Varcarolis Chapter 2
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."
How does Harry Stack Sullivan Interpersonal Theory view anxiety?
A painful emotion arising from social insecurity
A cognitive therapist would help a client restructure the thought "I am stupid!" to which statement?
"What I did was stupid"
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
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 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
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
Which nursing intervention demonstrates the theory behind operant conditioning?
Rewarding the client with a token for avoiding an argument with another client
Which client problem would be most suited to the use of interpersonal therapy?
Dysfunctional grieving
Role-playing is associated with which type of psychotherapy?
Modeling
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 nurses priority?
making the client feel physically and emotionally safe
What is the premise underlying behavioral therapy?
Behavior is learned and can be modified
Freud believed that individuals cope with anxiety by implementing which mechanism?
Defense mechanisms
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.
A nurse is providing care to a 28-year-old patient diagnosed with bipolar disorder who 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
The nurse is caring for an adult client who experienced severe physical abuse from 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 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
Which theorist is associated with behavioral therapy?
Skinner
