Advanced Psychiatric Nursing & Psychotherapeutic Modalities Mastery: Erikson’s Psychosocial Stages (Trust vs. Mistrust to Integrity vs. Despair), Freud’s Id–Ego–Superego & Defense Mechanisms (Denial, Projection, Rationalization, Displacement, Intellectual

Advanced Psychiatric Nursing & Psychotherapeutic Modalities Mastery: Erikson’s Psychosocial Stages (Trust vs. Mistrust to Integrity vs. Despair), Freud’s Id–Ego–Superego & Defense Mechanisms (Denial, Projection, Rationalization, Displacement, Intellectualization), Peplau’s Therapeutic Relationship Phases & Nurse Roles (Leader, Surrogate), Crisis Theory & Intervention (Adventitious, Maturational, Situational), Anxiety Levels & Assessment, Transference & Countertransference, Group Therapy Dynamics (Working Stage, Cohesiveness, Closed Groups), Cognitive & Behavioral Therapies (Operant Conditioning, Systematic Desensitization, Reality Therapy), Humanistic Approaches (Maslow, Rogers, Gestalt), Psychiatric Rehabilitation, Complementary Therapies, and Inpatient Prioritization for Eating Disorders Exam Questions Verified and Provided with A+ Graded Rationales Latest Updated 2026 A nurse is teaching decision-making skills to a client with dependent personality disorder. According to Erikson, the likely cause of the client developing dependent personality is failure to meet the critical task of which developmental stage? Industry The nurse understands that crises are self-limiting. This implies that upon evaluation of crisis intervention, the nurse should assess for which outcome? The patient will resume the precrisis level of functioning A client who has been working on controlling impulsive behavior shows a strengthening ego through which of the following behaviors? Weighing the advantages and disadvantages before making a decision A patient has just been told she has cervical cancer. When asked about how this is impacting her, she states, "It's just an infection; it will clear up." The statement indicates that this patient is using denial to protect herself from an emotionally painful thought. A teenage client defies the nurse's repeated requests to turn off the video game and go to sleep. The teen says angrily, "You sound just like my mother at home!" and continues to play the video game. The nurse understands that this statement likely indicates the presence of transference. (Viewing the nurse as her mother) A patient reports a pattern of being suspicious and mistrusting of others, causing difficulty in sustaining lasting relationships. Which stage according to Erikson's psychosocial development was not successfully completed? Trust vs. Mistrust The nurse has established a therapeutic relationship with a patient. The patient is beginning to share feelings openly with the nurse. The relationship has entered which phase according to Peplau's theory? Identification A nurse is meeting with a crisis support group. In efforts to help patients identify with one another, the nurse explains which of the following about the crisis experience? "Even happy events can cause a crisis if the stress is overwhelming." Which of the following theories could be classified as humanistic theories? ~Select all that apply~ - Maslow's hierarchy of needs - Rogers' client-centered therapy Which of the following are examples of adventitious crises? ~select all that apply~ - Natural disasters - Violent crimes - War A client presents to the ED with a flat affect and disheveled appearance. The nurse objectively can see that the client has experienced an adventitious crisis. Which of the following are examples of adventitious crises? Select all that apply. B)Natural disasters C)Violent crimes D)War A nursing supervisor reprimands an employee for being chronically late for work. If the employee handles the reprimand using the defense mechanism of displacement, he would most likely do which of the following? Tell the unit housekeeper that his work is sloppy The nurse is assessing a client who is talking about her son's recent death but who shows no emotion of any kind. The nurse recognizes this behavior as which of the following defense mechanisms? Intellectualization A college student decides to go to a party the night before a major exam instead of studying. After receiving a low score on the exam, the student tells a fellow student, "I have to work too much and don't have time to study. It wouldn't matter anyway because the teacher is so unreasonable." The defense mechanisms the student is using are rationalization and projection A client is supposed to be ambulating ad lib. Instead, he refuses to get out of bed, asks for a bed bath, and makes many demands of the nurses. He also yells that they are lazy and incompetent. The client's behavior is an example of which of the following defense mechanisms? Projection A client begins to take stock of his life and look into the future. The nurse assesses that this client is in which of Erikson's developmental stages? Integrity vs. despair A basic assumption of Freud's psychoanalytic theory is that all human behavior can be caused and can be explained. The nurse is assisting a middle-age couple with marital counseling. Which of the following is a major developmental task of middle adulthood? Reexamining life goals A mother is concerned about her child's development. The nurse knows which cognitive mode, according to Harry Stack Sullivan, begins in early childhood as the child begins to connect experiences in sequence? Parataxic mode Group members are actively discussing a common topic. Members are sharing that they identify with what others are saying. The nurse leader recognizes that the group is in which stage of group development? Working The family members of a patient with bipolar disorder express frustration with the unpredictable behaviors of their loved one. Which group should the nurse suggest as most helpful to this family? Family education group A student nurse attends a self-help group as part of a class assignment. While there the student recognizes a family friend. Upon returning home, the student talks about the experience with the family. The student's actions can be described as inappropriate; most self-help groups have a rule of confidentiality The nurse would recommend individual therapy for the patient who expresses a desire to Bring about personal changes Which one of the following statements is most accurate regarding the cohesiveness of a group in group therapy? Cohesiveness is a desirable group characteristic that is associated with positive group outcomes The client asks the nurse how to select a therapist to help with support and understanding of m