Chapter 07: Psychosocial Theoretic Basis of Psychiatric Nursing

Format: Multiple Choice

Client Needs: Psychosocial Integrity

Cognitive Level: Understand

Integrated Process: Teaching/Learning

Objective: 1

Page and Header: 67, Personality and Its Development

1. A group of nursing students is reviewing information about Freud’s personality structure. The students demonstrate understanding of this information when they identify the ability to form mutually satisfying relationships as a function of what element of personality?

A) Defense mechanisms

B) Unconscious

C) Id

D) Ego

Page and Header: 68–69, Harry Stack Sullivan: Interpersonal Forces

2. When describing the influence of Harry Stack Sullivan on psychiatric–mental health nursing, which would an instructor address as a major concept?

A) Interpersonal relations

B) Harmony between the individual and society

C) Collective unconscious

D) Unconditional positive regard

Page and Header: 68–69, Harry Stack Sullivan: Interpersonal Forces

3. A nursing student is to provide a class presentation about interpersonal and psychoanalytic theories. As part of this presentation, the student is planning to address the major way these two categories differ. Which would the student include as key to interpersonal theories?

A) Human relationships

B) Instincts

C) Drives

D) Potential for goodness

Page and Header: 69, Rogers Client-Centered Therapy

4. A psychiatric–mental health nurse is integrating Carl Rogers’s theory into the plan of care for a client with a mental illness. The nurse incorporates understanding of this theory through which action?

A) Providing validation of the terminology used during the session

B) Focusing on the client’s instinctual drives

C) Recognizing an understanding of the client’s basic needs

D) Developing unconditional positive regard for the client

Page and Header: 71, Albert Bandura Social Cognitive Theory

5. A nurse performs behaviors that the treatment team would like the client to develop. The client internalizes these behaviors through pervasive imitation. The treatment team is integrating which cognitive theory in the client’s treatment?

A) Erikson’s model of psychosocial development

B) Albert Bandura’s social cognitive theory

C) Skinner’s operant conditioning

D) Freud’s psychoanalytic model

Page and Header: 71, Cognitive Theories

6. A psychiatric–mental health nurse is preparing a review class for a group of colleagues on the various theoretical models used in psychiatric–mental health nursing. When describing cognitive theories, which statement would the nurse practitioner most likely include about what these theories attempt to do?

A) “They explain development of the mental processes and effects on behavior.”

B) “They describe how people learn and act.”

C) “They link internal thought processes with behavior.”

D) “They explain normal human growth and development.”

Page and Header: 80–81, Betty Neuman

7. When integrating the Neuman systems model while caring for a client diagnosed with a mood disorder, which would a nurse focus on with regard to the client?

A) Behaviors

B) Relationships

C) Self-care activities

D) Stressors

Page and Header: 78, Hildegarde Peplau: The Power of Empathy

8. A nurse is integrating Peplau’s model when providing care to a client with a mental illness. Which would the nurse identify as a key component?

A) Suffering

B) Anxiety

C) Self-care

D) Nonverbal behaviors

Page and Header: 76, Madeleine Leininger: Transcultural Health Care

9. A group of nursing students is reviewing information about the various nursing theorists and their application to psychiatric–mental health nursing. The students demonstrate understanding when they identify which theorist as responsible for developing the theory of cultural care diversity and universality?

A) Madeleine Leininger

B) Sister Calista Roy

C) Hildegard Peplau

D) Dorothea Orem

Page and Header: 78, Box 7.4 Levels of Anxiety

10. A client is being discharged from the psychiatric unit this afternoon, and a nurse needs to teach the client about discharge medications. The client is exhibiting signs of moderate anxiety about the upcoming discharge. Based on Peplau’s views regarding anxiety, the nurse would expect to implement the education plan at which time?

A) When the client’s anxiety stabilizes at its current level

B) When the client’s anxiety decreases to a mild level

C) When the client is completely free of anxiety

D) When the client’s anxiety escalates to the panic level

Page and Header: 74, Table 7.5. Piaget’s Periods of Intellectual Development

11. A nursing instructor is integrating Piaget’s theory of cognitive development into the discussion of learning and mental health issues affecting adolescents. The instructor would identify this age group as in what stage?

A) Concrete operations

B) Preoperational

C) Formal operations

D) Sensorimotor

Page and Header: 67, Transference and Countertransference

12. While working with an older client, a nurse begins to think of the client as a grandparent and responds to the client as a grandchild. The nurse is developing what type of emotional reaction?

A) Empathy

B) Transference

C) Countertransference

D) Modeling

Page and Header: 72, Applicability of Cognitive-Behavioral Theories to Psychiatric–Mental Health Nursing

13. A psychiatric–mental health nurse is working on an inpatient unit that uses a privilege system. The nurse understands that this intervention integrates which group of theories?

A) Behavioral

B) Developmental

C) Humanistic

D) Cognitive

Page and Header: 80, Imogene M. King

14. A nurse applying King’s model to a nurse–client interaction identifies the outcome using what term?

A) Transaction

B) Adaptation

C) Transpersonal caring

D) Self-system

Page and Header: 73, Table 7.4. Erikson’s Eight Ages of Man

15. A nurse is assessing a young adult and determines that the individual has achieved successful resolution of the previous stage of growth and development as evidenced by demonstrating which traits?

A) Drive and hope

B) Direction and purpose

C) Devotion and fidelity

D) Production and care

Page and Header: 66, Table 7.1. Psychodynamic Models

16. A group of nursing students is reviewing information about psychodynamic theories. The students demonstrate a need for additional study when they identify who as a humanistic theorist?

A) Carl Jung

B) Carl Rogers

C) Abraham Maslow

D) Frederick Perls

Page and Header: 78, Hildegarde Peplau: The Power of Empathy

17. A nurse is assessing a client diagnosed with anxiety and observes the client yelling and screaming. The nurse, integrating Peplau’s theory, describes this behavior using what term?

A) Panic behaviors

B) Relief behaviors

C) Empathetic linkage

D) Social distance

Page and Header: 67, Psychoanalysis

18. A nurse is watching a video that depicts a client and therapist interacting. The client is asked to say whatever comes to the client’s mind. The nurse identifies this technique using what term?

A) Dream work

B) Free association

C) Gestalt therapy

D) Classical conditioning

Page and Header: 69, Abraham Maslow’s Hierarchy of Needs

19. A nurse is developing a plan of care integrating Maslow’s hierarchy of needs. Which area would the nurse identify as the priority?

A) Adequate food

B) Predictable social environment

C) Acceptance from family

D) Positive self-image

Page and Header: 73–74, Carol Gilligan: Gender Differentiation in Moral Development;74, Jean Baker Miller: A Sense of Connection

20. A group of nurses is reviewing the various theories that form the basis for psychiatric–mental health nursing. The nurses demonstrate understanding of these theories when they identify which theorists as addressing female development? Select all that apply.

A) Maslow

B) Gilligan

C) Bandura

D) Miller

E) Thorndike

Page and Header: 79, Jean Watson

21. A psychiatric–mental health nurse practitioner is preparing a review class for a group of nurses about conceptual models and theories used in psychiatric–mental health nursing. When describing the major concepts of Jean Watson’s theory, which concept would the nurse most likely include? Select all that apply.

A) Freedom

B) Paradox

C) Caritas process

D) Rhythmicity

E) Caritas field

F) Mystery