MH Prep U Ch. 3

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? A. Group building and maintenance B. Group cohesion C. Individual D. Task

A. Group building and maintenance

Which theorist viewed interpersonal relations as a basis of human development and behavior? A. Harry Stack Sullivan B. Frederick Perls C. Abraham Maslow D. B. F. Skinner

A. Harry Stack Sullivan

From the standpoint of cognitive therapy, the term cognition refers to what? A. How clients think about themselves and their world B. Faulty thought patterns that result in abnormal behavior C. An idea D. Dysfunctional ways of responding to situations

A. How clients think about themselves and their world

Which nursing theory focuses on the nurse-client relationship and development of problem-solving skills? A. Interpersonal theory B. Behavioral nursing theory C. Theory of human becoming D. Adaptation theory

A. Interpersonal theory

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

A. Introductory

What is the most basic need, according to Maslow's hierarchy of needs? A. Physiological B. Love and belonging C. Safety and security D. Self-actualization

A. Physiological

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

A. Restructure how a person perceives events.

Which action reflects group development in the initial stage? A. Seeking similarities B. Engaging in conflicts C. Evaluating the group experience D. Focusing on group accomplishments

A. Seeking similarities

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

A. Sigmund Freud

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

A. 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? A. Suppression B. Projection C. Substitution D. Introjection

A. Suppression

A mental health nurse is discussing the potential adverse effects of electroconvulsive therapy (ECT). According to Peplau's interpersonal theory, the nurse is functioning in which nursing role? A. Teacher B. Resource person C. Leader D. Stranger

A. Teacher

While assessing a client, the nurse notes the client is functioning at the fourth level according to Maslow's hierarchy of needs. Which observation of the client led the nurse to conclude this? A. The client wants to be able to disclose the client's sexuality openly. B. The client longs to have validation for success and accomplishments. C. The client feels unsafe in the new city. D. The client is extremely hungry.

B. The client longs to have validation for success and accomplishments.

What best describes the use of psychotherapy as a mental health intervention? A. used for clients with Axis I disorders B. bringing about a change in feelings, attitudes, thinking, and behavior C. a type of psychoanalysis D. a form of behavior therapy that includes behavior modification

B. bringing about a change in feelings, attitudes, thinking, and behavior

The nurse conducts a family assessment. Which question assesses the use of informal networks? A. "Does your mother receive an aide as part of her home health care?" B. "Has anyone in your family considered joining Al-Anon?" C. "Are there any extended family members in the area who can assist your parents?" D. "Who is your father's primary health care practitioner?"

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

In terms of Maslow's hierarchy of need, families living in poverty may be focused more on which type of needs rather than self-actualization? A. Safety B. Esteem C. Security D. Survival

D. Survival

Which action by the group leader demonstrates effective leadership? A. Encouraging participation by all members B. Conducting meetings based on personality attributes C. Using autocratic leadership strategies D. Firmly disciplining negative behavior

A. Encouraging participation by all members

Which stage of cognitive development is being achieved when a child demonstrates the ability to think and reason in abstract terms? A. Formal operations B. Concrete operations C. Preoperational D. Sensorimotor

A. Formal operations

Which statement would indicate that the group is in the working phase of development? A. "I don't understand why Mary doesn't see my point of view, and frankly it really irritates me when she does that!" B. "Let's go around the circle and tell one thing that you enjoy doing." C. "I'm not sure what we are supposed to be talking about." D. "What have you learned, and how will you take this out into your life?"

A. "I don't understand why Mary doesn't see my point of view, and frankly it really irritates me when she does that!"

Individual psychotherapy consists of three phases. Which statement by the group therapist would reflect that the group is in the working phase of therapy? A. "James, when Shane speaks, it seems you become angry and tend to withdraw." B. "Shane has asked the group if it is acceptable that he be 5 minutes late to each group session because of his job." C. "We will be meeting once each week for 90 minutes here at this office." D. "Each of you has shared ideas and thoughts about your personal development. This has been a difficult process, and you have all grown tremendously."

A. "James, when Shane speaks, it seems you become angry and tend to withdraw."

A nurse is integrating Peplau's model when providing care to a client with a mental illness. Which would the nurse identify as a key component? A. Anxiety B. Nonverbal behaviors C. Suffering D. Self-care

A. Anxiety

Which developmental conflict correlates with the toddler, according to Erikson's eight stages of man? A. Autonomy vs. shame and doubt B. Initiative vs. guilt C. Industry vs. inferiority D. Basic trust vs. mistrust

A. Autonomy vs. shame and doubt

Client 1 has been talking to Client 2 about Client 2's frequent denial in the group for two weeks. On the third week, Client 2 comes late to the group. When they begin to discuss Client 2's lateness, Client 2 gets up and leaves. The content of this exchange is the discussion. The process that is occurring may be that ... A. Client 2 is angry with Client 1 for the confrontation. B. the group leader is not meeting Client 1's dependency needs. C. Client 1 is taking out individual frustrations. D. other group members are not very strong.

A. Client 2 is angry with Client 1 for the confrontation.

Which statement is inconsistent with the concept of milieu therapy, originally developed by Henry Stack Sullivan? A. Clients work independently to solve day-to-day problems. B. The therapy enables clients to give one another feedback about behavior. C. The therapy includes the practice of interpersonal relationship skills. D. The therapy incorporates a safe, therapeutic setting.

A. Clients work independently to solve day-to-day problems.

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? A. Cognitive therapy B. Psychoanalytic therapy C. Humanistic therapy D. Group therapy

A. Cognitive therapy

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? A. Countertransference B. Conscious resistance C. Unconscious resistance D. Transference

A. Countertransference

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? A. Ego B. Id C. Defense mechanisms D. Unconscious

A. Ego

Calling the client by name and spending time with the client are examples of what? A. Empathy B. Acceptance C. Positive regard D. Values

C. Positive regard

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. The client takes pleasure in individual accomplishments and develops confidence B. The client needs to relate to the nurse as a surrogate parent C. A client's ability to express oneself is limited by the stage of development D. The nurse is subject to developing countertransference issues with the client

A. 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? A. The client will engage in self-care independent of professional assistance. B. The client will continue to have sessions with the therapist once a week for life. C. The client will relinquish all control. D. The client will no longer have to take medication.

A. The client will engage in self-care independent of professional assistance.

A 15-year-old client has been cutting the client's forearms in recent months, a pattern of behavior that has had far-reaching consequences for all the members of the client's family. The client and the client's family are scheduled to begin therapy with a nurse-therapist who utilizes a behaviorist approach. Which aspect of this situation will the nurse-therapist most likely emphasize? A. The perceived benefits that the client receives from the behavior B. Unconscious factors that may influence the family's response to the client C. The disruption to family systems that the client's behavior causes D. The underlying motives for the client's behavior

A. The perceived benefits that the client receives from the behavior

Which are two of the most important reasons that nurses utilize theories in their approach to helping clients with psychiatric disorders? A. Theories provide knowledge expansion in the field, and they are a way of incorporating known findings into a framework for understanding clients. B. Theories give the nurse examples of how to intervene with clients and also provide criteria for health care reimbursement. C. Theories help to give a basis for giving certain types of medications and they also give specific examples of how to help each client. D. Theories are the basis for reimbursement of health care costs, and they also drive providers' economic motivations for seeking health care.

A. Theories provide knowledge expansion in the field, and they are a way of incorporating known findings into a framework for understanding clients.

The most superficial and accessible levels of cognition and generally the first to be targeted in treatment are ... A. automatic thoughts. B. cognitive schema. C. intermediate beliefs. D. core beliefs.

A. automatic thoughts.

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: A. denial. B. compensation. C. repression. D. reaction formation.

A. denial.

The nurse leader of a group observes a group member attempting to stimulate the group to action or decision. The nurse interprets this member as fulfilling which role? A. energizer B. coordinator C. orienter D. recorder

A. energizer

Which family intervention can be implemented by the generalist psychiatric-mental health nurse? Select all that apply. A. use of genograms B. supportive therapy C. education and health teaching D. prescriptions for medication E. individual counseling

A. use of genograms B. supportive therapy C. education and health teaching E. individual counseling

What is a group that has structure and authority known as? A. A secondary group B. A formal group C. A primary group D. An informal group

B. A formal group

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? A. Token economy theory B. Behavioral theory C. Psychodynamic theory D. Systems theory

B. Behavioral theory

A nurse demonstrates a sound understanding of the use of ego defense mechanisms by providing which explanation? A. Are often symptomatic of moderate to severe mental illness B. Can be either a therapeutic or a pathological way to manage stress C. Should be used only when faced with severe stressors D. Are substitutes for effective coping skills

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

Which treatment modality explains the presence of emotions like sadness, anxiety and anger? A. Behavioral therapy B. Cognitive therapy C. Motivational therapy D. Classic psychoanalysis

B. Cognitive therapy

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? A. Rely more on her extended family's offer to act as a support system B. Help regain confidence in her pervious ability to cope with the stress of being a single parent C. Comply with her prescribed therapies including the use of an antidepressant D. Help her identify reliable, affordable help with her childcare needs

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

A 22-year-old client states, "I just don't know who I am." Which stage of development, according to Erikson, would the client have had difficulty completing? A. Autonomy vs. shame and doubt B. Identity vs. identity diffusion C. Basic trust vs. mistrust D. Industry vs. inferiority

B. Identity vs. identity diffusion

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? A. Shaping B. Modeling C. Conditioning D. Discrimination

B. Modeling

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

B. Psychoanalytic theory

All except which are therapeutic factors identified by Yalom? A. Altruism B. Regulation C. Existentialism D. Universality

B. Regulation

Which action reflects group development in the initial stage? A. Engaging in conflicts B. Seeking similarities C. Evaluating the group experience D. Focusing on group accomplishments

B. Seeking similarities

A student nurse does not want to think about the upcoming final exam. The student nurse will start studying for the exam tomorrow. The student nurse is exhibiting which type of defense mechanism? A. Regression B. Suppression C. Denial D. Conversion

B. Suppression

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: A. reaction formation. B. denial. C. compensation. D. repression.

B. denial.

The employee health nurse is responsible for planning group sessions for health promotion. Which topic(s) is appropriate to address with the formation of a large group? Select all that apply. A. surviving sexual assault B. eating healthy C. smoking cessation D. moving past eating disorders E. using meditation

B. eating healthy C. smoking cessation E. using meditation

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"? A. transference B. empathy C. object relations D. operant behavior

B. empathy

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

B. new members can join the group at any time.

A client expresses a parataxic perception when she ... insists on sitting next to a particular staff member, because A. "He reminds me of my dead father." B. refuses to attend group sessions led by male clinicians stating, "Men think they're smarter than me." C. asks for the music to be turned up "so no one can hear my thoughts." D. reports, "I'm hearing voices but I know they aren't really real."

B. refuses to attend group sessions led by male clinicians stating, "Men think they're smarter than me."

It is evident that a client has entered Piaget's stage of formal operations when the client ... A. talks about humans being homo sapiens. B. speaks about a recent ballad as being reflective of the client's life story. C. expresses sadness about the loss of the client's dog. D. can sleep through the night without having enuresis.

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

The nurse provides care for a client who is hospitalized in an acute inpatient psychiatric setting. The client experiences hallucinations. Which is the best approach to include in this client's plan of care? A. the use of journaling about medication side effects B. the use of solution-focused therapy C. a diary that focuses on the client's diagnosis D. a written assignment focusing on group processes

B. the use of solution-focused therapy

A group has formed and is going through the phases of group development. The nurse leading the group determines that the group is in which phase when the group realizes its purpose? A. pre-interaction B. working C. beginning D. termination

B. working

Degree of agreement between the leader's norms and the group's norms, ability to deal with members' infractions, and conformity to group norms are characteristics of what kind of groups? A. Secondary groups B. Primary groups C. All groups D. Formal groups

C. All groups

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

C. An effective client-therapist relationship

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? A. Avoid negative self-talk B. Use adaptive defense mechanisms C. Change distorted thinking and the subsequent behaviors D. Find a sounding board for identifying and discussing feelings

C. Change distorted thinking and the subsequent behaviors

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? A. Acute stress disorder B. Derealization disorder C. Dissociative identity disorder D. Dissociative amnesia

C. Dissociative identity disorder

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? A. Encouraging the client to review the past and focus on strengths and accomplishments B. Rewarding the client with five tokens for attending group therapy C. Encouraging the client to identify destructive thoughts and practice mindfulness D. Fostering hope by encouraging a focus on abilities rather than problems

C. Encouraging the client to identify destructive thoughts and practice mindfulness

When the psychiatric nurse is aware of the cultural beliefs of a client diagnosed with bipolar disorder, the therapeutic process is most enhanced by what? A. Showing the client that the nurse is truly interested in the client as a person B. Facilitating the nurse's ability to effectively empathize with the client C. Facilitating the nurse's understanding of how these beliefs affect the client's perception of the disorder D. Strengthening the therapeutic nature of the nurse-client relationship through mutual respect

C. Facilitating the nurse's understanding of how these beliefs affect the client's perception of the disorder

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? A. Individual B Group cohesion C. Group building and maintenance D. Task

C. Group building and maintenance

Which nursing theorist was opposed to the idea that the client passively receives treatment? A. Dorothea Orem B. Madeleine Leininger C. Hildegard Peplau D. Sister Callista Roy

C. Hildegard Peplau

One of the most valuable applications of group therapy is to allow group members to gain an understanding concerning what personal aspect? A. Decreasing the cost of their acute mental health services B. Allowing other group members to realize that they often distort their own problems out of proportion. C. Interacting with others and receiving feedback on how others perceive and react to the client D. Helping others learn how to solve their problems

C. Interacting with others and receiving feedback on how others perceive and react to the client

Interpersonal theorists, such as Harry Stack Sullivan, emphasize which tenet? A. The existence of the id, ego, and superego B. Alleviating symptoms by utilizing biological tools, such as medicines C. Interpersonal socialization of humans throughout their developmental stages D. The importance of conditioning responses in working with people

C. Interpersonal socialization of humans throughout their developmental stages

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? A. B. F. Skinner B. Erik Erikson C. Sigmund Freud D. Harry Stack Sullivan

C. Sigmund Freud

Health promotion and health maintenance interventions related to psychiatric-mental health nursing include what? A. Removing stress-inducing stimuli from the client's environment B. Instructing clients about medication side effects C. Teaching stress-reduction techniques D. Ensuring clients are taking their medications

C. Teaching stress-reduction techniques

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? A. Offering to help the client with picking out meal selections for the next day. B. Asking the client about whether a support system is available after discharge. C. Telling the client that it is normal to feel sad when someone has died. D. Explaining to the client that pain medication will be administered soon.

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

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? A. The client describes a greater appreciation for the value of hard work and prolonged effort B. The client shows an increased ability to delay gratification C. The client demonstrates new interpersonal skills to promote the development of intimate relationships D. The client demonstrates increased autonomy and independence in the client's decision-making

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

Which is accurate regarding growth inhibiting individual roles of group members? A. They meet the goals of the group B. They foster group cohesion C. They detract from group functioning D. They enhance the group's purpose

C. They detract from group functioning

Why are the developmental theories important to nursing practice? A. They describe how parts work together as a system. B. They define human adaptation to others and to the environment. C. They outline the process of human growth and development. D. They explain the importance of legal and ethical care.

C. They outline the process of human growth and development.

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? A. Parataxis B. Countertransference C. Transference D. Resistance

C. Transference

A basic function of psychiatric nurses is to implement a group that focuses on helping individuals coping with their illness. This refers to ... A. an interactive group. B. a psychoeducational group. C. a supportive therapy group. D. a cognitive behavior therapy group.

C. a supportive therapy group.

The psychiatric nurse-therapist shows attention to the primary role of a group leader when: A. agreeing to reschedule the weekly meetings when the group suggests a more acceptable time. B. seeking an opinion on a matter involving other group members. C. anticipating that the group will need support in mastering new coping skills. D. encouraging a client to continue healthy coping behaviors.

C. anticipating that the group will need support in mastering new coping skills.

The nurse leads a small group that is discussing the impact of eating disorders on everyday life. Which action does the nurse implement as the group recorder? A. stimulating the group to action B. offering the group facts or generalizations C. documenting group suggestions D. defining group position in relation to goals

C. documenting group suggestions

Which is an overarching treatment goal for the client who is prescribed cognitive behavioral therapy (CBT) for the treatment of depression? A. determining what happened in the past B. taking prescribed medications C. engaging in self-care D. relying on professional assistance

C. 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? A. modeling B. transference C. family dynamics D. formal support system

C. family dynamics

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

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

The nurse provides care for a client who is participating in rational emotive behavioral therapy (REBT). Which client response indicates an accurate understanding of the primary emphasis of REBT? A. "I am the only one who can exacerbate my irritational thinking." B. "My activating event must be one that actually occurred." C. "We will work on medication adherence, as this is my primary issue." D. "We will work on changing my irrational beliefs into reasonable thoughts."

D. "We will work on changing my irrational beliefs into reasonable thoughts."

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

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

A nurse therapist feels sad after sessions with a client. The client's passiveness reminds the nurse of a family member who led a very unhappy life. What is the term for this emotional dynamic? A. Reaction formation B. Transference C. Free association D. Countertransference

D. 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? A. Reaction formation B. Transference C. Free association D. Countertransference

D. Countertransference

While working with an older client, a nurse begins to think of the client as a grandparent and responds to the client as a grandchild. The nurse is developing what type of emotional reaction? A. Empathy B. Modeling C. Transference D. Countertransference

D. Countertransference

A psychiatric-mental health nurse is leading a group. The nurse identifies that the several group members are assuming individual roles within the group. The nurse understands that individual roles in group dynamics have which effect on group functioning? A. Encourage the contributions of others B. Enhance group functioning C. Have no effect on group functioning D. Disrupt group functioning

D. Disrupt group functioning

Several members of a self-help group are making T-shirts for the group to wear in a parade. This is an example of which element of group therapy? A. Catharsis B. Universality C. Altruism D. Group cohesiveness

D. Group cohesiveness

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

D. Harry Stack Sullivan

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? A. Standard setter B. Recorder C. Coordinator D. Information seeker

D. Information seeker

When describing the influence of Harry Stack Sullivan on psychiatric-mental health nursing, which would an instructor address as a major concept? A. Harmony between the individual and society B. Unconditional positive regard C. Collective unconscious D. Interpersonal relations

D. Interpersonal relations

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

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

A newly admitted client has joined an anger management group as part of treatment in the hospital. Which type of group would be appropriate for this client? A. Cohesion B. Dyad C. Closed D. Open

D. Open

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? A. Psychoanalysis group B. Personality reconstruction group C. Reeducational group D. Problem-solving group

D. Problem-solving group

The concept that irrational beliefs lead to negative emotions underlies which psychotherapeutic approach? A. Choice therapy B. Gestalt therapy C. Solution-focused therapy D. Rational emotive behavior therapy

D. Rational emotive behavior therapy

The nurse is providing hygiene care for a 70-year-old client in a nursing home who states that the client does not like the physician. Later, when the physician enters the room, the nurse notes that the client is very friendly with the physician, complimenting the physician's care. Which defense mechanism is this client displaying? A. Projection B. Rationalization C. Displacement D. Reaction-formation

D. Reaction-formation

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? A. The client frequently bites the other children at preschool. B. The client has not yet developed adequate bowel control. C. The client has developed the capacity for object relations. D. The client is beginning to develop inner control over aggressive impulses.

D. The client is beginning to develop inner control over aggressive impulses.

The following statements are heard in a group: "You can't say that because you don't really know me." "I wonder if the therapist is going to leave?" and "I'm not sure whether or not I can really talk freely." These best reflect which group theme? A. Guilt and punishment B. Fear for safety C. Loss and abandonment D. Trust and belonging

D. Trust and belonging

According to Yalom (2005), there are 11 therapeutic factors through which changes occur in group psychotherapy. Which factor correlates with learning to give to others? A. universality B. catharsis C. group cohesiveness D. altruism

D. altruism

For Freud, the therapist's emotional reactions to the client based on personal unconscious needs and conflicts is termed ... A. interpersonal relations. B. transference. C. situational conflict. D. countertransference.

D. countertransference.

Within a group, facilitating verbal and nonverbal communication to meet treatment goals individually and with the entire group refers to the ... A. gatekeeper. B. maintenance role. C. individual role. D. group leader.

D. group leader.

The primary purpose for generalist nurses to develop skills with psychosocial interventions is: A. there are a growing number of nursing practice opportunities in mental health settings. B. psychosocial interventions are included on the nursing licensure examinations. C. nurses will be consulted to assist in the care of psychiatric clients in acute care settings. D. psychosocial interventions are needed in all nursing practice settings.

D. psychosocial interventions are needed in all nursing practice settings.

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: A. psychoanalysis. B. countertransference. C. object relations. D. transference.

D. transference.