Mental Health Nursing Chapter 2

Freud's personality structure that is the moral component and perfection principle.

Superego

The last portion of the personality to develop, represents the moral component of personality

Superego

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

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

Five stages of Freud's psychosexual stages of development

Oral (0-1) Anal (1-3) Phallic (3-6) Latency (6-12) Genital (12 and beyond)

Part of the brain that contains material that can be retrieved rather easily through conscious effort

Preconscious

Which nursing intervention demonstrates the theory behind operant conditioning?

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

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?

Schema

Father of psychoanalysis

Sigmund Freud

Which theorist is associated with behavioral therapy?

Skinner

Personality is behavior that can be observed during interpersonal relationships. The purpose of all behavior is to get needs met through interpersonal interactions and to reduce or avoid anxiety

Sullivan;s Interpersonal Theory

Part of the brain that includes all repressed memories, passions, and unacceptable urges lying deep below the surface.

Unconscious

Feelings that the patient has toward health care workers that were originally held toward significant others in his or her life

Transference

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. "I'm experiencing much less anxiety about school now."

Personality continues to develop through the lifespan and each stage increases in complexity

Erikson's Ego Therapy

Role-playing is associated with which type of psychotherapy?

Modeling

How does Harry Stack Sullivan's Interpersonal Theory view anxiety?

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?

All memories

What is the premise underlying behavioral therapy?

Behavior is learned and can be modified.

Part of the mind that contains all the material a person is aware of at any one time, including perceptions, memories, thoughts, fantasies, and feelings

Conscious

What are the levels of awareness according to Freud?

Conscious, preconscious, and unconscious

Unconscious feelings that the health care worker has toward the patient

Countertransference

Freud's personality structure that is the problem solver and reality principle.

Ego

The problem solver and reality tester

Ego

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?

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

Defenses used to ward off anxiety by preventing conscious awareness of threatening feelings

Defense mechanisms

Freud believed that individuals cope with anxiety by implementing which mechanism?

Defense mechanisms

Which client problem would be most suited to the use of interpersonal therapy?

Dysfunctional grieving

Determined that mental health disorders were the result of hidden issues from childhood. Created the idea of "talk therapy".

Freud

Freud's personality structure that is the pleasure principle, reflex action, and primary process.

Id

Source of all drive, instincts, reflexes, needs, genetic inheritance, and capacity to respond, as well as all the wishes that motivate us

Id

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?

Ignoring the tantrum and giving attention when the child acts appropriately

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?

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 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 is the source of one's survival instincts

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?

Lack of sleep

A cognitive therapist would help a client restructure the thought "I am stupid!" to which statement?

What I did was stupid