Question 1

A college student received an invitation to attend the wedding of a close friend who lives across the country.The student is afraid of flying.What type of therapy would the nurse suggest?

Accepted Answer

A)   Psychoanalysis
B)   Milieu therapy
C)   Systematic desensitization
D)   Short-term dynamic therapy C

Question 2

A patient had psychotherapy weekly for 5 months.The therapist used free association,dream analysis,and facilitated transference to help the patient understand conflicts and foster change.Select the term that applies to this method.

Accepted Answer

A)   Rational-emotive behavior therapy
B)   Cognitive-behavioral therapy
C)   Psychodynamic psychotherapy
D)   Operant conditioning C

Question 3

A nurse influenced by Peplau's interpersonal theory works with an anxious,withdrawn patient.Interventions should focus on:

Accepted Answer

A)   rewarding desired behaviors.
B)   changing the patient's self-concept.
C)   administering medications to relieve anxiety.
D)   enhancing the patient's interactions with others. D

Question 4

A nurse listens to a group of recent retirees.One says,"I volunteer with Meals on Wheels,coach teen sports,and do church visitation." Another laughs and says,"I'm too busy taking care of myself to volunteer to help others." Which developmental task do these statements contrast?

Accepted Answer

A)   Trust and mistrust
B)   Intimacy and isolation
C)   Industry and inferiority
D)   Generativity and self-absorption

Question 5

Order these outcomes from highest to lowest priority.The patient will:
A)consume at least 50% of every meal.
B)identify assets and strengths about self.
C)describe characteristics of an intimate relationship.
D)identify reasons to wear a helmet when riding a motorcycle.

Accepted Answer

The answer of Order these outcomes from highest to lowest...

Question 6

Consider a therapist's statement: "The patient is homosexual but has kept this preference secret.Severe anxiety and depression occur when the patient anticipates family reactions to this sexual orientation." Which perspective is evident in the speaker?

Accepted Answer

A)   Theory of interpersonal relationships
B)   Classical conditioning theory
C)   Psychosexual theory
D)   Behaviorism theory

Question 7

A 2-year-old child often displays negative behaviors.The parent says,"My child refuses toilet training and shouts 'No!' when given directions.What do you think is wrong?" Select the nurse's best reply.

Accepted Answer

A)   "The child needs firmer control.It is important to set limits now."
B)   "This is normal for your child's age.The child is striving for independence."
C)   "There may be developmental problems.Most children are toilet trained by age 2."
D)   "Some undesirable attitudes are developing.A child psychologist can help you develop a plan."

Question 8

Which patient statement would lead the nurse to suspect unsuccessful completion of the developmental task of infancy?

Accepted Answer

A)   "I have very warm and close friendships."
B)   "I'm afraid to allow anyone to really get to know me."
C)   "I'm always absolutely right,so don't bother saying more."
D)   "I'm ashamed that I didn't do things correctly in the first place."

Question 9

A patient states,"I'm starting cognitive-behavioral therapy.What can I expect from the sessions?" Which response(s)by the nurse would be appropriate? Select all that apply.

Accepted Answer

A)   "The therapist will be active and questioning."
B)   "You may be given homework assignments."
C)   "The therapist will ask you to describe your dreams."
D)   "The therapist will help you look at ideas and beliefs you have about yourself."
E)   "The goal is to increase subjectivity about thoughts that govern your behavior."

Question 10

A 26-month-old displays negative behavior,refuses toilet training,and often says,"No!" Which stage of psychosexual development is evident?

Accepted Answer

A)   Oral
B)   Anal
C)   Phallic
D)   Genital

Question 11

Operant conditioning is part of the treatment plan to encourage speech in a child who is nearly mute.Which technique applies?

Accepted Answer

A)   Encourage the child to observe others talking.
B)   Include the child in small group activities.
C)   Give the child a small treat for speaking.
D)   Teach the child relaxation techniques.

Question 12

A single parent who is employed full time complains of feelings of inadequacy related to work and family.The parent seeks help from a therapist who specializes in cognitive behavioral therapy.The therapist will treat the parent by:

Accepted Answer

A)   discussing ego states the parent experiences.
B)   negatively reinforcing undesirable behaviors.
C)   promoting assertive behavior at home and work.
D)   helping the parent identify and change faulty thinking.

Question 13

A patient is suspicious and frequently manipulates others.To which psychosexual stage do these traits relate?

Accepted Answer

A)   Oral
B)   Anal
C)   Phallic
D)   Genital

Question 14

A person says,"I was the only survivor in a small plane crash.Three business associates died.I got depressed and saw a counselor twice a week for 4 weeks.We talked about my feelings related to being a survivor and I'm OK now." Which type of therapy was used?

Accepted Answer

A)   Milieu therapy
B)   Psychoanalysis
C)   Behavior modification
D)   Interpersonal psychotherapy

Question 15

A cognitive strategy the nurse could use to help a dependent patient would be:

Accepted Answer

A)   avoidance training.
B)   filling the patient's pill minder.
C)   interpreting the patient's dream content.
D)   examining the patient's fears related to being independent.

Question 16

Which comment(s)by an elderly person best indicate successful completion of developmental tasks? Select all that apply.

Accepted Answer

A)   "I am proud of my children's successes in life."
B)   "I should have given to charities more often."
C)   "My relationship with my father made life more difficult for me."
D)   "My experiences in the war helped me appreciate the meaning of life."
E)   "I often wonder what would have happened if I had chosen a different career."

Question 17

A patient expresses the desire to be cared for by others and often behaves in a helpless fashion.The patient's needs relate to which stage of psychosexual development?

Accepted Answer

A)   Latency
B)   Phallic
C)   Anal
D)   Oral

Question 18

Although ego defense mechanisms and security operations are unconsciously determined and designed to relieve anxiety,the major difference is:

Accepted Answer

A)   defense mechanisms are intrapsychic and not observable.
B)   defense mechanisms cause arrested personal development.
C)   security operations are masterminded by the id and superego.
D)   security operations address interpersonal relationship activities.

Question 19

A psychiatric technician says,"Common sense is the most important part of working with people who have mental illness.Theories are just something to fill up textbooks." The nurse wants to educate the technician by identifying which common use of Sullivan's theory?

Accepted Answer

A)   The method nurses use to determine the best sequence for nursing actions
B)   The ongoing use of restraint and seclusion as behavior-management tools
C)   The structure of the therapeutic milieu of most behavioral health units
D)   Assessment tools based on age-appropriate versus arrested behaviors

Question 20

A nurse uses Maslow's hierarchy of needs to plan care for a patient with mental illness.Which problem will receive priority? The patient:

Accepted Answer

A)   refuses to eat or bathe.
B)   reports feelings of alienation from family.
C)   is reluctant to participate in unit social activities.
D)   is unaware of medication action and side effects.

Exam 2: Relevant Theories and Therapies for Nursing Practice