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,(Answersareat theend ofeachChapter)
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Chapter1:ConceptsofPersonalityDevelopment
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MultipleChoice
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Identifythechoicethat bestcompletesthestatement oranswersthequestion.
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1. A jilted college student is admitted to a hospital following a suicide attempt and states,
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“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. Trustversusmistrust c c
2. Initiativeversus guilt c c
3. Intimacyversus isolation c c
4. Egointegrityversusdespair c c c
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. Learningtocountonothers c c c c
2. Learningtodelaysatisfaction c c c
3. Identifyingoneself c
4. Developingskillsinparticipation c c c
3. A 9-month-old child screams every time his mother leaves and will not tolerate
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anyoneelse changinghisdiaper.Thenurseshoulddeterminethat, accordingto
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Mahler’sdevelopmentaltheory, thischild’sdevelopmentwas arrested at
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which phase?
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1. Theautisticphase c c
2. Thesymbioticphase c c
3. Theseparation-individuationphase c c
4. Therapprochement phase c c
4. According to Peplau, a nurse who provides an abandoned child with parental c c c c c c c c c c c
guidanceandpraise followingsmallaccomplishmentsisserving which
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therapeutic role?
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1. Technicalexpert c
2. Resourceperson c
3. Surrogate
4. Leader
5. Whenassessingclients,apsychiatricnurseshouldunderstandthat
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psychoanalytic theory is based on which underlying concept?
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1. Apossiblegeneticbasisfortheclient’sproblems
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2. Thestructureanddynamicsofthepersonality c c c c c c
3. Behavioralresponsestostressors c c c
4. Maladaptivecognitions c
, 6. Whichunderlyingconceptshouldanurseassociatewithinterpersonal
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c theory when assessing a client? c c c c
1. Theeffectsofsocialprocessesonpersonalitydevelopment
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2. Theeffectsofunconsciousprocessesandpersonalitystructures
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3. Theeffectsonthoughtsandperceptualprocesses c c c c c c
4. Theeffectsofchemicalandgeneticinfluences c c c c c c
7. Aphysicallyhealthy,35-year-old,singleclientliveswithhisparents,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. Establishingtheabilitytocontrolemotionalreactions c c c c c c
2. Establishingastrongsenseofethicsandcharacterstructure c c c c c c c c
3. Establishing and maintainingself-esteem c c c
4. Establishingacareer,personal relationships, andsocietal connections c c c c c c c
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 which
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phase of development, according to Mahler’s theory, should a nurse expect
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to see a potential deficit?
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1. Thesymbioticphase c c
2. Theautisticphase c c
3. Theconsolidation phase c c
4. Therapprochement phase c c
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-oldclientworksasaschoolteacher.Sheandherhusband have
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just had their first child.Anurse should recognize that this client is successfully
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accomplishingwhichstageof Erikson’sdevelopmentaltheory?
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1. Industryversusinferiority c c
2. Identityversusroleconfusion c c c
3. Intimacyversus isolation c c
4. Generativityversus stagnation c c
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 this
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child is in the process of successfully accomplishing which stage of
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Erikson’s developmental theory?
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1. Industryversusinferiority c c
2. Identityversusroleconfusion c c c
3. Intimacyversus isolation c c
4. Generativityversus stagnation c c
12. A client has flashbacks of sexual abuse by her uncle. She did not have these
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c memories until recently, when she became sexually active with her c c c c c c c c c
Copyright©
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, boyfriend.Anurseshouldidentifythisexperienceas whichpartofSullivan’s c c c c c c c c c c c
concept of the self-system?
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1. Thegoodme c c
2. Thebadme c c
3. Thenotme c c
4. Thebad you c c
13. AccordingtoFreud,whichstatementshouldanurseassociatewith c c c c c c c c c
c predominance of the superego? c c c
1. “Nooneislooking,soIwilltakethreecigarettesfromMom’spack.” c c c c c c c c c c c c
2. “Idon’tevercheatontests;itiswrong.” c c c c c c c c
3. “If Iskip school, Iwillgetintotroubleandfailmytest.”
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4. “Dadwon’tmissthislittlebitofvodka.” c c c c c c c
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. Theid c
2. Thesuperid c
3. Theego c
4. Thesuperego c
15. Afather of a 5-year-old demeans and curses his child for disobedience. In turn,
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whenupset,thechild usesswearwordsatkindergarten.Aschoolnurse
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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. Learningtocountonothers c c c c
2. Learningtodelaysatisfaction c c c
3. Identifyingoneself c
4. Developingskillsinparticipation c c c
16. Anurse is caring for a hospitalized client who is quarrelsome, opinionated, and
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haslittleregardfor others.AccordingtoSullivan’sinterpersonaltheory, 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 c
4. Lateadolescence c
Completion
Completeeachstatement.
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17. “Itisneverrighttotakesomethingthatdoesn’tbelongtoyou.”Accordingto
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c Sigmund Freud, this c c
statementreflects thepredominanceofthe c c c c c