Psych

Question 1

What are the five stages of psychosocial development in order according to Freud?

Answer 1

1. Oral (infancy)
2. Anal (toddlerhood)
3. Phallic (pre-school)
4. Latency (school-age)
5. Genital (adolescence)

Question 2

sensorium

Answer 2

Part of the brain regarded as the seat of sensation

Question 3

What are 3 potential risk factors for mental illness?

Answer 3

1. Family Hx
2. Medical Hx (e.g.,imbalances can cause s/sx resembling mental illness)
3. Lack of environmental/social support

Question 4

What are the 3 parts of the psych Freud defined?

Answer 4

1. Id
2. Ego
3. Superego

Question 5

1. What are the 3 phases of therapeutic relationship?
2. What occurs at each phage?

Answer 5

1. Initiating (orientation) phase - boundaries of relationship is determined
2. Working phase - client develops insights and learns coping
3. Terminating phase - work of relationship is summarized

Question 6

What is the purpose of therapeutic responses (techniques)?

Answer 6

techniques which are the main tools to promote therapeutic exchange between nurse and client

Question 7

What are 4 examples of therapeutic responses?

Answer 7

1. Using silence (non-verbal)
2. General or broad openings
3. Clarification
4. Reflecting

Question 8

What are the 2 goals/purpose of using silence

Answer 8

1. Allows client time to think and reflect; conveys acceptance
2. Allows client to take lead in conversation.

Question 9

What are the 4 goals/purpose of using broad openings?

Answer 9

1. Encourages client to talk
2. Indicates interest in client
3. Allows client to choose subject
4. Set tone for depressed client

Question 10

What are the 4 goals/purpose of using clarification?

Answer 10

1. Encourages recall and details of a particular experience
2. Encourages description of feelings
3. seeks clarification, pinpoints specifics
4. Makes sure the nurse understands client.

Question 11

What are the 2 goals/purpose of using reflecting?

Answer 11

1. Paraphrases what client says
2. Reflects what client says, especially feelings conveyed.

express meaning using different words to achieve greater clarity.

Question 12

What are 6 responses to avoid in therapeutic communication?

Answer 12

1. Close-ended questions
2. Advice-giving
3. Aruging or responding in a hostile way
4. False reassurance
5. “why” responses
6. Judgemental responses

Question 13

Who developed the interpersonal relationship paradigm of nurses and patients?

Answer 13

Hildegard Peplau

Question 14

Define Transference and Countertransference

Answer 14

• transference, the patient views nurse as being similar to an important person in their life
• Countertransference refers to when patient reminds the nurse of someone in their life.

Question 15

____ is an uncomfortable feeling of apprehension or dread that occurs in response to internal or external stimuli

Answer 15

Anxiety

Question 16

Which “ego” defense mechanism is being described?

Failure to acknowledge an intolerable
thought, feeling, experience, reality

used to cope with anxiety and painful feelings

Answer 16

Denial
“Alcoholic says his drinking is not a
problem; terminally ill client makes
long-term plans”

Question 17

Which “ego” defense mechanism is being described?

Redirection of feelings to subject that
is acceptable or less threatening

used to cope with anxiety and painful feelings

Answer 17

Displacement
“Kicking the dog or yelling at one’s
spouse after a bad day at work”

Question 18

Which “ego” defense mechanism is being described?

Attribution to others of one’s own unacceptable thoughts, feelings, qualities

used to cope with anxiety and painful feelings

Answer 18

Projection

“Saying someone you are angry with dislikes you; staff nurse complains about the head nurse’s poor skills after receiving an unfavorable evaluation”

Question 19

Which “ego” defense mechanism is being described?

Attempts to justify, via logical or
acceptable explanations, acts or
feelings that are not logical or
acceptable

used to cope with anxiety and painful feelings

Answer 19

Rationalization
“A student who is sexually attracted to
her teacher tells herself she needs to
stay after class for help with a project”

Question 20

Which “ego” defense mechanism is being described?

Expressing attitude directly opposite
to unconscious one

used to cope with anxiety and painful feelings

Answer 20

Reaction formation
“Someone with strong dependency
needs chooses a “helping” profession”

Question 21

Which “ego” defense mechanism is being described?

Unacceptable thoughts kept from
awareness

used to cope with anxiety and painful feelings

Answer 21

Repression
“Forgetting painful experience”

Question 22

Which “ego” defense mechanism is being described?

Only noticing another’s positive
qualities

used to cope with anxiety and painful feelings

Answer 22

Idealization

Question 23

Which “ego” defense mechanism is being described?

An attempt to erase an unacceptable
act or thought

used to cope with anxiety and painful feelings

Answer 23

Undoing
“Excessively apologizing; buying
extravagant gifts for one’s spouse
while having an affair”

Question 24

What are 7 considerations to inquire about during a mental health assessment?

Answer 24

1. Appearance
2. Speech
3. Sensorium (A&O, memory, etc)
4. Family relationships and work habits
5. Level of growth and development
6. Support systems or stressors
7. Potential risk factors

Question 25

What is Maslow’s 5 Hierarchy of Needs in order of importance

Answer 25

1. Physical (oxygen, water, food, sleep, sex)
2. Safety
3. Love and belonging
4. Esteem and recognition
5. Self-actualization