PSYCHIATRIC/MENTAL HEALTH
NURSING SUCCESS - CHAPTER 1
MENTAL HEALTH/MENTAL ILLNESS:
THEORETICAL CONCEPTS
Considering the many criteria for good mental health, the nursing student has been
instructed to list four of these criteria. The student's list consists of the following: (1) an
appropriate perception of reality, (2) the ability to accept oneself, (3) the ability to
establish relationships, (4) a need for detachment and the desire for privacy. How would
the nurse evaluate the nursing student's list?
1. Excellent. All the student's criteria are correct.
2. Good. Three out of the four criteria are correct.
3. Mediocre. Two out of the four criteria are correct.
4. Poor. All four of the criteria are incorrect. - answer 1
Which assessment is most important when evaluating signs and symptoms of mental
illness?
1. The decreased amount of creativity a client exhibits.
2. The inability to face problems within one's life.
3. The intensity of an emotional reaction.
4. The client's social and cultural norms. - answer 4
Which is an example of an interpersonal intervention for a client on an in-patient
psychiatric unit?
1. Assist the client to note common defense mechanisms used.
2. Discuss "acting out" behaviors, and assist the client in understanding why they occur.
3. Ask the client to use a journal to record thoughts he or she is having before acting-out
behaviors occur.
4. Ask the client to acknowledge one positive person in his or her life to assist the client
after discharge. - answer 4
Which is an example of appropriate psychosexual development?
1. An 18-month-old relieves anxiety by the use of a pacifier.
2. A 5-year-old boy focuses on relationships with other boys.
3. A 7-year-old girl identifies with her mother.
4. A 12-month-old begins learning about independence and control. - answer 1
In which client situation is ego development evident?
1. A client calls out in pain to get his or her needs met.
2. A client complains of poor self-esteem because of punishments from his or her past.
, PSYCHIATRIC/MENTAL HEALTH
NURSING SUCCESS - CHAPTER 1
MENTAL HEALTH/MENTAL ILLNESS:
THEORETICAL CONCEPTS
3. A client exhibits the ability to assert himself or herself without anger or aggression.
4. A client morally feels guilty about wanting to have sexual relations outside of
marriage. - answer 3
After studying the concepts of personality development, the nursing student
understands that Freud is to psychoanalytic theory as Peplau is to:
1. Psychosocial theory.
2. Nursing theory.
3. Interpersonal theory.
4. Object relations theory. - answer 2
Nursing theorists have identified that the nurse-client relationship is central to the
practice of nursing. After studying these concepts of nursing theory, the nursing student
understands that Peplau is to the phases of the nurse-client relationship as Watson is
to:
1. Seven assumptions about the science of caring.
2. Cultural care diversity and universality.
3. Modeling and role modeling.
4. Human energy fields. - answer 1
After studying nursing interventions in the context of nursing theory, the nursing student
understands that Neuman is to primary, secondary, or tertiary prevention as Roy is to:
1. Activities needed to meet self-care demands and solve self-care deficits.
2. Assisting the client to examine and understand the meaning of life experiences.
3. Interventions that seek to alter or manage stimuli so that adaptive responses can
occur.
4. Interactions with versus for the client to achieve maximum potential. - answer 3
Which goal represents the cognitive-behavioral model according to Beck and Ellis?
1. Developing satisfactory relationships, maturity, and relative freedom from anxiety.
2. Substituting rational beliefs for irrational beliefs and eliminating self-defeating
behaviors.
3. Facing reality and developing standards for behaving responsibly.
4. Reducing bodily tensions and managing stress by biofeedback and relaxation
training. - answer 2
NURSING SUCCESS - CHAPTER 1
MENTAL HEALTH/MENTAL ILLNESS:
THEORETICAL CONCEPTS
Considering the many criteria for good mental health, the nursing student has been
instructed to list four of these criteria. The student's list consists of the following: (1) an
appropriate perception of reality, (2) the ability to accept oneself, (3) the ability to
establish relationships, (4) a need for detachment and the desire for privacy. How would
the nurse evaluate the nursing student's list?
1. Excellent. All the student's criteria are correct.
2. Good. Three out of the four criteria are correct.
3. Mediocre. Two out of the four criteria are correct.
4. Poor. All four of the criteria are incorrect. - answer 1
Which assessment is most important when evaluating signs and symptoms of mental
illness?
1. The decreased amount of creativity a client exhibits.
2. The inability to face problems within one's life.
3. The intensity of an emotional reaction.
4. The client's social and cultural norms. - answer 4
Which is an example of an interpersonal intervention for a client on an in-patient
psychiatric unit?
1. Assist the client to note common defense mechanisms used.
2. Discuss "acting out" behaviors, and assist the client in understanding why they occur.
3. Ask the client to use a journal to record thoughts he or she is having before acting-out
behaviors occur.
4. Ask the client to acknowledge one positive person in his or her life to assist the client
after discharge. - answer 4
Which is an example of appropriate psychosexual development?
1. An 18-month-old relieves anxiety by the use of a pacifier.
2. A 5-year-old boy focuses on relationships with other boys.
3. A 7-year-old girl identifies with her mother.
4. A 12-month-old begins learning about independence and control. - answer 1
In which client situation is ego development evident?
1. A client calls out in pain to get his or her needs met.
2. A client complains of poor self-esteem because of punishments from his or her past.
, PSYCHIATRIC/MENTAL HEALTH
NURSING SUCCESS - CHAPTER 1
MENTAL HEALTH/MENTAL ILLNESS:
THEORETICAL CONCEPTS
3. A client exhibits the ability to assert himself or herself without anger or aggression.
4. A client morally feels guilty about wanting to have sexual relations outside of
marriage. - answer 3
After studying the concepts of personality development, the nursing student
understands that Freud is to psychoanalytic theory as Peplau is to:
1. Psychosocial theory.
2. Nursing theory.
3. Interpersonal theory.
4. Object relations theory. - answer 2
Nursing theorists have identified that the nurse-client relationship is central to the
practice of nursing. After studying these concepts of nursing theory, the nursing student
understands that Peplau is to the phases of the nurse-client relationship as Watson is
to:
1. Seven assumptions about the science of caring.
2. Cultural care diversity and universality.
3. Modeling and role modeling.
4. Human energy fields. - answer 1
After studying nursing interventions in the context of nursing theory, the nursing student
understands that Neuman is to primary, secondary, or tertiary prevention as Roy is to:
1. Activities needed to meet self-care demands and solve self-care deficits.
2. Assisting the client to examine and understand the meaning of life experiences.
3. Interventions that seek to alter or manage stimuli so that adaptive responses can
occur.
4. Interactions with versus for the client to achieve maximum potential. - answer 3
Which goal represents the cognitive-behavioral model according to Beck and Ellis?
1. Developing satisfactory relationships, maturity, and relative freedom from anxiety.
2. Substituting rational beliefs for irrational beliefs and eliminating self-defeating
behaviors.
3. Facing reality and developing standards for behaving responsibly.
4. Reducing bodily tensions and managing stress by biofeedback and relaxation
training. - answer 2
