Essentials Of Psychiatric Mental Health Nursing ,2nd Edition By Elizabeth M. Varcarolis Test Bank

Essentials Of Psychiatric Mental Health Nursing ,2nd Edition By Elizabeth M. Varcarolis Test Bank To purchase this Complete Test Bank with Answers Click the link Below If face any problem or Further information contact us At Description INSTANT DOWNLOAD WITH ANSWERS Essentials of Psychiatric Mental Health Nursing ,2nd Edition by Elizabeth M. Varcarolis Test Bank Sample Test Chapter 3: Theories and Therapies MULTIPLE CHOICE 1. A 26-month-old child displays negative behaviors. The parent says, “My child refuses toilet training and shouts, ‘No!’ when given direction. What do you think is wrong?” Select the nurse’s best reply. a. “This is normal for your child’s age. The child is striving for independence.” b. “The child needs firmer control. Punish the child for disobedience and say, ‘No.’” c. “There may be developmental problems. Most children are toilet trained by age 2 years.” d. “Some undesirable attitudes are developing. A child psychologist can help you develop a remedial plan.” ANS: A These negative behaviors are typical of a child around the age of 2 years whose developmental task is to develop autonomy. The remaining options indicate the child’s behavior is abnormal. DIF: Cognitive Level: Application REF: Pages: 28-30 TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance 2. A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, “No!” when given directions. Using Freud’s stages of psychosexual development, a nurse would assess the child’s behavior is based on which stage? a. Oral b. Anal c. Phallic d. Genital ANS: B In Freud’s stages of psychosexual development, the anal stage occurs from age 1 to 3 years and has, as its focus, toilet training and learning to delay immediate gratification. The oral stage occurs between birth and 1 year, the phallic stage occurs between 3 and 5 years, and the genital stage occurs between 13 and 20 years. DIF: Cognitive Level: Comprehension REF: Pages: 28-30 TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance 3. A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, “No!” when given direction. The nurse’s counseling with the parent should be based on the premise that the child is engaged in which of Erikson’s psychosocial crises? a. Trust versus Mistrust b. Initiative versus Guilt c. Industry versus Inferiority d. Autonomy versus Shame and Doubt ANS: D The crisis of Autonomy versus Shame and Doubt is related to the developmental task of gaining control of self and environment, as exemplified by toilet training. This psychosocial crisis occurs during the period of early childhood. Trust versus Mistrust is the crisis of the infant, Initiative versus Guilt is the crisis of the preschool and early school-aged child, and Industry versus Inferiority is the crisis of the 6- to 12-year-old child. DIF: Cognitive Level: Comprehension REF: Pages: 28-30 TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance 4. A 4-year-old child grabs toys from siblings, saying, “I want that toy now!” The siblings cry, and the child’s parent becomes upset with the behavior. Using the Freudian theory, a nurse can interpret the child’s behavior as a product of impulses originating in the: a. id. b. ego. c. superego. d. preconscious. ANS: A The id operates on the pleasure principle, seeking immediate gratification of impulses. The ego acts as a mediator of behavior and weighs the consequences of the action, perhaps determining that taking the toy is not worth the parent’s wrath. The superego would oppose the impulsive behavior as “not nice.” The preconscious is a level of awareness. DIF: Cognitive Level: Application REF: Pages: 28-30 TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance 5. The parent of a 4-year-old rewards and praises the child for helping a younger sibling, being polite, and using good manners. A nurse supports the use of praise because according to the Freudian theory, these qualities will likely be internalized and become part of the child’s: a. id. b. ego. c. superego. d. preconscious. ANS: C In the Freudian theory, the superego contains the “thou shalts” or moral standards internalized from interactions with significant others. Praise fosters internalization of desirable behaviors. The id is the center of basic instinctual drives, and the ego is the mediator. The ego is the problemsolving and reality-testing portion of the personality that negotiates solutions with the outside world. The preconscious is a level of awareness from which material can be easily retrieved with conscious effort. DIF: Cognitive Level: Comprehension REF: Pages: 26-30 TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance 6. A nurse supports parental praise of a child who is behaving in a helpful way. When the individual behaves with politeness and helpfulness in adulthood, which feeling will most likely result? a. Guilt b. Anxiety c. Loneliness d. Self-esteem ANS: D The individual will be living up to the ego ideal, which will result in positive feelings about self. The other options are incorrect; each represents a negative feeling. DIF: Cognitive Level: Comprehension REF: Pages: 26-30 TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance 7. A patient comments, “I never know the right answer” and “My opinion is not important.” Using Erikson’s theory, which psychosocial crisis did the patient have difficulty resolving? a. Initiative versus Guilt b. Trust versus Mistrust c. Autonomy versus Shame and Doubt d. Generativity versus Self-Absorption ANS: C These statements show severe self-doubt, indicating that the crisis of gaining control over the environment is not being successfully met. Unsuccessful resolution of the crisis of Initiative versus Guilt results in feelings of guilt. Unsuccessful resolution of the crisis of Trust versus Mistrust results in poor interpersonal relationships and suspicion of others. Unsuccessful resolution of the crisis of Generativity versus Self-Absorption results in self-absorption that limits the ability to grow as a person. DIF: Cognitive Level: Application REF: Pages: 28-30 TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance 8. Which patient statement would lead a nurse to suspect that the developmental task of infancy was not successfully completed? a. “I have very warm and close friendships.” b. “I’m afraid to let anyone really get to know me.”