NURS 355 Final Exam / NURS355 Exam final
solution guide, Answered.
A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress. One
twin becomes anxious and irritable, and the other withdraws and cries. How should the nurse explain
these different stress responses to the parents
a. Reactions to stress are relative rather than absolute; individual responses to stress vary.
b. It is abnormal for identical twins to react differently to similar stressors.
c. Identical twins should share the same temperament and respond similarly to stress.
d. Environmental influences to stress weigh more heavily than genetic influences. - a.
Reactions to stress are relative rather than absolute; individual responses to stress vary
The nurse should explain to the parents that, although the twins have identical DNA, there are
several other factors that gaffect greactions gto gstress. gMental ghealth gis ga gstate gof gbeing gthat gis
grelative gto gthe gindividual gclient. gEnvironmental ginfluences gand gtemperament gcan gaffect gstress
greactions.
A gfourth-grade gboy gteases gand gmakes gjokes gabout ga gcute ggirl gin ghis gclass. gThis gbehavior
gshould gbe gidentified gby ga gnurse gas gindicative gof gwhich gdefense gmechanism?
a.
gDisplacement
gb.
Projection
gc.
Reaction
gformation gd.
Sublimation g- gc.
Reaction
gformation
The gnurse gshould gidentify gthat gthe gboy gis gusing greaction gformation gas ga gdefense gmechanism.
gReaction gformation gis gthe gattempt gto gprevent gundesirable gthoughts gfrom gbeing gexpressed gby
gexpressing gopposite gthoughts gor gbehaviors. gDisplacement grefers gto gtransferring gfeelings gfrom
gone gtarget gto ganother. gRationalization grefers gto gmaking gexcuses gto gjustify gbehavior.
gProjection grefers gto gthe gattribution gof gunacceptable gfeelings gor gbehaviors gto ganother gperson.
gSublimation grefers gto gchanneling gunacceptable gdrives gor gimpulses ginto gmore gconstructive,
gacceptable gactivities.
Which gnursing gstatement gabout gthe gconcept gof gneurosis gis gmost
gaccurate? ga.
An gindividual gexperiencing gneurosis gis gunaware gthat ghe gor gshe gis gexperiencing gdistress.
,b.
An gindividual gexperiencing gneurosis gfeels ghelpless gto gchange ghis gor gher
gsituation. gc.
An gindividual gneurosis gis gaware gof gpsychological gcauses gof ghis gor gher
gbehavior. gd.
An gindividual gexperiencing gneurosis ghas ga gloss gof gcontact gwith greality. g- gb.
An gindividual gexperiencing gneurosis gfeels ghelpless gto gchange ghis gor gher gsituation.
The gnurse gshould gdefine gthe gconcept gof gneurosis gwith gthe gfollowing gcharacteristics: gThe
gclient gfeels ghelpless gto gchange ghis gor gher gsituation, gthe gclient gis gaware gthat ghe gor gshe gis
gexperiencing gdistress, gthe gclient gis gaware gthe gbehaviors gare gmaladaptive, gthe gclient gis
gunaware gof gthe gpsychological gcauses gof gthe gdistress, gand gthe gclient gexperiences gno gloss gof
gcontact gwith greality.
How gwould ga gnurse gbest gcomplete gthe gnew gDSM-5 gdefinition gof ga gmental gdisorder? g"A
ghealth gcondition gcharacterized gby gsignificant gdysfunction gin gan gindividual's gcognitions, gor
gbehaviors gthat greflects ga gdisturbance gin gthe:
a.
psychosoical, gbiological, gor gdevelopmental gprocess gunderlying gmental
gfunctioning." gb.
psychological, gcognitive, gor gdevelopmental gprocess gunderlying gmental
gfunctioning." gc.
psychological, gbiological, gor gdevelopmental gprocess gunderlying gmental
gfunctioning." gd.
psychological, gbiological, gor gpsychosocial gprocess gunderlying gmental gfunctioning." g- gc.
gpsychological, gbiological, gor gdevelopmental gprocess gunderlying gmental gfunctioning."
"A ghealth gcondition gcharacterized gby gsignificant gdysfunction gin gan gindividual's gcognitions, gor
gbehaviors gthat greflects ga gdisturbance gin gthe gpsychological, gbiological, gor gdevelopmental
gprocess gunderlying gmental gfunctioning", gis gthe gnew gDSM-5 gdefinition gof ga gmental gdisorder.
A g9-month-old gchild gscreams gevery gtime ghis gmother gleaves gand gwill gnot gtolerate ganyone gelse
gchanging ghis gdiaper. gThe gnurse gshould gdetermine gthat, gaccording gto gMahler's gdevelopmental
gtheory, gthis gchild's gdevelopment gwas garrested gat gwhich gphase?
a.
The gautistic gphase
gb.
The gsymbiotic
gphase gc.
The gseparation-individuation
gphase gd.
,The grapprochement gphase g-
gb. gThe gsymbiotic gphase
The gnurse gshould gunderstand gthat gthis gclient's gdevelopment gwas ghalted gin gthe gsymbiotic gphase
gof gMahler's gdevelopmental gtheory, gwhich gusually goccurs gbetween g1 gand g5 gmonths gof gage.
gThe gchild ghas gnot gentered ginto gthe gseparation-individuation gphase gof gdevelopment, gin gwhich
ga gchild gestablishes gthe gunderstanding gof gbeing gseparate gfrom gthe gmother.
When gassessing gclients, ga gpsychiatric gnurse gshould gunderstand gthat gpsychoanalytic gtheory gis
gbased gon gwhich gunderlying gconcept?
a.
A gpossible ggenetic gbasis gfor gthe gclient's
gproblems gb.
The gstructure gand gdynamics gof gthe
gpersonality gc.
Behavioral gresponses gto
gstressors gd.
Maladaptive gcognitions g- gb.
The gstructure gand gdynamics gof gthe gpersonality
The gnurse gshould gunderstand gthat gpsychoanalytic gtheory gis gbased gon gthe gunderlying gconcepts
gof gthe gstructure gand gdynamics gof gpersonality. gPsychoanalytic gtheory gwas gdeveloped gby
gSigmund gFreud gand gexplains gthe gstructure gof gpersonality gin gthree gdifferent gcomponents: gthe
gid, gthe gego, gand gthe gsuperego.
Which gunderlying gconcept gshould ga gnurse gassociate gwith ginterpersonal gtheory gwhen gassessing
ga gclient?
a.
The geffects gof gsocial gprocesses gon gpersonality
gdevelopment gb.
The geffects gof gunconscious gprocesses gand gpersonality
gstructures gc.
The geffects gon gthoughts gand gperceptual
gprocesses gd.
The geffects gof gchemical gand ggenetic ginfluences g- ga.
The geffects gof gsocial gprocesses gon gpersonality gdevelopment
The gnurse gshould gassociate ginterpersonal gtheory gwith gthe gunderlying gconcept gof geffects gof
gsocial gprocess gon gpersonality gdevelopment. gSullivan gdeveloped gstages gof gpersonality
gdevelopment gbased gon ghis gtheory gof ginterpersonal grelationships gand gtheir geffect gon
gpersonality gand gindividual gbehavior.
, A gfather gof ga g5-year-old gdemeans gand gcurses ghis gchild gfor gdisobedience. gIn gturn, gwhen gupset,
gthe gchild guses gswear gwords gat gkindergarten. gA gschool gnurse grecognizes gthis gbehavior gas
gunsuccessful gcompletion gof gwhich gstage gof gdevelopment, gaccording gto gPeplau?
a.
Learning gto gcount gon
gothers gb.
Learning gto gdelay
gsatisfaction gc.
Identifying
goneself gd.
Developing gskills gin gparticipation g- gc.
gIdentifying goneself
The gnurse gshould gidentify gthat gthe gchild gusing gswear gwords gin gkindergarten ghas gnot
gsuccessfully gcompleted gthe gidentifying goneself gstage, gaccording gto gPeplau's ginterpersonal
gtheory. gDuring gthis gstage gof gearly gchildhood, ga gchild glearns gto gstructure gself-concept gby
gobserving ghow gother ginteract gwith ghim gor gher.
A gnurse gis gcaring gfor ga ghospitalized gclient gwho gis gquarrelsome, gopinionated, gand ghas glittle
gregard gfor gothers. gAccording gto gSullivan's ginterpersonal gtheory, gthe gnurse gshould gassociate gthe
gclient's gbehaviors gwith ga gpervious gdeficit gin gwhich gstage gof gdevelopment?
a.
gInfanc
y gb.
Childhood
gc.
Early
gadolescence gd.
Late gadolescence g-
gb.
Childhood
The gnurse gshould gassociate gthe gclient's gbehavior gwith ga gdeficit gin gthe gchildhood gstage gof
gSullivan's ginterpersonal gtheory. gThe gchildhood gstage gin gSullivan's ginterpersonal gtheory
gtypically goccurs gfrom g18 gmonths gto g6 gyears gof gage, gduring gwhich gthe gchild glearns gto
gexperience ga gdelay gin gpersonal ggratification gwithout gundue ganxiety.
A gdepressed gclient gstates, g"I ghave ga gchemical gimbalance gin gmy gbrain. gI ghave gno gcontrol gover
gmy gbehavior. gMedications gare gmy gonly ghope gto gfeel gnormal gagain." gWhich gnursing gresponse
gis gappropriate?
solution guide, Answered.
A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress. One
twin becomes anxious and irritable, and the other withdraws and cries. How should the nurse explain
these different stress responses to the parents
a. Reactions to stress are relative rather than absolute; individual responses to stress vary.
b. It is abnormal for identical twins to react differently to similar stressors.
c. Identical twins should share the same temperament and respond similarly to stress.
d. Environmental influences to stress weigh more heavily than genetic influences. - a.
Reactions to stress are relative rather than absolute; individual responses to stress vary
The nurse should explain to the parents that, although the twins have identical DNA, there are
several other factors that gaffect greactions gto gstress. gMental ghealth gis ga gstate gof gbeing gthat gis
grelative gto gthe gindividual gclient. gEnvironmental ginfluences gand gtemperament gcan gaffect gstress
greactions.
A gfourth-grade gboy gteases gand gmakes gjokes gabout ga gcute ggirl gin ghis gclass. gThis gbehavior
gshould gbe gidentified gby ga gnurse gas gindicative gof gwhich gdefense gmechanism?
a.
gDisplacement
gb.
Projection
gc.
Reaction
gformation gd.
Sublimation g- gc.
Reaction
gformation
The gnurse gshould gidentify gthat gthe gboy gis gusing greaction gformation gas ga gdefense gmechanism.
gReaction gformation gis gthe gattempt gto gprevent gundesirable gthoughts gfrom gbeing gexpressed gby
gexpressing gopposite gthoughts gor gbehaviors. gDisplacement grefers gto gtransferring gfeelings gfrom
gone gtarget gto ganother. gRationalization grefers gto gmaking gexcuses gto gjustify gbehavior.
gProjection grefers gto gthe gattribution gof gunacceptable gfeelings gor gbehaviors gto ganother gperson.
gSublimation grefers gto gchanneling gunacceptable gdrives gor gimpulses ginto gmore gconstructive,
gacceptable gactivities.
Which gnursing gstatement gabout gthe gconcept gof gneurosis gis gmost
gaccurate? ga.
An gindividual gexperiencing gneurosis gis gunaware gthat ghe gor gshe gis gexperiencing gdistress.
,b.
An gindividual gexperiencing gneurosis gfeels ghelpless gto gchange ghis gor gher
gsituation. gc.
An gindividual gneurosis gis gaware gof gpsychological gcauses gof ghis gor gher
gbehavior. gd.
An gindividual gexperiencing gneurosis ghas ga gloss gof gcontact gwith greality. g- gb.
An gindividual gexperiencing gneurosis gfeels ghelpless gto gchange ghis gor gher gsituation.
The gnurse gshould gdefine gthe gconcept gof gneurosis gwith gthe gfollowing gcharacteristics: gThe
gclient gfeels ghelpless gto gchange ghis gor gher gsituation, gthe gclient gis gaware gthat ghe gor gshe gis
gexperiencing gdistress, gthe gclient gis gaware gthe gbehaviors gare gmaladaptive, gthe gclient gis
gunaware gof gthe gpsychological gcauses gof gthe gdistress, gand gthe gclient gexperiences gno gloss gof
gcontact gwith greality.
How gwould ga gnurse gbest gcomplete gthe gnew gDSM-5 gdefinition gof ga gmental gdisorder? g"A
ghealth gcondition gcharacterized gby gsignificant gdysfunction gin gan gindividual's gcognitions, gor
gbehaviors gthat greflects ga gdisturbance gin gthe:
a.
psychosoical, gbiological, gor gdevelopmental gprocess gunderlying gmental
gfunctioning." gb.
psychological, gcognitive, gor gdevelopmental gprocess gunderlying gmental
gfunctioning." gc.
psychological, gbiological, gor gdevelopmental gprocess gunderlying gmental
gfunctioning." gd.
psychological, gbiological, gor gpsychosocial gprocess gunderlying gmental gfunctioning." g- gc.
gpsychological, gbiological, gor gdevelopmental gprocess gunderlying gmental gfunctioning."
"A ghealth gcondition gcharacterized gby gsignificant gdysfunction gin gan gindividual's gcognitions, gor
gbehaviors gthat greflects ga gdisturbance gin gthe gpsychological, gbiological, gor gdevelopmental
gprocess gunderlying gmental gfunctioning", gis gthe gnew gDSM-5 gdefinition gof ga gmental gdisorder.
A g9-month-old gchild gscreams gevery gtime ghis gmother gleaves gand gwill gnot gtolerate ganyone gelse
gchanging ghis gdiaper. gThe gnurse gshould gdetermine gthat, gaccording gto gMahler's gdevelopmental
gtheory, gthis gchild's gdevelopment gwas garrested gat gwhich gphase?
a.
The gautistic gphase
gb.
The gsymbiotic
gphase gc.
The gseparation-individuation
gphase gd.
,The grapprochement gphase g-
gb. gThe gsymbiotic gphase
The gnurse gshould gunderstand gthat gthis gclient's gdevelopment gwas ghalted gin gthe gsymbiotic gphase
gof gMahler's gdevelopmental gtheory, gwhich gusually goccurs gbetween g1 gand g5 gmonths gof gage.
gThe gchild ghas gnot gentered ginto gthe gseparation-individuation gphase gof gdevelopment, gin gwhich
ga gchild gestablishes gthe gunderstanding gof gbeing gseparate gfrom gthe gmother.
When gassessing gclients, ga gpsychiatric gnurse gshould gunderstand gthat gpsychoanalytic gtheory gis
gbased gon gwhich gunderlying gconcept?
a.
A gpossible ggenetic gbasis gfor gthe gclient's
gproblems gb.
The gstructure gand gdynamics gof gthe
gpersonality gc.
Behavioral gresponses gto
gstressors gd.
Maladaptive gcognitions g- gb.
The gstructure gand gdynamics gof gthe gpersonality
The gnurse gshould gunderstand gthat gpsychoanalytic gtheory gis gbased gon gthe gunderlying gconcepts
gof gthe gstructure gand gdynamics gof gpersonality. gPsychoanalytic gtheory gwas gdeveloped gby
gSigmund gFreud gand gexplains gthe gstructure gof gpersonality gin gthree gdifferent gcomponents: gthe
gid, gthe gego, gand gthe gsuperego.
Which gunderlying gconcept gshould ga gnurse gassociate gwith ginterpersonal gtheory gwhen gassessing
ga gclient?
a.
The geffects gof gsocial gprocesses gon gpersonality
gdevelopment gb.
The geffects gof gunconscious gprocesses gand gpersonality
gstructures gc.
The geffects gon gthoughts gand gperceptual
gprocesses gd.
The geffects gof gchemical gand ggenetic ginfluences g- ga.
The geffects gof gsocial gprocesses gon gpersonality gdevelopment
The gnurse gshould gassociate ginterpersonal gtheory gwith gthe gunderlying gconcept gof geffects gof
gsocial gprocess gon gpersonality gdevelopment. gSullivan gdeveloped gstages gof gpersonality
gdevelopment gbased gon ghis gtheory gof ginterpersonal grelationships gand gtheir geffect gon
gpersonality gand gindividual gbehavior.
, A gfather gof ga g5-year-old gdemeans gand gcurses ghis gchild gfor gdisobedience. gIn gturn, gwhen gupset,
gthe gchild guses gswear gwords gat gkindergarten. gA gschool gnurse grecognizes gthis gbehavior gas
gunsuccessful gcompletion gof gwhich gstage gof gdevelopment, gaccording gto gPeplau?
a.
Learning gto gcount gon
gothers gb.
Learning gto gdelay
gsatisfaction gc.
Identifying
goneself gd.
Developing gskills gin gparticipation g- gc.
gIdentifying goneself
The gnurse gshould gidentify gthat gthe gchild gusing gswear gwords gin gkindergarten ghas gnot
gsuccessfully gcompleted gthe gidentifying goneself gstage, gaccording gto gPeplau's ginterpersonal
gtheory. gDuring gthis gstage gof gearly gchildhood, ga gchild glearns gto gstructure gself-concept gby
gobserving ghow gother ginteract gwith ghim gor gher.
A gnurse gis gcaring gfor ga ghospitalized gclient gwho gis gquarrelsome, gopinionated, gand ghas glittle
gregard gfor gothers. gAccording gto gSullivan's ginterpersonal gtheory, gthe gnurse gshould gassociate gthe
gclient's gbehaviors gwith ga gpervious gdeficit gin gwhich gstage gof gdevelopment?
a.
gInfanc
y gb.
Childhood
gc.
Early
gadolescence gd.
Late gadolescence g-
gb.
Childhood
The gnurse gshould gassociate gthe gclient's gbehavior gwith ga gdeficit gin gthe gchildhood gstage gof
gSullivan's ginterpersonal gtheory. gThe gchildhood gstage gin gSullivan's ginterpersonal gtheory
gtypically goccurs gfrom g18 gmonths gto g6 gyears gof gage, gduring gwhich gthe gchild glearns gto
gexperience ga gdelay gin gpersonal ggratification gwithout gundue ganxiety.
A gdepressed gclient gstates, g"I ghave ga gchemical gimbalance gin gmy gbrain. gI ghave gno gcontrol gover
gmy gbehavior. gMedications gare gmy gonly ghope gto gfeel gnormal gagain." gWhich gnursing gresponse
gis gappropriate?
