to set limits now."
"This is normal for your child's age. The child is striving for independence."
"There may be developmental problems. Most children are toilet trained by age 2."
"Some undesirable attitudes are developing. A child psychologist can help you
develop a plan." - Answer-"This is normal for your child's age. The child is striving for
independence."
This behavior is conventional of a child around the age of 2 years, whose
developmental task is to develop autonomy. The distracters indicate the child's
behavior is abnormal.
A 26-month-old displays negative behavior, refuses toilet training, and often says,
"No!" Which psychosocial crisis is evident?
Trust versus mistrust
Initiative versus guilt
Industry versus inferiority
Autonomy versus shame and doubt - Answer-Autonomy versus shame and doubt
The crisis of autonomy versus shame and doubt relates to the developmental task of
gaining control of self and environment, as exemplified by toilet training.
A 4-year-old grabs toys from other children and says, "I want that now!" From a
psychoanalytic perspective, this behavior is a product of impulses originating in
which system of the personality?
a. Id
,b. Ego
c. Superego
d. Preconscious - Answer-a. Id
The id operates on the pleasure principle, seeking immediate gratification of
impulses. The ego acts as a mediator of behavior and weighs the consequences of
the action, perhaps determining that taking the toy is not worth the mother's wrath.
5. The parent of a 4-year-old rewards and praises the child for helping a sibling,
being polite, and using good manners. These qualities are likely to be internalized
and become part of which system of the personality?
a. Id
b. Ego
c. Superego
d. Preconscious - Answer-c. Superego
The superego contains the "shoulds," or moral standards internalized from
interactions with significant others.
. A nurse supports a parent for praising a child who behaves in helpful ways to
others. When this child behaves with politeness and helpfulness in adulthood, which
feeling will most likely result?
a. Guilt
b. Anxiety
c. Humility
d. Self-esteem - Answer-d. Self-esteem
An adult says, "I never know the answers," and "My opinion does not count." Which
psychosocial crisis was unsuccessfully resolved for this adult?
Initiative versus guilt
Trust versus mistrust
Autonomy versus shame and doubt
Generativity versus self-absorption - Answer-Autonomy versus shame and doubt
Which statement by a client would lead the nurse to suspect unsuccessful
completion of the psychosocial developmental task of infancy?
"I know how to do things right, so I prefer jobs where I work alone rather than on a
team."
"I do not allow other people to truly get to know me."
"I depend on frequent praise from others to feel good about myself."
"I usually need to do things several times before I get them right." - Answer-"I do not
allow other people to truly get to know me."
According to Erikson, the developmental task of infancy is the development of trust.
A nurse listens to a group of recent retirees. One says, "I volunteer with Meals on
Wheels, coach teen sports, and do church visitation." Another laughs and says, "I'm
, too busy taking care of myself to volunteer to help others." Which psychosocial
developmental task do these statements contrast?
Trust and mistrust
Intimacy and isolation
Industry and inferiority
Generativity and self-absorption - Answer-Generativity and self-absorption
Both retirees are in middle adulthood, when the developmental crisis to be resolved
is generativity versus self-absorption. One exemplifies generativity; the other
embodies self- absorption.
An adult dies in a tragic accident. Afterward, the siblings plan a funeral service.
Which statement by a sibling best indicates a sense of self-actualization?
"Of all of us, I am the most experienced with planning these types of events."
"Funerals are supposed to be conducted quietly, respectfully, and according to a
social protocol."
"This death was unfair, but I hope we can plan a service that everyone feels is a
celebration of life."
"This death was probably the consequence of years of selfish and inconsiderate
behavior by our sibling." - Answer-"This death was unfair, but I hope we can plan a
service that everyone feels is a
celebration of life."
A student nurse says, "I don't need to interact with my clients. I learn what I need to
know by observation." An instructor can best interpret the nursing implications of
Sullivan's theory to this student by providing what response?
"Interactions are required in order to help you develop therapeutic communication
skills."
"Nurses cannot be isolated. We must interact to provide clients with opportunities
to practice interpersonal skills."
"Observing client interactions will help you formulate priority nursing diagnoses
and appropriate interventions."
"It is important to pay attention to clients' behavioral changes, because these
signify adjustments in personality." - Answer-"Nurses cannot be isolated. We must
interact to provide clients with opportunities
The nurse's role includes educating clients and assisting them in developing effective
interpersonal relationships.
What is the best response for the nurse to provide to a question from another health
professional regarding the difference between a diagnosis in DSM-V and a nursing
diagnosis.
"There is no functional difference between the two. Both identify human
disorders."
"The DSM-V diagnosis disregards culture, whereas the nursing diagnosis takes
culture into account."
"The DSM-V diagnosis describes causes of disorders whereas a nursing diagnosis
1 ,2,4, 5, 6 EXAM QUESTIONS WITH
VERIFIED ANSWERS
A client in the emergency department says, "Voices say someone is stalking me.
They want to kill me because I developed a cure for cancer. I have a knife and will
stab anyone who is a threat." Which aspects of the client's mental health have the
greatest and most immediate concern to the nurse? (Select all that apply.)
Happiness
Appraisal of reality
Control over behavior
Effectiveness in work
Healthy self-concept - Answer-Appraisal of reality
Control over behavior
Healthy self-concept
A parent says, "My 2-year-old child refuses toilet training and shouts 'No!' when
given directions. What do you think is wrong?" What is the nurse's best reply?
"Your child needs firmer control. It is important to set limits now."
"This is normal for your child's age. The child is striving for independence."
"There may be developmental problems. Most children are toilet trained by age 2."
"Some undesirable attitudes are developing. A child psychologist can help you
develop a plan." - Answer-"This is normal for your child's age. The child is striving for
independence."
This behavior is conventional of a child around the age of 2 years, whose
developmental task is to develop autonomy. The distracters indicate the child's
behavior is abnormal.
A 26-month-old displays negative behavior, refuses toilet training, and often says,
"No!" Which psychosocial crisis is evident?
Trust versus mistrust
Initiative versus guilt
Industry versus inferiority
Autonomy versus shame and doubt - Answer-Autonomy versus shame and doubt
The crisis of autonomy versus shame and doubt relates to the developmental task of
gaining control of self and environment, as exemplified by toilet training.
A 4-year-old grabs toys from other children and says, "I want that now!" From a
psychoanalytic perspective, this behavior is a product of impulses originating in
which system of the personality?
a. Id
,b. Ego
c. Superego
d. Preconscious - Answer-a. Id
The id operates on the pleasure principle, seeking immediate gratification of
impulses. The ego acts as a mediator of behavior and weighs the consequences of
the action, perhaps determining that taking the toy is not worth the mother's wrath.
5. The parent of a 4-year-old rewards and praises the child for helping a sibling,
being polite, and using good manners. These qualities are likely to be internalized
and become part of which system of the personality?
a. Id
b. Ego
c. Superego
d. Preconscious - Answer-c. Superego
The superego contains the "shoulds," or moral standards internalized from
interactions with significant others.
. A nurse supports a parent for praising a child who behaves in helpful ways to
others. When this child behaves with politeness and helpfulness in adulthood, which
feeling will most likely result?
a. Guilt
b. Anxiety
c. Humility
d. Self-esteem - Answer-d. Self-esteem
An adult says, "I never know the answers," and "My opinion does not count." Which
psychosocial crisis was unsuccessfully resolved for this adult?
Initiative versus guilt
Trust versus mistrust
Autonomy versus shame and doubt
Generativity versus self-absorption - Answer-Autonomy versus shame and doubt
Which statement by a client would lead the nurse to suspect unsuccessful
completion of the psychosocial developmental task of infancy?
"I know how to do things right, so I prefer jobs where I work alone rather than on a
team."
"I do not allow other people to truly get to know me."
"I depend on frequent praise from others to feel good about myself."
"I usually need to do things several times before I get them right." - Answer-"I do not
allow other people to truly get to know me."
According to Erikson, the developmental task of infancy is the development of trust.
A nurse listens to a group of recent retirees. One says, "I volunteer with Meals on
Wheels, coach teen sports, and do church visitation." Another laughs and says, "I'm
, too busy taking care of myself to volunteer to help others." Which psychosocial
developmental task do these statements contrast?
Trust and mistrust
Intimacy and isolation
Industry and inferiority
Generativity and self-absorption - Answer-Generativity and self-absorption
Both retirees are in middle adulthood, when the developmental crisis to be resolved
is generativity versus self-absorption. One exemplifies generativity; the other
embodies self- absorption.
An adult dies in a tragic accident. Afterward, the siblings plan a funeral service.
Which statement by a sibling best indicates a sense of self-actualization?
"Of all of us, I am the most experienced with planning these types of events."
"Funerals are supposed to be conducted quietly, respectfully, and according to a
social protocol."
"This death was unfair, but I hope we can plan a service that everyone feels is a
celebration of life."
"This death was probably the consequence of years of selfish and inconsiderate
behavior by our sibling." - Answer-"This death was unfair, but I hope we can plan a
service that everyone feels is a
celebration of life."
A student nurse says, "I don't need to interact with my clients. I learn what I need to
know by observation." An instructor can best interpret the nursing implications of
Sullivan's theory to this student by providing what response?
"Interactions are required in order to help you develop therapeutic communication
skills."
"Nurses cannot be isolated. We must interact to provide clients with opportunities
to practice interpersonal skills."
"Observing client interactions will help you formulate priority nursing diagnoses
and appropriate interventions."
"It is important to pay attention to clients' behavioral changes, because these
signify adjustments in personality." - Answer-"Nurses cannot be isolated. We must
interact to provide clients with opportunities
The nurse's role includes educating clients and assisting them in developing effective
interpersonal relationships.
What is the best response for the nurse to provide to a question from another health
professional regarding the difference between a diagnosis in DSM-V and a nursing
diagnosis.
"There is no functional difference between the two. Both identify human
disorders."
"The DSM-V diagnosis disregards culture, whereas the nursing diagnosis takes
culture into account."
"The DSM-V diagnosis describes causes of disorders whereas a nursing diagnosis
