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Week Two Exam 1 CH 2

Quiz by Brittany

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29 questions
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  • Q1
    A parent says, “My 2-year-old child refuses toilet training and shouts ‘No!’ when given directions. 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 plan.”
    “There may be developmental problems. Most children are toilet trained by age 2.”
    This is normal for your child’s age. The child is striving for independence.”
    Your child needs firmer control. It is important to set limits now.”
    120s
  • Q2
    A 26-month-old displays negative behavior, refuses toilet training, and often says, “No!” Which stage of psychosexual development is evident?
    Oral
    Genital
    Anal
    Phallic
    120s
  • Q3
    A 26-month-old displays negative behavior, refuses toilet training, and often says, “No!” Which psychosocial crisis is evident?
    Industry versus inferiority
    Autonomy versus shame and doubt
    Initiative versus guilt
    Trust versus mistrust
    120s
  • Q4
    A 4-year-old grabs toys from siblings and says, “I want that now!” The siblings cry, and the child’s parent becomes upset with the behavior. According to Freudian theory, this behavior is a product of impulses originating in which system of the personality?
    Ego
    Id
    Preconscious
    Superego
    120s
  • Q5
    . The parent of a 4-year-old rewards and praises the child for helping a younger sibling, being polite, and using good manners. The nurse supports this use of praise related to these behaviors. These qualities are likely to be internalized and become part of which system of the personality?
    Preconscious
    Ego
    Id
    Superego
    120s
  • Q6
    A nurse supports a parent for praising a child behaving in a helpful way. When this child behaves with politeness and helpfulness in adulthood, which feeling will most likely result?
    Self-esteem
    Humility
    Anxiety
    Guilt
    120s
  • Q7
    An adult says, “I never know the answers,” and “My opinion doesn’t count.” Which psychosocial crisis was unsuccessfully resolved for this adult?
    Autonomy versus shame and doubt
    Trust versus mistrust
    Generativity versus self-absorption
    Initiative versus guilt
    120s
  • Q8
    . Which patient statement would lead the nurse to suspect unsuccessful completion of the developmental task of infancy?
    I’m always absolutely right, so don’t bother saying more.”
    I’m ashamed that I didn’t do things correctly in the first place.”
    I have very warm and close friendships.”
    I’m afraid to allow anyone to really get to know me.”
    120s
  • Q9
    A patient is suspicious and frequently manipulates others. To which psychosexual stage do these traits relate?
    Anal
    Phallic
    Genital
    Oral
    120s
  • Q10
    A patient expresses a desire to be cared for by others and often behaves in a helpless fashion. Which stage of psychosexual development is most relevant to the patient’s needs?
    Phallic
    Anal
    Latency
    Oral
    120s
  • Q11
    . A 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 to help others.” Which developmental task do these statements contrast?
    Industry and inferiority
    Intimacy and isolation
    Generativity and self-absorption
    Trust and mistrust
    120s
  • Q12
    Although ego defense mechanisms and security operations are mainly unconscious and designed to relieve anxiety, the major difference is that:
    defense mechanisms are intrapsychic and not observable.
    security operations are masterminded by the id and superego.
    defense mechanisms cause arrested personal development.
    security operations address interpersonal relationship activities
    120s
  • Q13
    A student nurse says, “I don’t need to interact with my patients. I learn what I need to know by observation.” An instructor can best interpret the nursing implications of Sullivan’s theory to this student by responding:
    Interactions are required in order to help you develop therapeutic communication skills.”
    Observing patient interactions will 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.”
    It is important to pay attention to patients’ behavioral changes, because these signify adjustments in personality.”
    120s
  • Q14
    A nurse consistently encourages patient to do his or her own activities of daily living (ADLs). If the patient is unable to complete an activity, the nurse helps until the patient is once again independent. This nurse’s practice is most influenced by which theorist
    Patricia Benner
    Dorothea Orem
    Joyce Travelbee
    Betty Neuman
    120s
  • Q15
    A nurse uses Maslow’s hierarchy of needs to plan care for a patient with mental illness. Which problem will receive priority? The patient:
    is reluctant to participate in unit social activities.
    is unaware of medication action and side effects.
    refuses to eat or bathe.
    reports feelings of alienation from family.
    120s

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