PSYCH CH 3
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?
Transference
The psychiatrist states that repressed memories in the client's unconscious are causing depression. This reasoning implies that the psychiatrist uses which theory?
Psychoanalytic theory
The nurse determines that Pavlov's theory of classical conditioning is demonstrated with which client behavior?
The client states "My stomach is growling" with the sound of the food cart in the hallway.
Aaron T. Beck is associated with ...
cognitive therapy.
The nurse is discussing discharge plans with a client. The client states "I am ready to go home and begin taking care of my household again." Which concept is the client demonstrating with this statement?
self-efficacy
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:
transference
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?
working
Which is the key common element in the various psychotherapeutic approaches?
An effective client-therapist relationship
A nurse has completed an assessment of a family and has identified the family's strengths. Which would the nurse be least likely to identify as a strength?
Rigid roles of family members
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
Which individual is most likely to benefit from brief cognitive therapy?
A college freshman who is experiencing intense anxiety in the days before the client's final exams
Which should be considered the fundamental principle of family therapy?
A family is a system of interrelated dependent relationships.
Which cognitive theorist conceptualized distorted cognitions as a basis for depression?
Aaron Beck
Cognitive techniques focus on the client's patterns of which type of thinking?
Automatic
Learned maladaptive behavior is a concept central to which theory of human behavior?
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
Which statement is inconsistent with the concept of milieu therapy, originally developed by Henry Stack Sullivan?
Clients work independently to solve day-to-day problems.
The working stage of group therapy is marked by which characteristic?
Conflict and cooperation among group members.
Which is one common mistake that people working in the helping professions do when applying theory to the therapeutic process?
Develop an overzealous commitment to one form of therapy, ignoring the benefits that other types of therapies may have for a given individual.
Interpersonal theorists, such as Harry Stack Sullivan, emphasize which tenet?
Interpersonal socialization of humans throughout their developmental stages
The nurse is explaining the hospital routines and expectations to a newly admitted client. The nurse also asks if the client has any questions surrounding the admission. Which stage is this according to Peplau's concept of the nurse-patient therapeutic relationship?
Orientation
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?
Group cohesiveness
From the standpoint of cognitive therapy, the term cognition refers to what?
How clients think about themselves and their world
Which phase of individual psychotherapy involves establishing mutual boundaries of the relationship between the client and the mental health nurse?
Introductory
To facilitate the understanding of a crisis, which intervention should the nurse employ?
Listen and assist the client to articulate his or her feelings
According to Maslow, an individual who has developed to the individual's fullest potential has achieved what level of his hierarchy?
Self-actualization
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?
Sigmund Freud
Which theorist developed the psychoanalytic theory?
Sigmund Freud
Which type of group therapy is organized to help members who share a common problem to cope with it?
Support
A client refuses to talk to anyone about the recent death of the client's mother. Which defense mechanism is this client using?
Suppression
The mental health nurse is helping a client learn more about the client's psychotropic medication. The nurse, in this instance, is functioning with which type of approach to nursing practice?
Teacher
The nurse is caring for a 4-year-old child during a well-child visit. According to the Sullivan's stages of development, which behavior would the nurse expect to find in this child?
The child performs actions to earn praise from parents.
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?
Trust and belonging
A basic function of psychiatric nurses is to implement a group that focuses on helping individuals coping with their illness. This refers to ...
a supportive therapy group.
The psychiatric nurse-therapist shows attention to the primary role of a group leader when:
anticipating that the group will need support in mastering new coping skills.
Ivan P. Pavlov is associated with the term ...
classical conditioning.
Which therapeutic factor refers to the group members' relationships to the therapist and other group members?
group cohesion
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?
information seeker
The primary purpose for generalist nurses to develop skills with psychosocial interventions is:
psychosocial interventions are needed in all nursing practice settings.
The nurse is demonstrating countertransference with a client with which behavior?
relating to the client because the client resembles a favorite cousin
