Psych ch 3 Qs

A nurse is meeting with a therapy group for the first time. The nurse notes that members are silent and fidgety. Which statement by the nurse would be best in this situation? "I notice there is a lot of silence and some discomfort. This is pretty common in new groups and is perfectly OK. Who would like to share how they feel right now?" "We have 1 hour. It's OK if we spend the hour in silence." "I feel uncomfortable with this silence. How do all of you feel about it?" "I notice everyone is quiet. Bob, would you like to tell us what's on your mind today?"

"I notice there is a lot of silence and some discomfort. This is pretty common in new groups and is perfectly OK. Who would like to share how they feel right now?"

Which individual is most likely to benefit from brief cognitive therapy? A hospitalized client who has a diagnosis of schizophrenia, paranoid type A client who has been diagnosed with anorexia nervosa A college freshman who is experiencing intense anxiety in the days before the client's final exams A client with major depression who is scheduled to begin electroconvulsive therapy

A college freshman who is experiencing intense anxiety in the days before the client's final exams

What is a group that has structure and authority known as? A secondary group A formal group A primary group An informal group

A formal group

In which phase of Freud's developmental stage does toilet training occur? Anal Oral Latency Genital

Anal =Toilet training occurs in the anal stage, which occurs between 18 and 36 months of age.

The working stage of group therapy is marked by which characteristic? Conflict and cooperation among group members. Therapists' tendency to "back off" to allow the group to work. Members' propensity to leave the group. Group members' concern about confidentiality issues.

Conflict and cooperation among group members.

In a group therapy session, group members confront a 35-year-old client about the client's abuse of prescription pain medications. The client states, "The doctor prescribed me these pills, that doesn't make me a drug addict." The nurse identifies this as an example of which defense mechanism? Sublimation Denial Regression Projection

Denial

Which is one common mistake that people working in the helping professions do when applying theory to the therapeutic process? Develop an overzealous commitment to one form of therapy, ignoring the benefits that other types of therapies may have for a given individual. Give medications along with psychotherapy. Deny access to care by restricting clients to only one form of therapy. Provide a biological approach to helping with psychiatric disorders by giving several medications at one time.

Develop an overzealous commitment to one form of therapy, ignoring the benefits that other types of therapies may have for a given individual.

The emergence of nursing theories has had a positive, direct impact on client care through which channels? Client satisfaction Advancing nursing as a profession Helping to contain client care costs Evidence-based nursing practice

Evidence-based nursing practice

A psychologist chose the profession because the psychologist was inspired by an aunt who was a successful psychologist. Which of Freud's ego defense mechanisms is this indicative of? Identification Displacement Denial Compensation

Identification

A nurse is preparing to assess a family. The nurse best adopts the view of the family unit as a system by using which approach? Educating the sick client with methods to maintain independence Fostering emotional support for each family member Identifying strengths and problem areas within the family structure Focusing on each individual member's health problems

Identifying strengths and problem areas within the family structure

Which indicates that the nurse, acting as a leader for a group of recovering clients with alcohol abuse, is addressing the responsibility of maintaining the group's process? Deciding how often the group will meet Selecting individuals for membership in the group Keeping the group on task by restating goals Determining that the group's format will be closed

Keeping the group on task by restating goals

A client refuses to talk to anyone about the recent death of the client's mother. Which defense mechanism is this client using? Sublimation Displacement Intellectualization Suppression

Suppression

When assessing a client from a Freudian developmental perspective, the nurse determines that the client is functioning in the latency stage based on which behavior? The client is beginning to develop inner control over aggressive impulses. The client frequently bites the other children at preschool. The client has developed the capacity for object relations. The client has not yet developed adequate bowel control

The client is beginning to develop inner control over aggressive impulses.

While assessing a client, the nurse notes the client is functioning at the fourth level according to Maslow's hierarchy of needs. Which observation of the client led the nurse to conclude this? The client longs to have validation for success and accomplishments. The client wants to be able to disclose the client's sexuality openly. The client feels unsafe in the new city. The client is extremely hungry.

The client longs to have validation for success and accomplishments. =According to Maslow's hierarchy of needs, the fourth level involves the need related to esteem needs, which includes the need for self-esteem and respect from others. Hunger and sexual expression are captured within the first level of Maslow's hierarchy of needs. Feeling unsafe indicates the client is functioning on the second level and is focused on security needs.

The significance of the use of praise in the therapeutic relationship between the psychiatric nurse and the school-aged client is particularly important for which reason? The nurse is subject to developing countertransference issues with the client The client needs to relate to the nurse as a surrogate parent A client's ability to express oneself is limited by the stage of development The client takes pleasure in individual accomplishments and develops confidence

The client takes pleasure in individual accomplishments and develops confidence

A client is using cognitive therapy as an adjunct treatment for bipolar disorder. Which would be an overall goal for this client related to the use of cognitive therapy for this condition? The client will relinquish all control. The client will continue to have sessions with the therapist once a week for life. The client will engage in self-care independent of professional assistance. The client will no longer have to take medication.

The client will engage in self-care independent of professional assistance.

Which are two of the most important reasons that nurses utilize theories in their approach to helping clients with psychiatric disorders? Theories help to give a basis for giving certain types of medications and they also give specific examples of how to help each client. Theories are the basis for reimbursement of health care costs, and they also drive providers' economic motivations for seeking health care. Theories give the nurse examples of how to intervene with clients and also provide criteria for health care reimbursement. Theories provide knowledge expansion in the field, and they are a way of incorporating known findings into a framework for understanding clients.

Theories provide knowledge expansion in the field, and they are a way of incorporating known findings into a framework for understanding clients.

The following statements are heard in a group: "You can't say that because you don't really know me." "I wonder if the therapist is going to leave?" and "I'm not sure whether or not I can really talk freely." These best reflect which group theme? Fear for safety Guilt and punishment Trust and belonging Loss and abandonment

Trust and belonging

Ivan P. Pavlov is associated with the term ... field theory. classical conditioning. behaviorism. principle of recency.

classical conditioning.

While working with an older male client, a nurse begins to think of the client as a grandfather and responds to the client as a grandchild. The nurse is developing what type of emotional reaction? modeling countertransference transference empathy

countertransference