Mental Health Prep U chapter 3

The nurse conducts a family assessment. Which question assesses the use of informal networks?

"Are there any extended family members in the area who can assist your parents?"

What action by the psychiatric mental health nurse best demonstrates the behaviorist theories of B. F. Skinner?

Offering to take a client for an outside smoke break if the client agrees to eat a nutritious meal at the scheduled meal time

Learned maladaptive behavior is a concept central to which theory of human behavior?

behavioral theory

The nurse has been asked to sit in and observe a support group for individuals who were once addicted to drugs. The nurse notices that one group member disagrees with statements made by all other group members. What role is this individual playing in the group?

blocker

An instructor is teaching a class about the use of cognitive therapies in psychiatric nursing. Which statement made by a student identifies a need for further instruction?

"Lengths of stay for clients in inpatient settings are becoming longer each year."

A nurse regularly volunteers to work double shifts in order to impress the nursing supervisor. This is an example of which defense mechanism?

Compensation

A group of nursing students is reviewing information about Freud's personality structure. The students demonstrate understanding of this information when they identify the ability to form mutually satisfying relationships as a function of what element of personality?

Ego

A nurse is applying principles of cognitive behavioral therapy (CBT) in the treatment of a client with depression. Which intervention is an example of CBT?

Encouraging the client to identify destructive thoughts and practice mindfulness

The nurse observes an elderly client teaching an adolescent how to crochet a pot holder. The nurse evaluates this behavior as evidence of resolution of Erickson's developmental stage of what?

Generativity vs. stagnation

Which group role is best reflected by the client who consistently validates members' contributions, tries to be the "mediator" between members, and interprets the group's procedures?

Group building and maintenance

Which group characteristic is lacking in the following statement: "Our group never talks about really emotional issues. I mean, no one ever cries."

Group cohesiveness

In group, Client 1 talks about how stressful and important Client 1's job is. Client 2 comments that Client 1 seems to think Client 1 is "better than the rest of us." Client 3 supports Client 1's comment and says Client 3 doesn't understand why everyone wants Client 1 to "break down and cry." This dynamic illustrates what?

Group process

Which theorist viewed interpersonal relations as a basis of human development and behavior?

Harry Stack Sullivan

Interpersonal theorists, such as Harry Stack Sullivan, emphasize which tenet?

Interpersonal socialization of humans throughout their developmental stages

Which nursing theory focuses on the nurse-client relationship and development of problem-solving skills?

Interpersonal theory

In the Freudian model, which is true regarding the id?

It is formed by unconscious desires and primitive instincts.

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?

Keeping the group on task by restating goals

To facilitate the understanding of a crisis, which intervention should the nurse employ?

Listen and assist the client to articulate his or her feelings

One particular member of a medication group always seeks out the nurse for one-on-one conversation before each meeting and during scheduled breaks during meetings. What should be the nurse's initial response?

Make a point of engaging with other group members before and after meetings and during breaks.

A 55-year-old client is being treated for narcissistic personality disorder. The therapist shows caring and appropriate regard for the client. The therapist's behavior is an example of which concept of behavior theory?

Modeling

Nursing students are learning about the stages of Freud's psychosexual model. Place the stages in the correct sequence, from first to last.

Oral stage Anal stage Phallic stage Latency stage Genital stage

Calling the client by name and spending time with the client are examples of what?

Positive regard

A psychiatric mental health nurse is applying Erikson's theory of psychosocial development in the care of a young adult client. What outcome should the nurse identify to best address the developmental conflict that this client is experiencing at this age?

The client demonstrates new interpersonal skills to promote the development of intimate relationships

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 has a longstanding history of depression. A psychoanalytic theorist might say what about the client?

The client may be unconsciously repressing feelings of anger that arise due to early childhood abuse experiences, and these feelings emerge as depression.

A basic function of psychiatric nurses is to implement a group that focuses on helping individuals coping with their illness. This refers to ...

a supportive therapy group.

In which phase of Freud's developmental stage does toilet training occur?

anal

Ivan P. Pavlov is associated with the term ...

classical conditioning

The nurse is assessing a family seeking mental health services for their 15-year-old child. To determine the subgroups in the family, the nurse would focus the assessment on which area?

communication patterns.

For Freud, the therapist's emotional reactions to the client based on personal unconscious needs and conflicts is termed ...

countertransference.

Many families take years to understand that a member is mentally ill and identify the warning signs of relapse. During this period, they try to normalize puzzling behaviors. This is called ...

denial

Two staff nurses in a psychiatric emergency department are being considered for a promotion that will be announced via memo on a unit bulletin board. They work in a collaborative team environment, have been colleagues for 15 years, and socialize outside work. Nurse A hears from a third colleague that Nurse B was promoted. Nurse A goes into the staff coffee room and slams several cupboard doors. A custodian enters and remarks, "You seem pretty upset." Nurse A replies, "I am not at all upset." In this instance, Nurse A is probably using:

denial

Which is an overarching treatment goal for the client who is prescribed cognitive behavioral therapy (CBT) for the treatment of depression?

engaging in self-care

A nurse is performing discharge planning for a client who will be returning home to live with family members. Which concept will be most important for the nurse in considering client needs?

family dynamics

A 35-year old client states to the nurse "I need to get better so I can go back to work and take care of my family." The nurse recognizes that the client is in which stage of Erickson's development?

generativity versus stagnation

Which therapeutic factor refers to the group members' relationships to the therapist and other group members?

group cohesion

Within a group, facilitating verbal and nonverbal communication to meet treatment goals individually and with the entire group refers to the ...

group leader.

Which intervention(s) is appropriate for the nurse to include in the plan of care for a client who is participating in rational emotive behavior therapy (REBT)? Select all that apply.

humor role-playing desensitization

While participating in a group therapy session, one group member consistently asks for clarification of the topic the group is discussing. The nurse leading the group interprets this behavior as reflecting which group role?

information seeker

The nurse is beginning a group counseling session with an open group system. The nurse should explain to the group members that one advantage of an open group system is that ...

new members can join the group at any time.

Health promotion and health maintenance interventions related to psychiatric-mental health nursing include what?

Teaching stress-reduction techniques

Against her wishes, a 14-year-old daughter has accompanied her parents to a family therapy session. Ongoing marital problems had prompted the parents to seek weekly counseling, though this is the first time that their daughter has attended. Which of the nurse-therapist's statements provides the best rationale for the daughter's attendance at this therapy session?

"Even though your parents started coming for help because of their relationship with each other, a problem in one part of the family affects everyone in the family."

A nurse working in a psychiatric facility identifies the goal of cognitive therapy (CT) to be what?

Restructure how a person perceives events.

The nurse is responsible for leading a group that focuses on medication management. Which nurse response uses the technique of support?

"We really appreciate that you shared that medication side effect with us."

Cognitive interventions are based on the concept of cognition. Who developed cognitive behavioral therapy?

Aaron Beck

Which cognitive theorist conceptualized distorted cognitions as a basis for depression?

Aaron Beck

Which is the key common element in the various psychotherapeutic approaches?

An effective client-therapist relationship

Which developmental conflict correlates with the toddler, according to Erikson's eight stages of man?

Autonomy vs. shame and doubt

The nurse is working with a client seeking treatment for bulimia and determines that cognitive restructuring will help build the client's self-esteem. Which best describes the goals of cognitive restructuring?

Change distorted thinking and the subsequent behaviors

A nurse demonstrates a sound understanding of the use of ego defense mechanisms by providing which explanation?

Can be either a therapeutic or a pathological way to manage stress

A nurse working on a psychiatric unit is helping clients to understand how individual perceptions determine a person's response or behavior in stressful situations. Which therapeutic approach is the nurse employing?

Cognitive therapy

The nurse therapist is setting goals for a family in therapy. One goal is for the family to adopt a healthy family structure. Which would be an appropriate outcome criterion for this goal?

Conflicts are resolved in a rational manner

A psychiatric nurse who was sexually assaulted by a tall, blonde man finds herself becoming severely anxious whenever a man with those characteristics is admitted to the unit. Which symptom is the nurse is exhibiting?

Countertransference

The nurse has a client who reminds the nurse of the nurse's sister, with whom the nurse has a close and positive relationship. This phenomenon is best characterized by which term?

Countertransference

The concept that irrational beliefs lead to negative emotions underlies which psychotherapeutic approach?

Rational emotive behavior therapy

Based on the theory of transference, if a client's childhood experiences teach the client to mistrust authority figures, the client will do what as an adult?

Resist advice given by the mental health care professionals

Which theorist developed the psychoanalytic theory?

Sigmund Freud

According to psychoanalytic theory, matters of right and wrong are controlled by the conscious. What term does Freud use to identify the conscious?

Superego

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 client takes pleasure in individual accomplishments and develops confidence

A client has completed treatment for an addiction to prescription pain medications. As part of the client's therapy, the family participates in a family therapy program. Which reason would best explain the need for a family system approach to therapy?

The dynamics of the entire family have and will continue to shift to accommodate a change.

Which is accurate regarding growth inhibiting individual roles of group members?

They detract from group functioning

A client is undergoing individual psychotherapy. The client is yelling at the therapist because of a fight with the client's spouse about their children several years ago. In this instance, the client is exhibiting which response?

Transference

The nurse conducts a family assessment. Which is the nurse's priority question?

What coping mechanisms are used to deal with stressors?"

What is the most basic need, according to Maslow's hierarchy of needs?

physiological

The nurse is demonstrating countertransference with a client with which behavior?

relating to the client because the client resembles a favorite cousin

It is evident that a client has entered Piaget's stage of formal operations when the client ...

speaks about a recent ballad as being reflective of the client's life story.

The nurse is caring for a group of clients and recognizes which client is acting from the id portion of personality according to Sigmund Freud?

the client who is sexually promiscuous

The nurse is considering a client's hierarchy of needs according to Maslow's theory. Place the needs of a client in order from basic to higher level.

the client's need for food, sleep, and exercise the client's need to feel safe in the environment the client's need for family involvement the client's need for a positive self-image

When a therapist is interviewing a client diagnosed with depression, the client's feelings toward the client's parents as a child are being directed at the therapist. This is an example of:

transference.

A group is trying to handle issues related to dominance, control, and power within the group. In what stage of group development is this group?

working