Chapter 3

Calling the client by name and spending time with the client are examples of what? Positive regard Values Empathy Acceptance

Positive regard

The nurse is working with a client who is grieving over the death of a parent. Which concept is the nurse demonstrating when stating to the client, "I know how sad I was when I lost my parent"? operant behavior object relations transference empathy

empathy

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

Compensation

Which is an advantage of group therapy over individual therapy for a client with a borderline personality disorder? Individual therapy is too easily manipulated by such clients Individual theory makes countertransference an extremely likely outcome when such a client is involved Group theory provides such clients with the personal attention they crave Group therapy provides the client with relationship opportunities upon which to test behavior modifications

Group therapy provides the client with relationship opportunities upon which to test behavior modifications

Which psychotherapy pioneer introduced the term parataxis? B. F. Skinner Carl Rogers Sigmund Freud Harry Stack Sullivan

Harry Stack Sullivan

When focusing on the primary goal of crisis therapy, a psychiatric nurse counsels a single mother who is recovering from a suicide attempt to help her achieve which goal? Help regain confidence in her pervious ability to cope with the stress of being a single parent Rely more on her extended family's offer to act as a support system Help her identify reliable, affordable help with her childcare needs Comply with her prescribed therapies including the use of an antidepressant

Help regain confidence in her pervious ability to cope with the stress of being a single parent

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 Denial Compensation Displacement

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 Focusing on each individual member's health problems Identifying strengths and problem areas within the family structure

Identifying strengths and problem areas within the family structure

A nurse is planning an educational program for families with a mentally ill relative. Which goal is consistent with the current objectives of family education? Improved family quality of life Improved medication compliance Fewer hospital admissions Increased independence with activities of daily living

Improved family quality of life

Which phase of individual psychotherapy involves establishing mutual boundaries of the relationship between the client and the mental health nurse? Working Introductory Termination Resolution

Introductory

Which is an example of group cohesiveness? Monopolizing the therapy session Using a member as a scapegoat Members wearing T-shirts that they made to a group session Discussing a client's personal issues in front of other group members

Members wearing T-shirts that they made to a group session

Nursing students are learning about the stages of Freud's psychosexual model. Place the stages in the correct sequence, from first to last. Phallic stage Oral stage Genital stage Anal stage Latency stage

Oral stage Anal stage Phallic stage Latency stage Genital stage

A nurse working in a psychiatric facility identifies the goal of cognitive therapy (CT) to be what? Help the person maintain all thoughts and behaviors. Restructure how a person perceives events. Change events in a person's life. Redirect all events in a person's life.

Restructure how a person perceives events.

The nurse is caring for a client postoperatively who has recently experienced a family member's death. The nurse is demonstrating empathetic linkage with the client with which action? Offering to help the client with picking out meal selections for the next day. Telling the client that it is normal to feel sad when someone has died. Asking the client about whether a support system is available after discharge. Explaining to the client that pain medication will be administered soon.

Telling the client that it is normal to feel sad when someone has died.

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

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? countertransference empathy transference modeling

countertransference

A nurse is reading a journal article that reviews the various theories of human behavior and mental illness. One of the theories described states that all human beings have the potential for goodness and that therapy helps clients explore their own ability to develop self-worth. The nurse is reading about which theory? humanistic theory sociocultural theory interpersonal theory psychoanalytic theory

humanistic theory

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? recorder information seeker standard setter coordinator

information seeker

When describing the influence of Harry Stack Sullivan on psychiatric-mental health nursing, which would an instructor address as a major concept? unconditional positive regard harmony between the individual and society collective unconscious interpersonal relations

interpersonal relations

The nurse is assessing a pediatric client who states "I want to be just like my Dad." The nurse determines this is an example of which concept? modeling self-efficacy transference countertransference

modeling

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 ... relationships are more easily established in the group. it can offer the best treatment outcomes. new members can join the group at any time. the topics for the group can be controlled.

new members can join the group at any time.

A person was supposed to meet a friend at a local theater to see a movie. The friend never showed up. The person's initial thought was, "My friend didn't come because my friend doesn't like me." This automatic thought was most likely inferred from which irrational belief? "I'm sure she just got confused and thought we were going to a different movie." "I'm so forgetful and confused sometimes; I probably wrote down the wrong time." "I'm worthless, so no one could really want to be my friend." "Movies are a waste of time and money anyway."

"I'm worthless, so no one could really want to be my friend."

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 shorter each year." "The context of practice has changed considerably over the years for psychiatric nurses." "Solution-focused approaches have been effective with hospitalized people experiencing delusions." "Lengths of stay for clients in inpatient settings are becoming longer each year."

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

Cognitive interventions are based on the concept of cognition. Who developed cognitive behavioral therapy? Insoo Kim Berg Albert Ellis Steven DeShazer Aaron Beck

Aaron Beck

The "ABCD" approach, used in rational-emotive therapy, includes the following four components: Allowing new behaviors; brainstorming; counseling; deviation assessment. Anonymity; belief; confidentiality; dogma. Activating stimulus; identify how to fill the 'blank' about an automatic thought; disproportionate response; disputation of maladaptive beliefs. Assessment of behavior; behavior itself; conditioning new behavior; developing consistency.

Activating stimulus; identify how to fill the 'blank' about an automatic thought; disproportionate response; disputation of maladaptive beliefs.

Which is the key common element in the various psychotherapeutic approaches? The underlying origin of the clients' issues The therapist's ability to manage the clients' symptoms The clients' history of therapeutic success in the past An effective client-therapist relationship

An effective client-therapist relationship

The nurse explains to the client that extra television time will be awarded based on appropriate behavior during group therapy. Which theorist's concepts is the nurse utilizing? B. F. Skinner's operant conditioning Melanie Klein's play therapy Frederick Perl's Gestalt therapy Erik Erikson's psychosocial development

B. F. Skinner's operant conditioning

The client's parents have begun a program of therapy that includes giving the client a token each time the client follows directions. Which theoretical framework provides the background for such a program? Systems theory Psychodynamic theory Token economy theory Behavioral theory

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 Follower Dominator Gatekeeper

Blocker

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? Psychoanalytic therapy Group therapy Humanistic therapy Cognitive therapy

Cognitive therapy

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

Conflict and cooperation among group members.

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? Reaction formation Countertransference Transference Free association

Countertransference

A client in a psychiatric clinic has a history of two distinct personality states. The client is also unable to remember important personal information. What is the client likely to be suffering from? Derealization disorder Acute stress disorder Dissociative identity disorder Dissociative amnesia

Dissociative identity disorder

A client has recently joined a group and presented a scenario in which the client ran out of funds to pay the rent this month. The therapist states, "Has anyone else in the group had this experience? Can you share any ideas about how you resolved this situation when it happened to you?" The therapist's intervention utilizes which theory to intervene? Reeducational group Problem-solving group Personality reconstruction group Psychoanalysis group

Problem-solving group

A psychiatric-mental health nurse is providing care for a client who lives in the community. Which precondition is necessary before Peplau's interpersonal theory becomes an accurate framework for the nurse's practice? Cultural similarity between the nurse and the client The client's acknowledgment of the inadequacy of the client's coping skills Successful treatment of the mental health condition in the past Prolonged contact between the nurse and the client

Prolonged contact between the nurse and the client

The psychiatrist states that repressed memories in the client's unconscious are causing depression. This reasoning implies that the psychiatrist uses which theory? Behavioral theory Psychoanalytic theory The humanistic perspective Cognitive-behavioral theory

Psychoanalytic theory

The psychiatrist states that repressed memories in the client's unconscious are causing depression. This reasoning implies that the psychiatrist uses which theory? The humanistic perspective Psychoanalytic theory Cognitive-behavioral theory Behavioral theory

Psychoanalytic theory

A group of psychiatric-mental health nurses are reviewing information about different theorists who have played a role in shaping pyschiatric-mental health nursing practice. The group demonstrates understanding of the information when they identify which theorist as proposing that adult sexuality is an end product of a complex process of development that begins in early childhood and involves a variety of body functions or areas that correspond to stages of relationships, especially with parents? B. F. Skinner Erik Erikson Harry Stack Sullivan Sigmund Freud

Sigmund Freud

Which theorist developed the psychoanalytic theory? Harry Stack Sullivan Sigmund Freud B. F. Skinner Erik Erikson

Sigmund Freud

A client is engaging in conscious resistance to the psychiatric unit's rules when the client does what? Telephoning the client's mother during exercise group session because "that's when I'm sure she's home." Asking "Why do the lights have to be out by 11 p.m.?" Stating that "all the food here makes me gag." Stating that, "I don't make my bed at home and I'm not making it here."

Stating that, "I don't make my bed at home and I'm not making it here."

Which defense mechanism is being used when a student decides not to think about a parent's illness but to rather concentrate on studying for an upcoming test? Suppression Projection Introjection Substitution

Suppression

The client has a longstanding history of depression. A psychoanalytic theorist might say what about the client? When the client exhibits depressive symptoms, the client has always been taken care of by a spouse until the client is less depressed. The client's depression is a result of a poor family upbringing, living in a hostile environment growing up, and frequently seeing violent fighting in the client's neighborhood. The client has seen the client's mother being depressed and has learned that this is one way to receive attention. The client may be unconsciously repressing feelings of anger that arise due to early childhood abuse experiences, and these feelings emerge as depression.

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

The nurse determines that Pavlov's theory of classical conditioning is demonstrated with which client behavior? The client states "I can't stop crying every time I think about the death of my mother." The client states "I need my pain medication" when the physical therapist comes for therapy. The client states "My stomach is growling" with the sound of the food cart in the hallway. The client states "I think my doctor is out in the hallway talking with my family members."

The client states "My stomach is growling" with the sound of the food cart in the hallway.

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? 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 needs to relate to the nurse as a surrogate parent The nurse is subject to developing countertransference issues with the client

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 no longer have to take medication. The client will engage in self-care independent of professional assistance. 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 primary purpose for generalist nurses to develop skills with psychosocial interventions is: nurses will be consulted to assist in the care of psychiatric clients in acute care settings. psychosocial interventions are included on the nursing licensure examinations. there are a growing number of nursing practice opportunities in mental health settings. psychosocial interventions are needed in all nursing practice settings.

psychosocial interventions are needed in all nursing practice settings.

The nurse is demonstrating countertransference with a client with which behavior? maintaining a professional demeanor with the client discussing the client's behavior with a family member explaining to the client that it is normal for the client to feel attachment relating to the client because the client resembles a favorite cousin

relating to the client because the client resembles a favorite cousin