Exam 1 Practice Questions Set 2, NUFT 349 Exam 1
Practice Questions Set 3 includes ch 1, 2, 3 of Varcarolis and
ch 1,7,8 of ATI Questions With Complete Solutions
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 Eriksons
psychosocial crises?
a. Trust versus Mistrust
b. Initiative versus Guilt
c. Industry versus Inferiority
d. Autonomy versus Shame and Doubt Correct Answer 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.
A 26-month-old child displays negative behavior, refuses toilet
training, and often shouts, "No!" when given directions. Using
Freuds stages of psychosexual development, a nurse would
assess the childs behavior is based on which stage?
,a. Oral
b. Anal
c. Phallic
d. Genital Correct Answer ANS: B
In Freuds 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.
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 nurses
best reply.
a. This is normal for your childs 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. Correct
Answer ANS: A
These negative behaviors are typical of a child around the age of
2 years whose developmental task is to develop autonomy. The
incorrect options indicate the childs behavior is abnormal.
,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. Correct Answer 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 parents wrath. The superego
would oppose the impulsive behavior as not nice. The
preconscious is a level of awareness
A 40-year-old adult living with parents states, "I'm happy but I
don't socialize much. My work is routine. When new things
come up, my boss explains them a few times to make sure I
understand. At home, my parents make decisions for me, and I
go along with them." A nurse should identify interventions to
improve this patients:
a. self-concept.
b. overall happiness.
c. appraisal of reality.
d. control over behavior. Correct Answer ANS: A
, The patient feels the need for multiple explanations of new tasks
at work and, despite being 40 years of age, allows both parents
to make all decisions. These behaviors indicate a poorly
developed self-concept. Although the patient reports being
happy, the subsequent comments refute that self-appraisal. The
patients comments do not indicate that he/she is out of touch
with reality. The patients needs are broader than control over
own behavior.
A basic level registered nurse works with patients in a
community setting. Which groups should this nurse expect to
lead? Select all that apply.
a. Symptom management
b. Medication education
c. Family therapy
d. Psychotherapy
e. Self-care Correct Answer ANS: A, B, E
Symptom management, medication education, and self-care
groups represent psychoeducation, a service provided by the
basic level registered nurse. Advanced practice registered nurses
provide family therapy and psychotherapy.
A bill introduced in Congress would reduce funding for the care
of people diagnosed with mental illnesses. A group of nurses
write letters to their elected representatives in opposition to the
legislation. Which role have the nurses fulfilled?
a. Advocacy
b. Attending