Chapter 03: Theories and Therapies
Quiz by Elizabeth Johnson
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25 questions
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- Q1A 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."Some undesirable attitudes are developing. A child psychologist can help you
develop a remedial plan.”
"This is normal for your child's age. The child is striving for independence.""The child needs firmer control. Punish the child for disobedience and say, No!""There may be developmental problems. Most children are toilet trained by age 2 years."300s - Q2A 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?OralPhallicGenitalAnal30s
- Q3A 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?Industry versus InferiorityAutonomy versus Shame and DoubtInitiative versus GuiltTrust versus Mistrust30s
- Q4A 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:id.superego.preconscious.ego.30s
- Q5The 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 what part of the child's personality?EgoPreconsciousIdSuperego30s
- Q6A 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 ego ideal will most likely result?AwarenessHonestySelf-esteemCuriosity30s
- Q7A 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?Trust versus MistrustGenerativity versus Self-AbsorptionInitiative versus GuiltAutonomy versus Shame and Doubt30s
- Q8Which patient statement would lead a nurse to suspect that the developmental task of infancy was not successfully completed?"I have very warm and close friendships.""I'm ashamed that I didn't do it correctly in the first place.""I'm afraid to let anyone really get to know me.""I am always right and confident about my decisions."30s
- Q9A nurse assesses that a patient is suspicious and frequently manipulates others. Using the Freudian theory, these traits are related to which psychosexual stage?AnalOralPhallicGenital30s
- Q10An adult expresses the wish to be taken care of and often behaves in a helpless fashion. This adult has needs related to which of Freud's stages of psychosexual development?LatencyPhallicOralAnal30s
- Q11A nurse listens to a group of recent retirees. One says, "I volunteer with Meals on Wheels, coach teen sports, and do church visitation." Another laughs and says, "I'm too busy taking care of myself to volunteer. I don't have time to help others." These comments contrast which developmental tasks?Trust versus MistrustGenerativity versus Self-AbsorptionIntimacy versus IsolationIndustry versus Inferiority30s
- Q12Cognitive behavioral therapy was provided for a patient who frequently said, "I'm stupid." Which statement by the patient indicates the therapy was effective?"I always fail when I try new things.""I'm disappointed in my lack of ability.""Sometimes I do stupid things.""Things always go wrong for me."30s
- Q13A student nurse tells the instructor, "I don't need to interact with my patients. I learn what I need to know by observation." The instructor can best interpret the nursing implications of Sullivan's theory by providing what response?"Observing patient interactions can help you formulate priority nursing diagnoses and appropriate interventions.""Nurses cannot be isolated. We must interact to provide patients with opportunities to practice interpersonal skills.""Noting patient behavioral changes is important because these signify changes in personality.""I wonder how accurate your assessment of the patient's needs can be if you do not interact with the patient."30s
- Q14A psychiatric technician says, "Little of what takes place on the behavioral health unit seems to be theory based." A nurse educates the technician by identifying which common use of Sullivan's theory?Structure of the therapeutic milieu of most behavioral health unitsAssessment tools based on age-appropriate versus arrested behaviorsUse of the nursing process to determine the best sequence for nursing actionsFrequent use of restraint and seclusion for behavior modification30s
- Q15A nurse uses Maslow's hierarchy of needs to plan care for a psychotic patient. Which problem will receive priority?Reports feelings of alienation from family.Needs to be taught about medication action and side effects.Is reluctant to participate in unit social activities.Refuses to eat or bathe.30s