NURSE 345: Exam I Questions And Answers
1. 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 of the four criteria are correct
3. Mediocre. Two of the four criteria are correct
4. Poor. All four of the criteria are incorrect
1. Excellent. All the student's criteria are correct.
2. 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.
4. The client's social and cultural norms.
3. 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 and coping skills that
are being used.
2. Discuss the "acting-out" behaviors and assist the client in understanding why
they occur.
3. Ask the client 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
4. Ask the client to acknowledge one positive person in his or her life to assist the client
after discharge.
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.
1. An 18 month-old relieves anxiety by the use of a pacifier.
5. Which client situation is an example of normal ego development?
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.
,3. A client exhibits the ability to assert himself or herself without anger or
aggression.
4. A client feels guilty about wanting to have sexual relations outside of marriage.
3. A client exhibits the ability to assert himself or herself without anger or aggression.
6. 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
2. Nursing theory
7. Nursing theorists identify the nurse-client relationship as central to nursing
practice. After studying these concepts, 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
1. Seven assumptions about the science of caring.
8. 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 alter or manage stimuli so that adaptive responses can occur
4.Interactions with versus for the client to achieve maximum potential
3. Interventions that alter or manage stimuli so that adaptive responses can occur.
9. Which is the goal of the cognitive-behavioral theory 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
2. Substituting rational for irrational beliefs and eliminating self-defeating behaviors.
10. Which interaction is an example of dialogue that would be used in the context
of reality therapy?
1. Client: "I'm so anxious I can't sleep." Nurse: "I have a relaxation exercise I can
show you.
, "2. Client: "I was punished frequently by my mother, and can't do anything right."
Nurse: "Tell me about your feelings of anger.
"3. Client: "I can't sit still, I'm too anxious." Nurse: "Let's take a walk for a while.
"4. Client: "The stupid doctor revoked my pass for tomorrow." Nurse: "What did
you do that showed that you were not ready for a pass?"
4. Client: "The stupid doctor revoked my pass for tomorrow." Nurse: "What did you do
that showed that you were not ready for a pass?"
11. A 4 year-old child is unable to consider another child's ideas about playing
house. This situation is an example of which concept of Piaget's theory of
cognitive development
1. Object permanence
2.Reversibility and spatiality
3. Egocentrism
4. Formal operations
3. Egocentrism.
12. The statement "Growth involves resolution of critical tasks through the eight
stages of the life cycle" is a concept of which therapeutic model?
1. Interpersonal
2. Cognitive-behavioral
3. Interpersonal
4. Psychoanalytic
3. Intrapersonal
13. A 25-year-old client diagnosed with major depressive disorder remains in his
room and avoids others. According to Erikson, what describes this client's
developmental task assessment?
1. Stagnation
2. Despair
3. Isolation
4. Role confusion
3. Isolation
14. A 7-year-old boy is active in sports and has received a most-improved player
award at his baseball tournament. According to Erikson, which describes this
client's developmental task assessment?
1. Autonomy
2. Identity
3. Industry
4. Initiative
3. Industry
15. Which scenario describes an individual in Erikson's developmental stage of
"old age" exhibiting a negative outcome of despair?
1. A 60-year-old woman having difficulty taking care of her aged mother.
1. 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 of the four criteria are correct
3. Mediocre. Two of the four criteria are correct
4. Poor. All four of the criteria are incorrect
1. Excellent. All the student's criteria are correct.
2. 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.
4. The client's social and cultural norms.
3. 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 and coping skills that
are being used.
2. Discuss the "acting-out" behaviors and assist the client in understanding why
they occur.
3. Ask the client 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
4. Ask the client to acknowledge one positive person in his or her life to assist the client
after discharge.
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.
1. An 18 month-old relieves anxiety by the use of a pacifier.
5. Which client situation is an example of normal ego development?
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.
,3. A client exhibits the ability to assert himself or herself without anger or
aggression.
4. A client feels guilty about wanting to have sexual relations outside of marriage.
3. A client exhibits the ability to assert himself or herself without anger or aggression.
6. 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
2. Nursing theory
7. Nursing theorists identify the nurse-client relationship as central to nursing
practice. After studying these concepts, 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
1. Seven assumptions about the science of caring.
8. 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 alter or manage stimuli so that adaptive responses can occur
4.Interactions with versus for the client to achieve maximum potential
3. Interventions that alter or manage stimuli so that adaptive responses can occur.
9. Which is the goal of the cognitive-behavioral theory 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
2. Substituting rational for irrational beliefs and eliminating self-defeating behaviors.
10. Which interaction is an example of dialogue that would be used in the context
of reality therapy?
1. Client: "I'm so anxious I can't sleep." Nurse: "I have a relaxation exercise I can
show you.
, "2. Client: "I was punished frequently by my mother, and can't do anything right."
Nurse: "Tell me about your feelings of anger.
"3. Client: "I can't sit still, I'm too anxious." Nurse: "Let's take a walk for a while.
"4. Client: "The stupid doctor revoked my pass for tomorrow." Nurse: "What did
you do that showed that you were not ready for a pass?"
4. Client: "The stupid doctor revoked my pass for tomorrow." Nurse: "What did you do
that showed that you were not ready for a pass?"
11. A 4 year-old child is unable to consider another child's ideas about playing
house. This situation is an example of which concept of Piaget's theory of
cognitive development
1. Object permanence
2.Reversibility and spatiality
3. Egocentrism
4. Formal operations
3. Egocentrism.
12. The statement "Growth involves resolution of critical tasks through the eight
stages of the life cycle" is a concept of which therapeutic model?
1. Interpersonal
2. Cognitive-behavioral
3. Interpersonal
4. Psychoanalytic
3. Intrapersonal
13. A 25-year-old client diagnosed with major depressive disorder remains in his
room and avoids others. According to Erikson, what describes this client's
developmental task assessment?
1. Stagnation
2. Despair
3. Isolation
4. Role confusion
3. Isolation
14. A 7-year-old boy is active in sports and has received a most-improved player
award at his baseball tournament. According to Erikson, which describes this
client's developmental task assessment?
1. Autonomy
2. Identity
3. Industry
4. Initiative
3. Industry
15. Which scenario describes an individual in Erikson's developmental stage of
"old age" exhibiting a negative outcome of despair?
1. A 60-year-old woman having difficulty taking care of her aged mother.
