Chapter 3 Flashcards
According to Erikson’s developmental theory, when planning care for a 47-year-old client, which developmental task should a nurse identify as appropriate for this client?
A.
To develop a basic trust in others
B.
To achieve a sense of self-confidence and recognition from others
C.
To reflect back on life events to derive pleasure and meaning
D.
To achieve established life goals and consider the welfare of future generations
D
A jilted college student is admitted to a hospital following a suicide attempt and states, “No one will ever love a loser like me.” According to Erikson’s theory of personality development, a nurse should recognize a deficit in which developmental stage? A. Trust versus mistrust B. Initiative versus guilt C. Intimacy versus isolation D. Ego integrity versus despair
C
A nurse observes a 3-year-old client willingly sharing candy with a sibling. According to Peplau, which psychological stage of development should the nurse determine that this child has completed? A. “Learning to count on others” B. “Learning to delay satisfaction” C. “Identifying oneself” D. “Developing skills in participation”
B
A 12-year-old girl becomes hysterical every time she strikes out in softball, falls down when roller-skating, or loses when playing games. According to Peplau’s interpersonal theory, in which stage of development should the nurse identify a need for improvement? A. “Learning to count on others” B. “Learning to delay satisfaction” C. “Identifying oneself” D. “Developing skills in participation”
D
According to Peplau, a nurse who provides an abandoned child with parental guidance and praise following small accomplishments is serving which therapeutic role? A. The role of technical expert B. The role of resource person C. The role of surrogate D. The role of leader
C
A nurse directs the client interaction and plans for interventions to achieve client goals. According to Peplau’s framework for psychodynamic nursing, what therapeutic role is this nurse assuming? A. The role of technical expert B. The role of resource person C. The role of teacher D. The role of leader
D
When assessing clients, a psychiatric nurse should understand that psychoanalytic theory is based on which underlying concept?
A.
A possible genetic basis for the client problems
B.
The structure and dynamics of the personality
C.
Behavioral responses to stressors
D.
Maladaptive cognitions
B
Which underlying concept should a nurse associate with interpersonal theory when assessing clients?
A.
The effects of social processes on personality development
B.
The effects of unconscious processes and personality structures
C.
The effects on thoughts and perceptual processes
D.
The effects of chemical and genetic influences
A
A physically healthy, 35-year-old single client lives with parents who provide total financial support. According to Erikson’s theory, which developmental task should a nurse assist the client to accomplish?
A.
Establishing the ability to control emotional reactions
B.
Establishing a strong sense of ethics and character structure
C.
Establishing and maintaining self-esteem
D.
Establishing a career, personal relationships, and societal connections
D
A 1-month-old infant is left alone for extended periods, has little physical stimulation, and is malnourished. Based on this infant’s history, in which phase of development according to Mahler’s theory, should a nurse expect to see a potential deficit? A. The symbiotic phase B. The autistic phase C. The consolidation phase D. The rapprochement phase
B
A 6-year-old boy uses his father’s flashlight to explore his 3-year-old sister’s genitalia. According to Freud, in which stage of psychosocial development should a nurse identify this behavior as normal? A. Oral B. Anal C. Phallic D. Latency
C
A married, 26-year-old client works as a schoolteacher. She and her husband have just had their first child. A nurse should recognize that this client is successfully accomplishing which stage of Erikson’s developmental theory? A. Industry versus inferiority B. Identity versus role confusion C. Intimacy versus isolation D. Generativity versus stagnation
C
A 10-year-old child wins the science fair competition and is chosen as a cheerleader for the basketball team. A nurse should recognize that this child is in the process of successfully accomplishing which stage of Erikson’s developmental theory? A. Industry versus inferiority B. Identity versus role confusion C. Intimacy versus isolation D. Generativity versus stagnation
A
A client has flashbacks of sexual abuse by her uncle. She had not been aware of these memories until recently, when she became sexually active with her boyfriend. A nurse should identify this experience as which part of Sullivan’s concept of the self-system? A. The “good me” B. The “bad me” C. The “not me” D. The “bad you”
C
According to Freud, which statement should a nurse associate with predominance of the superego?
A.
“No one is looking, so I will take three cigarettes from Mom’s pack.”
B.
“I don’t ever cheat on tests. It is wrong.”
C.
“If I skip school I will get in trouble and fail my test.”
D.
“Dad won’t miss this little bit of vodka.”
B