Mental Health Chapter 2 Practice Questions

Role-playing is associated with which type of psychotherapy? A. Psychoanalysis B. Modeling C .Operant conditioning D.Systematic desensitization

B

When discussing therapy options, the nurse should provide information about interpersonal therapy to which pt? Select all that apply. A. The teenager who is the focus of bullying @ school B. The older women who just lost her life partner to cancer C. The young adult who has begun demonstrating hoarding behaviors D. The adolescent demonstrating aggressive verbal and physical tendencies E. The middle-aged adult who recently discovered her partner has been unfaithful

A, B, E

A cognitive therapist would help a client restructure the thought "I am stupid!" to which statement? A."What I did was stupid." B. "I am not as smart as others." C."Things usually go wrong for me." D."Things like this should not happen to anyone."

A

A male pt reports to the nurse " I'm told I have memories of childhood abuse stored in my unconscious mind. I want to work in this." Based on the statement, which information should the nurse provide this pt? A. To seek the help of a trained therapist to help uncover and deal with the trauma associated w/ those memories B. How to use defense mechanism such as suppression so that the memories will be less threatening C. Psycho-dynamic therapy will allow the surfacing of those unconscious memories to occur in just a few seconds D. Group sessions are valuable to identify underlying being suppressed themes of the memories being suppressed

A

According to Maslow's hierarchy of needs, the most basic needs category for nurses to address is A. Physiological B. Safety C. Love and belonging D. Self-actualization

A

In an outpatient psychiatric clinic, a nurse notices that a newly admitted young male pt smiles when he sees her. One day the young man tells the nurse, "You are pretty like my mother" the nurse recognizes that the male is exhibiting? A. Transference B. Id expression C. Countertrasfernce D. A cognitive distortion

A

The nurse is working with a client experiencing depression stemming from low self-esteem. The client is distrustful of unit staff and "just wants to go home." Initially what is the nurse's priority? A. Making the client feel physically and emotionally safe B. Teaching the client effective coping skills C. Identifying the client's positive traits D. Focusing on preparing the client for a speedy discharge

A

What is the premise underlying behavioral therapy? A.Behavior is learned and can be modified. B. Behavior is a product of unconscious drives. C. Motives must change before behavior changes. D.Behavior is determined by cognitions; change in cognitions produces new behavior

A

Which nursing intervention demonstrates the theory behind operant conditioning? A. Rewarding the client with a token for avoiding an argument with another client B. Showing the client how to be assertive without being aggressive C. Demonstrating deep breathing techniques to a group of clients D. Explaining to the client the consequences of not following unit rules

A

Freud believed that individuals cope with anxiety by implementing which mechanism? A. The superego B. Defense mechanisms C. Security operations D.Cognitive distortions

B

A client states, "I will always be alone because nobody could ever love me." The nurse recognizes that the client is expressing what cognitive-behavioral concept? A. Emotional consequence B. Schema C. Actualization D. Aversion

B

Consider both Sullivan's term security operations and Freud's term defense mechanisms. Which statement suggests that the client's specialized treatment goal has been successfully met? A. "I really think I can succeed in school now." B. "I'm experiencing much less anxiety about school now." C. "Going back to school is hard and I'll need support." D. "I know that I'm not the only person who has a difficult time in school."

B

The nurse is caring for an adult client who experienced severe physical abuse from the age of 2 through 12. What information should the nurse provide the client concerning the function of the "id" and the ability to function as an adult? A. It has control over the emotional frustration felt as an adult. B. It is the source of one's survival instincts. C. It is severely damaged by abuse experienced before the age of 5 years. D. It provides an individual with the ability to differentiate believed and real experiences.

B

Using Maslow's model of needs, the nurse providing care for an anxious client identifies which intervention as being a priority? A. Assessing the client's ability to fulfill appropriate developmental level tasks B. Assessing the client for strengths upon which a nurse-client relationship can be based C.Planning one-on-one time to assist in identifying the fears trigger the client's anxiety D. Evaluating the client's ability to learn and retain essential information regarding their current condition

B

Which question should the nurse ask when assessing for what Sullivan's Interpersonal Theory identifies as the most painful human condition? A. "Is self-esteem important to you?" B. "Do you think of yourself as being lonely?" C. "What do you do to manage your anxiety?" D. "Have you ever been diagnosed w/ depression?"

B

Which theorist is associated with behavioral therapy? A. Freud B. Skinner C. Sullivan D. Peplau

B

A nurse is providing care to a 28-year-old patient diagnosed with bipolar disorder who was admitted in a manic state. According to Maslow's Hierarchy of Needs theory, the nurse should identify which patient symptom as having priority? A. Rapid, pressured speech B. Grandiose thoughts C.Lack of sleep D.Hyperactive behavior

C

A pt is telling a tearful story, The nurse listens empathically and responds therapeutically with: A. "The next time you find yourself in a similar situation please call me B. I am sorry this situation made you feel so badly. Would you like some tea? C. Let's devise a plan on how you will react next time in a similar situation D. I am sorry that your friend was so thoughtless. You should be treated better.

C

According to Freud, a client experiencing dysfunction of the conscious as part of the mind will have problems with which aspect of memory? A. Recent memory B. Long-term memory C. All memories D. Painful memories

C

How does Harry Stack Sullivan's Interpersonal Theory view anxiety? A. An emotional experience felt after the age of 5 years. B.A sign of guilt in adults. C. A painful emotion arising from social insecurity. D. The result of trying to go beyond experiences of guilt and pain

C

The nurse is planning care for a 14-year-old. The nurse demonstrates an understanding of the developmental task appropriate for this client by providing which experience? A. Spending one-on-one time with staff to establish trust B. Providing them with the opportunity to select which unit activities they will participate in to gain autonomy C. Encouraging them to talk about their school plans to help achieve identity D. Assign them to help clean up the dayroom to develop a sense of industry

C

When considering the suggestions of Peplau, which activity should the nurse regularly engage in to ensure that the pt stays the focus of all therapeutic conversations? A. Assessing the pt for unexpected concerns and fears B. Evaluating the possible need for additional training and education C. Reflecting on personal behaviors and personal needs D. Avoiding power struggles w/ the manipulative pt

C

A nurse expresses an exclusive belief in the biological model for mental illness when stating "it's the only one I really believe." What conclusion should be drawn from this statement? A.The biological model is the oldest and most reliable model for explaining mental illness. B.The biological model has been proven to be successful in finding the cause of most symptoms of mental illness. C.The biological model is the most popular theory among leading psychiatrists and therefore the one that should be fully embraced. D.In believing only in the biological model, other influences on mental health including cultural, environmental, social, and spiritual influences are not taken into account

D

A nurse is assessing a pt who graduated @ the top of his class but now obsess about being incompetent in his new job. The nurse recognizes that his pt may benefit from the following type of psychotherapy: A. Interpersonal B. Operant conditioning C. Behavioral D. Cognitive-behavioral

D

Linda is terrified of spiders and cannot explain why. Because she lives in a wooded area, she would like to overcome this fear. Her nurse practitioner suggests which therapy? A. Behavioral B. Biofeedback C. Aversion D. Systematic desensitization

D

The nurse providing anticipatory operant conditioning guidance to the mother of a toddler should advise that childhood temper tantrums are best handled by which intervention? A. Giving the child what he/she is asking for B. Scolding the child when he/she displays tantrum behaviors C.Spanking the child at the onset of the tantrum behaviors D. Ignoring the tantrum and giving attention when the child acts appropriately

D

Which action reflect therapeutic practices associated w/ operant conditioning? A. Encouraging a parent to read to their children to foster a love for learning B. Encouraging a pt to make daily journal entries describing their feelings C. Suggesting to a new mother that she spend time cuddling her newborn often during the day D. Acknowledge a pt who is often verbally aggressive for complimenting a picture another pt drew

D

Which client problem would be most suited to the use of interpersonal therapy? A. Disturbed sensory perception B. Impaired sensory perception C. Medication noncompliance D. Dysfunctional grieving

D