Chapter 2 psych

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? Actualization Aversion Schema Emotional consequence

Schema *look into Beck's theory*

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? "I'm experiencing much less anxiety about school now." "I know that I'm not the only person who has a difficult time in school." "Going back to school is hard and I'll need support." "I really think I can succeed in school now."

"I'm experiencing much less anxiety about school now." Both Sullivan and Freud coined terms to mean actions that individuals do that are an attempt to reduce anxiety. The terms to do not refer to activities that increase self-esteem. Security operations and defense mechanisms are not conscious and therefore do not increase self-awareness. These terms do not refer to reducing cognitive distortions.

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

"What I did was stupid."

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

A painful emotion arising from social insecurity

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

All memories

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? Scolding the child when he/she displays tantrum behaviors Ignoring the tantrum and giving attention when the child acts appropriately Giving the child what he/she is asking for Spanking the child at the onset of the tantrum behaviors

Ignoring the tantrum and giving attention when the child acts appropriately

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

Rewarding the client with a token for avoiding an argument with another client

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

Behavior is learned and can be modified.

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

Assessing the client for strengths upon which a nurse-client relationship can be based

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

Defense mechanisms

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

Dysfunctional grieving

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? Spending one-on-one time with staff to establish trust Assign them to help clean up the dayroom to develop a sense of industry Encouraging them to talk about their school plans to help achieve identity Providing them with the opportunity to select which unit activities they will participate in to gain autonomy

Encouraging them to talk about their school plans to help achieve identity

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? The biological model has been proven to be successful in finding the cause of most symptoms of mental illness. In believing only in the biological model, other influences on mental health including cultural, environmental, social, and spiritual influences are not taken into account. The biological model is the most popular theory among leading psychiatrists and therefore the one that should be fully embraced. The biological model is the oldest and most reliable model for explaining mental illness.

In believing only in the biological model, other influences on mental health including cultural, environmental, social, and spiritual influences are not taken into account.

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

Lack of sleep

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? It provides an individual with the ability to differentiate believed and real experiences. It has control over the emotional frustration felt as an adult. It is severely damaged by abuse experienced before the age of 5 years. It is the source of one's survival instincts.

It is the source of one's survival instincts.

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? Making the client feel physically and emotionally safe Teaching the client effective coping skills Identifying the client's positive traits Focusing on preparing the client for a speedy discharge

Making the client feel physically and emotionally safe

Role-playing is associated with which type of psychotherapy? Systematic desensitization Operant conditioning Psychoanalysis Modeling

Modeling

Which theorist is associated with behavioral therapy? Sullivan Peplau Skinner Freud

Skinner