Ascorers
,NUR 253: Mental Health Nursing (Exam 1 Review)
1. Which assessment is most important when evaluating signs and symptoms
of mental illness?
A. The decreased amount of creativity a client exhibits
B. The inability to face problems within one's life
C. The intensity of an emotional reaction
D. The client's social and cultural norms
Correct Answer: D. The client's social and cultural norms
Explanation: According to the text, it is important when assessing for
mental illness that social and cultural norms be evaluated. The context of
cultural norms determines whether behaviors are considered acceptable or
aberrant. Belief in reincarnation can be acceptable in one culture and
considered "delusional" in another. Creativity, facing problems, and
emotional intensity are not specific indicators of mental illness.
...
2. Which client situation is an example of normal ego development?
A. A client continuously calls out to get his or her needs met
B. A client complains of poor self-esteem because of punishments from his
or her past
C. A client exhibits the ability to assert himself or herself without anger or
aggression
D. A client feels guilty about wanting to have sexual relations outside of
marriage
Ascorers
, Correct Answer: C. A client exhibits the ability to assert himself or
herself without anger or aggression
Explanation: The ego is considered the "reality principle" and begins to
develop between 4 and 6 months of age. The ego experiences the outside
world and then adapts and responds to it. The ego's main goal is to maintain
harmony between the id and the superego. The ability to assert oneself
without anger or aggression is an example of healthy ego development.
...
3. A 7-year-old boy is active in sports and has received a most-improved player
award at his baseball tournament. According to Erikson, what describes this
client's developmental task assessment?
A. Autonomy
B. Identity
C. Industry
D. Initiative
Correct Answer: C. Industry
Explanation: Industry is the positive outcome of Erikson's "school age"
stage of development (6 to 12 years). The major developmental task for
school age is to achieve a sense of self-confidence by learning, competing,
performing successfully, and receiving recognition from significant others,
peers, and acquaintances. The 7-year-old boy described falls within this age
range and is exhibiting behaviors reflective of a positive outcome of
industry.
...
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, 4. Which scenario describes an individual in Erikson's developmental stage of
"old age" exhibiting a negative outcome of despair?
A. A 60-year-old woman having difficulty taking care of her aged mother
B. A 50-year-old man reviewing the positive and negative aspects of his life
C. A 65-year-old man openly discussing his life's accomplishments and
failures
D. A 70-year-old woman angry about where her life has ended up
Correct Answer: D. A 70-year-old woman angry about where her life has
ended up
Explanation: A 70-year-old would be in Erikson's developmental stage of
"old age" (65 years to death). The developmental task conflict of this stage is
ego integrity versus despair. The major developmental task is to review one's
life and derive meaning from events. The 70-year-old woman exhibiting
anger about where her life has ended up reflects the negative outcome of
despair, characterized by feelings of worthlessness and helplessness.
...
5. Which is an example of an individual successfully completing Erikson's
"school age" stage of development?
A. A 14-year-old girl verbalizes that she resisted peer pressure to drink
alcohol at a party
B. A 5-year-old boy is able to ask others in his class to play hide-and-seek
with him
C. A 3-year-old boy is able to play by himself while other family members
play games
D. An 11-year-old girl is trying out for cheerleading
Ascorers
,NUR 253: Mental Health Nursing (Exam 1 Review)
1. Which assessment is most important when evaluating signs and symptoms
of mental illness?
A. The decreased amount of creativity a client exhibits
B. The inability to face problems within one's life
C. The intensity of an emotional reaction
D. The client's social and cultural norms
Correct Answer: D. The client's social and cultural norms
Explanation: According to the text, it is important when assessing for
mental illness that social and cultural norms be evaluated. The context of
cultural norms determines whether behaviors are considered acceptable or
aberrant. Belief in reincarnation can be acceptable in one culture and
considered "delusional" in another. Creativity, facing problems, and
emotional intensity are not specific indicators of mental illness.
...
2. Which client situation is an example of normal ego development?
A. A client continuously calls out to get his or her needs met
B. A client complains of poor self-esteem because of punishments from his
or her past
C. A client exhibits the ability to assert himself or herself without anger or
aggression
D. A client feels guilty about wanting to have sexual relations outside of
marriage
Ascorers
, Correct Answer: C. A client exhibits the ability to assert himself or
herself without anger or aggression
Explanation: The ego is considered the "reality principle" and begins to
develop between 4 and 6 months of age. The ego experiences the outside
world and then adapts and responds to it. The ego's main goal is to maintain
harmony between the id and the superego. The ability to assert oneself
without anger or aggression is an example of healthy ego development.
...
3. A 7-year-old boy is active in sports and has received a most-improved player
award at his baseball tournament. According to Erikson, what describes this
client's developmental task assessment?
A. Autonomy
B. Identity
C. Industry
D. Initiative
Correct Answer: C. Industry
Explanation: Industry is the positive outcome of Erikson's "school age"
stage of development (6 to 12 years). The major developmental task for
school age is to achieve a sense of self-confidence by learning, competing,
performing successfully, and receiving recognition from significant others,
peers, and acquaintances. The 7-year-old boy described falls within this age
range and is exhibiting behaviors reflective of a positive outcome of
industry.
...
Ascorers
, 4. Which scenario describes an individual in Erikson's developmental stage of
"old age" exhibiting a negative outcome of despair?
A. A 60-year-old woman having difficulty taking care of her aged mother
B. A 50-year-old man reviewing the positive and negative aspects of his life
C. A 65-year-old man openly discussing his life's accomplishments and
failures
D. A 70-year-old woman angry about where her life has ended up
Correct Answer: D. A 70-year-old woman angry about where her life has
ended up
Explanation: A 70-year-old would be in Erikson's developmental stage of
"old age" (65 years to death). The developmental task conflict of this stage is
ego integrity versus despair. The major developmental task is to review one's
life and derive meaning from events. The 70-year-old woman exhibiting
anger about where her life has ended up reflects the negative outcome of
despair, characterized by feelings of worthlessness and helplessness.
...
5. Which is an example of an individual successfully completing Erikson's
"school age" stage of development?
A. A 14-year-old girl verbalizes that she resisted peer pressure to drink
alcohol at a party
B. A 5-year-old boy is able to ask others in his class to play hide-and-seek
with him
C. A 3-year-old boy is able to play by himself while other family members
play games
D. An 11-year-old girl is trying out for cheerleading
Ascorers
