Question 1

A patient repeatedly stated,"I'm stupid." Which statement by the patient shows progress because of cognitive behavioral therapy?

Accepted Answer

A)  "Sometimes I do stupid things." 
B)  "Things always go wrong for me." 
C)  "I always fail when I try new things." 
D)  "I'm disappointed in my lack of ability."

Question 2

A nurse supports a parent for praising a child behaving in a helpful way.When this child behaves with politeness and helpfulness in adulthood,which feeling will most likely result?

Accepted Answer

A)  Guilt 
B)  Anxiety 
C)  Humility 
D)  Self-esteem

Question 3

A patient says,"I never know the answers," and "My opinion doesn't count." The nurse correctly assesses that this patient had difficulty resolving which psychosocial crisis?

Accepted Answer

A)  Initiative versus guilt 
B)  Trust versus mistrust 
C)  Autonomy versus shame and doubt 
D)  Generativity versus self-absorption

Question 4

The parent of a child with schizophrenia tearfully asks the nurse,"What could I have done differently to prevent this illness?" Select the nurse's best response.

Accepted Answer

A)  "Although schizophrenia results from impaired family relationships,try not to feel guilty.No one can predict how a child will respond to parental guidance." 
B)  "Schizophrenia is a biological illness resulting from changes in how the brain and nervous system function.You are not to blame for your child's illness." 
C)  "There is still hope.Changing your parenting style can help your child learn to cope effectively with the environment." 
D)  "Most mental illnesses result from genetic inheritance.Your genes are more at fault than your parenting."

Question 5

A 4-year-old grabs toys from siblings and says,"I want that now!" The siblings cry,and the child's parent becomes upset with the behavior.Using Freudian theory,the nurse can interpret this behavior as a product of impulses originating in the:

Accepted Answer

A)  id. 
B)  ego. 
C)  superego. 
D)  preconscious.

Question 6

Which comment(s)by an adult best indicate self-actualization? Select all that apply.

Accepted Answer

A)  "I am content with a good book." 
B)  "I often wonder if I chose the right career." 
C)  "Sometimes I think about how my parents would have handled problems." 
D)  "It's important for our country to provide basic health care services for everyone." 
E)  "When I was lost at sea for 2 days,I gained an understanding of what is important."

Question 7

A student nurse says,"I don't need to interact with my patients.I learn what I need to know by observation." An instructor can best interpret the nursing implications of Sullivan's theory to this student by responding:

Accepted Answer

A)  "Interactions are required in order to help you develop therapeutic communication skills." 
B)  "Nurses cannot be isolated.We must interact to provide patients with opportunities to practice interpersonal skills." 
C)  "Observing patient interactions will help you formulate priority nursing diagnoses and appropriate interventions." 
D)  "It is important to note patients' behavioral changes,because these signify adjustments in personality."

Question 8

A psychotherapist works with an anxious,dependent patient.Which strategy is most consistent with psychoanalytic psychotherapy?

Accepted Answer

A)  Identifying the patient's strengths and assets 
B)  Praising the patient for describing feelings of isolation 
C)  Focusing on feelings developed by the patient toward the therapist 
D)  Providing psychoeducation and emphasizing medication adherence

Question 9

A 26-month-old displays negative behavior,refuses toilet training,and often says,"No!" Which psychosocial crisis is evident?

Accepted Answer

A)  Trust versus mistrust 
B)  Initiative versus guilt 
C)  Industry versus inferiority 
D)  Autonomy versus shame and doubt

Question 10

A patient would benefit from therapy in which peers as well as staff have a voice in determining patient privileges and psychoeducational topics.Which approach would be best?

Accepted Answer

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

Question 11

The parent of a 4-year-old rewards and praises the child for helping a younger sibling,being polite,and using good manners.The nurse supports the use of praise related to these behaviors.These qualities will likely be internalized and become part of the child's:

Accepted Answer