Foundations of Mental Health/Psychiatric Nursing

29問 • 1年前

問題一覧

At what age does Freud’s phallic stage of psychosexual devel- opment compare with Erikson’s psychosocial phase of initiative versus guilt?

3 to 5 1/2 years

Which relationship is of most concern to the nurse because of its importance in the formation of the personality?

Parent-child

A nurse concludes that a client is using displacement. Which behavior has the nurse identified?

Directing pent-up emotions to other than the primary source

In the process of development the individual strives to main- tain, protect, and enhance the integrity of the self. The nurse determines that this usually is accomplished through the use of:

defense mechanisms.

A client diagnosed with major depression tells a nurse, “No matter what I do, everything turns out bad.” The nurse concludes that this is an example of:

using a cognitive distortion.

A male college student who is smaller than average and unable to participate in sports becomes the life of the party and a stylish dresser. What defense mechanism should the nurse determine that the client is using?

Compensation

A staff member tells a nurse that an older client gets irritable when asked to assist with activities of daily living. On what general information about older adults should the nurse base a response?

Decreased ability to cope

The parents of a toddler who was recently diagnosed with moderate retardation discuss their child’s future indepen- dent functioning. What should the nurse conclude?

Denial is being used as a defense.

On which generally accepted concept of personality devel- opment should a nurse base care?

The personality is capable of modification throughout life.

A 6-year-old child is diagnosed with type 1 diabetes. Con- sidering the child’s cognitive developmental level, which explanation of the illness is most appropriate?

“Taking insulin for your diabetes is like getting new bat- teries for your superhero toys.”

Which individual is coping with issues concerning depen- dence versus independence?

Toddler

A 17-year-old teenager is diagnosed with leukemia. Which statements by the teenager reflect Piaget’s cognitive processes associated with adolescence? Select all that apply.

“I’m going to do my best to fight this terrible disease.”, “Now I can’t go to the prom because I have this stupid illness.”, “This illness is serious, but with treatment I think I will have a chance to get better.”

A person mowing the lawn is badly disfigured by the lawn mower blade. According to Erikson’s theory, which age will demonstrate the greatest risk of longer-term psychological effects?

11-year-old

A nurse is interviewing an 8-year-old girl who was admitted to the pediatric unit. Which statement by the child needs to be explored?

“Those boys are so cute. I hope their room is next to mine!”

A nurse must consider a child’s cognitive level of develop- ment when providing preoperative teaching. At which stage of Piaget’s cognitive theory should the nurse anticipate a child will experience the greatest fear of surgery?

Preoperational

After a child’s visit to a health care provider, a parent tells the nurse, “I am very upset. An antidepressant was prescribed for my child.” What is the nurse’s best response?

“Tell me more about what’s bothering you.”

A nurse greets a client who had been experiencing delusions of persecution and auditory hallucinations by saying, “Good evening. How are you?” The client, who has been referring to himself as “man,” answers, “The man is bad.” Of what is this an example?

Dissociation

A client with a diagnosis of borderline personality disorder has negative feelings toward the other clients on the unit and considers them all to be “bad.” Which defense was the client using when this statement was made?

Splitting

In response to a question posed during a group meeting, the nurse explains that the superego is that part of the self that says:

“I should not want that.”

Incidents of child molestation often are revealed years later when the victim is an adult. Which defense mechanism reflects this situation?

Repression

A client with diabetes mellitus is able to discuss in detail the diabetic metabolic process while eating a piece of chocolate cake. What defense mechanism does the nurse identify when evaluating this behavior?

Intellectualization

An older adult tells the nurse, “I regret many of the choices I have made during my life.” Which of Erikson’s develop- mental conflicts does the nurse identify that the client has probably failed to accomplish?

Ego integrity versus despair

A client states, “I get down on myself when I make a mistake.” When a cognitive therapy approach is used, which nursing interventions are most appropriate? Select all that apply.

Encouraging the client to replace negative thoughts with positive thoughts, Helping the client to modify the belief that anything less than perfection is unacceptable

A psychiatric unit uses a behavioral approach to determine a client’s level of privileges. Which factor should a nurse use to determine an increase in privileges?

Performing hygiene activities independently

A nurse is teaching a class about child abuse. What defense mechanism most often used by the physically abusive individual should the nurse include?

Displacement

A nurse is planning to teach a client about self-care. What level of anxiety will best enhance the client’s learning abilities?

Mild

A client is scheduled for several diagnostic studies. Which behavior best indicates to the nurse that the client has received adequate preparation?

Arrives early and waits quietly to be called for the tests

Before discharge of an anxious client, the nurse should teach the family that anxiety can be recognized as:

a pattern of emotional and behavioral responses to stress.

What should a nurse conclude that a client is doing when using the defense mechanism of sublimation?

Channeling unacceptable impulses into socially approved behavior

Astignars random QS

Kyla Angelique Son · 19問 · 1年前

Astignars random QS