Essentials of Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice 5th edition by Mary C. Townsend (2010) by Mary C. Townsend - |Test bank| Reviewed/Updated for 2021

Essential s of Psychiatric Mental Health Nursing Mary C. Townsend Test Bank 2021 Copyright © 2017 F. A. Davis Company Bonus Chapter 1: Concepts of Personality Development Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A jilted college student is admitted to a hospital following a suicide attempt and states, “No one will ever love a loser like me.” According to Erikson’s theory of personality development, a nurse should recognize that this patient has a deficit in which developmental stage? 1. Trust versus mistrust 2. Initiative versus guilt 3. Intimacy versus isol ation 4. Ego integrity versus despair ____ 2. A nurse observes a 3 -year-old client willingly sharing candy with a sibling. According to Peplau, which psychological stage of development should the nurse determine that this child has completed? 1. Learni ng to count on others 2. Learning to delay satisfaction 3. Identifying oneself 4. Developing skills in participation ____ 3. A 9-month -old child screams every time his mother leaves and will not tolerate anyone else changing his diaper. The nurse sho uld determine that, according to Mahler’s developmental theory, this child’s development was arrested at which phase? 1. The autistic phase 2. The symbiotic phase 3. The separation -individuation phase 4. The rapprochement phase ____ 4. According to P eplau, a nurse who provides an abandoned child with parental guidance and praise following small accomplishments is serving which therapeutic role? 1. Technical expert 2. Resource person 3. Surrogate 4. Leader ____ 5. When assessing clients, a psychi atric nurse should understand that psychoanalytic theory is based on which underlying concept? 1. A possible genetic basis for the client’s problems 2. The structure and dynamics of the personality 3. Behavioral responses to stressors 4. Maladaptive cog nitions ____ 6. Which underlying concept should a nurse associate with interpersonal theory when assessing a client? 1. The effects of social processes on personality development 2. The effects of unconscious processes and personality structures 3. The effects on thoughts and perceptual processes 4. The effects of chemical and genetic influences Copyright © 2017 F. A. Davis Company ____ 7. A physically healthy, 35 -year-old, single client lives with his parents, who provide total financial support. According to Erikson’s theory, which developmental task should a nurse assist the client to accomplish? 1. Establishing the ability to control emotional reactions 2. Establishing a strong sense of ethics and character structure 3. Establishing and maintaining self -esteem 4. Establishing a career, personal relationships, and societal connections ____ 8. A 1-month -old infant is left alone for extended periods, has little physical stimulation, and is malnourished. Based on this infant’s situation, in which phase of development, according to Mahler’s theory, should a nurse expect to see a potential deficit? 1. The symbiotic phase 2. The autistic phase 3. The consolidation phase 4. The rapprochement phase ____ 9. A 6-year-old boy uses his father’s flashlight to explore his 3 -year-old sis ter’s genitalia. According to Freud, in which stage of psychosocial development should a nurse identify this behavior as normal? 1. Oral 2. Anal 3. Phallic 4. Latency ____ 10. A married, 26 -year-old client works as a schoolteacher. She and her husban d have just had their first child. A nurse should recognize that this client is successfully accomplishing which stage of Erikson’s developmental theory? 1. Industry versus inferiority 2. Identity versus role confusion 3. Intimacy versus isolation 4. Generativity versus stagnation ____ 11. A 10 -year-old child wins the science fair competition and is chosen as a cheerleader for the basketball team. A nurse should recognize that this child is in the process of successfully accomplishing which stage of E rikson’s developmental theory? 1. Industry versus inferiority 2. Identity versus role confusion 3. Intimacy versus isolation 4. Generativity versus stagnation ____ 12. A client has flashbacks of sexual abuse by her uncle. She did not have these memor ies until recently, when she became sexually active with her boyfriend. A nurse should identify this experience as which part of Sullivan’s concept of the self -system? 1. The good me 2. The bad me 3. The not me 4. The bad you ____ 13. According to Fr eud, which statement should a nurse associate with predominance of the superego? Copyright © 2017 F. A. Davis Company 1. “No one is looking, so I will take three cigarettes from Mom’s pack.” 2. “I don’t ever cheat on tests; it is wrong.” 3. “If I skip school, I will get into trouble and fai l my test.” 4. “Dad won’t miss this little bit of vodka.” ____ 14. A female complains that her husband only satisfies his sexual needs and never her needs. According to Freud, which personality structure should a nurse identify as predominantly driving the husband’s actions? 1. The id 2. The superid 3. The ego 4. The superego ____ 15. A father of a 5 -year-old demeans and curses his child for disobedience. In turn, when upset, the child uses swear words at kindergarten. A school nurse recognizes th is behavior as unsuccessful completion of which stage of development, according to Peplau? 1. Learning to count on others 2. Learning to delay satisfaction 3. Identifying oneself 4. Developing skills in participation ____ 16. A nurse is caring for a hospitalized client who is quarrelsome, opinionated, and has little regard for others. According to Sullivan’s interpersonal theory, the nurse should associate the client’s behaviors with a previous deficit in which stage of development? 1. Infancy 2. Childhood 3. Early adolescence 4. Late adolescence Completion Complete each statement. 17. “It is never right to take something that doesn’t belong to you.” According to Sigmund Freud, this statement reflects the predominance of the _______________ str ucture of the personality.