Chapter 3

Question 1

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

Answer 1

D

Question 2

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

Answer 2

C

Question 3

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”

Answer 3

B

Question 4

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”

Answer 4

D

Question 5

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

Answer 5

C

Question 6

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

Answer 6

D

Question 7

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

Answer 7

B

Question 8

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

Answer 8

A

Question 9

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

Answer 9

D

Question 10

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

Answer 10

B

Question 11

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

Answer 11

C

Question 12

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

Answer 12

C

Question 13

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

Answer 13

A

Question 14

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”

Answer 14

C

Question 15

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.”

Answer 15

B

Question 16

A female complains that her husband only meets his sexual needs and never her needs. According to Freud, which personality structure should a nurse identify as predominantly driving the husband’s actions?
A.
The id
B.
The superid
C.
The ego
D.
The superego

Answer 16

A

Question 17

A father of a 5-year-old demeans and curses at his child for disobedience. In turn, when upset, the child uses swear words in kindergarten. A school nurse recognizes this behavior as unsuccessful completion of which stage of development according to Peplau?
A.
“Learning to count on others”
B.
“Learning to delay satisfaction”
C.
“Identifying oneself”
D.
“Developing skills in participation”

Answer 17

C

Question 18

A nurse is caring for a hospitalized client who is quarrelsome, opinionated, and has little regard for others. According to Sullivan’s interpersonal theory, the nurse should associate the client’s behaviors with a previous deficit in which stage of development?
A.
Infancy
B.
Childhood
C.
Early adolescence
D.
Late adolescence

Answer 18

B

Question 19

According to psychoanalytic theory, treatment of symptoms should involve which nursing action?
A.
Modifying client behaviors by manipulating the environment
B.
Expressing empathy and presenting reality
C.
Encouraging the client to note cause and effects of actions
D.
Recognizing and discussing the client’s use of ego defense mechanisms

Answer 19

D

Question 20

A 29-year-old client living with parents has few interpersonal relationships. The client states, “I have trouble trusting people.” Based on Erikson’s developmental theory, which should the nurse recognize as a true statement about this client?
A.
The client has not progressed beyond the trust versus mistrust developmental stage.
B.
Developmental deficits in earlier life stages have impaired the client’s adult functioning.
C.
The client cannot move to the next developmental stage until mastering all earlier stages.
D.
The client’s developmental problems began in the intimacy versus isolation stage.

Answer 20

B

Question 21

Which statement is most likely to be made by a nurse practitioner who shares the philosophy of an interpersonal theorist?
A.
“Let’s discuss your use of defense mechanisms.”
B.
“We need to examine how your relationships affect your ability to cope.”
C.
“It is important that you take the medications that I have prescribed for you.”
D.
“Your genetic background is a factor in your predisposition to mental illness.”

Answer 21

B

Question 22

Which statement describes achievement of Erikson’s generativity versus stagnation developmental stage?
A.
“I’ve been a girl scout leader for troop 259 for 7 years.”
B.
“I feel great that I could pay for my bike with my paper route money.”
C.
“My parents are so pleased that John and I are going to be married.”
D.
“I’ve had a very full life. I’m not afraid to leave this world.”

Answer 22

A

Question 23

A psychiatric nurse uses Sullivan’s theories in group and individual therapy. According to Sullivan and other theorists like him, how are client symptoms viewed?
A.
Client symptoms are viewed as learned behaviors that are maintained because they are reinforced.
B.
Client symptoms are viewed as responses to anxiety arising from interpersonal relationships.
C.
Client symptoms are viewed as internal conflicts arising from early childhood trauma.
D.
Client symptoms are viewed as the misinterpretations of experiences.

Answer 23

B

Question 24

A nursing instructor is teaching about the application of Peplau’s theory to nursing care. Which student statement indicates that learning has occurred?
A.
“The nurse assumes the role of a parenting figure instructing the client in good health practices.”
B.
“The nurse is concerned more about psychosocial functioning than physiological functioning.”
C.
“The nurse bases the client care plan on standardized nursing approaches and physician orders.”
D.
“The nurse applies principles of human relations to the problems that arise at all levels of experience.”

Answer 24

D

Question 25

g to Peplau, treatment of client symptoms should involve which nursing action?
A.
Establishing a therapeutic nurse–client relationship
B.
Using the technique of desensitization
C.
Challenging clients’ negative thoughts
D.
Uncovering clients’ past experiences

Answer 25

A

Question 26

The nurse practitioner plans to use a psychoanalytical framework when treating a client diagnosed with an anxiety disorder. Which would be the focus of this nursing intervention?
A.
Correcting inappropriate learning patterns
B.
Changing a dysfunctional social environment
C.
Exploring the “here-and-now” with the client and family
D.
Dealing with issues of physical abuse at an early age

Answer 26

D

Question 27

Which is a nursing intervention to assist a client to achieve Erikson’s developmental task of ego integrity?
A.
Encourage a life review of triumphs and disappointments
B.
Provide opportunities for success experiences
C.
Focus on embracing the future
D.
Foster the development of creativity

Answer 27

A

Question 28

From an interpersonal theory perspective, which intervention would a nurse use to assist a client diagnosed with major depressive disorder?
A.
Encourage discussion of feelings
B.
Offer family therapy sessions
C.
Discuss childhood events
D.
Teach alternate coping skills

Answer 28

B