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Chapter 7: Psychosocial Theoretic Basis of Psychiatric Nursing
Terms in this set (39)
A client who had a stroke is experiencing left-sided paralysis. The client has become increasingly depressed because of this inability to complete all his ADLs by himself. This inability is considered a self-care deficit according to which nursing theory?
Orem's Behavioral Nursing Theory
The nurse is working with a client who has a history of inflicting spousal abuse. Although the nurse does not condone domestic violence, the nurse treats the client with unconditional positive regard through which of the following?
The client is still viewed as someone worthy of respect and assistance.
A client who has been working on controlling impulsive behavior shows a strengthening ego through which of the following behaviors?
Weighing the advantages and disadvantages before making a decision
What is the most basic need, according to Maslow's Hierarchy of Needs?
A psychiatric-mental health advanced practice registered nurse is applying some of the principles of Jungian psychology to the care of a client with social anxiety disorder. What action by the nurse would best exemplify Jung's model?
Dialoguing with the client about her introverted personality and the implications of this type
(see full question) A psychologist chose her profession because she was inspired by her aunt who was a successful psychologist. Which of Freud's ego defense mechanisms is this indicative of?
The primary purpose for generalist nurses to develop skills with psychosocial interventions is ...
psychosocial interventions are needed in all nursing practice settings.
Ivan P. Pavlov is associated with the term ...
Being creative, productive, and establishing the next generation occurs in which stage of Erikson's psychosocial development?
Generativity versus stagnation
Group members are actively discussing a common topic. Members are sharing that they identify with what others are saying. The nurse leader recognizes that the group is in which stage of group development?
Which concept, according to Carl Rogers, occurs when the therapist uses nonjudgmental caring for the client that is not dependent on the client's behaviors?
Unconditional positive regard
An adolescent female client is working with a nurse about the same age as her mother. The adolescent reacts to the nurse like she is a parent. This is an example of
To facilitate understanding of a crisis, which of the following interventions should the nurse employ?
Listen and assist the client to articulate his or her feelings
A client has just been told she has cervical cancer. When asked about how this is impacting her, she states, "It's just an infection; it will clear up." The statement indicates that this patient
is using denial to protect herself from an emotionally painful thought.
Which level of anxiety allows the person to learn new behaviors and solve problems?
The nursing theorist Peplau identified which of the following as the essence of psychiatric-mental health nursing?
The nurse-client relationship
Susan has a longstanding history of depression. A psychoanalytic theorist might say which of the following about Susan?
Susan may be unconsciously repressing feelings of anger that arise due to her early childhood abuse experiences, and these feelings emerge as depression.
When a therapist is interviewing a client diagnosed with depression, the client's feelings toward her parents as a child are being directed at the therapist. This is an example of which of the following?
According to Maslow, an individual who has developed to his/her fullest potential has achieved what level of his hierarchy?
Behavioral Nursing theory is appropriate for nursing application with mental health clients since this population ...
Can often experience self-care deficits due to their disorder
The family members of a patient with bipolar disorder express frustration with the unpredictable behaviors of their loved one. Which group should the nurse suggest as most helpful to this family?
Family education group
Hans has schizophrenia and uses marijuana heavily. His living situation has been unstable in recent years, and he has been living in a rooming house for the past several months. His landlord, however, has contacted the home health nurse because of the squalor of Hans' room and frequent disturbances. What aspect of Hans' situation would be prioritized within the framework of Orem's Behavioral Nursing Theory?
The gap between what Hans needs and what he can provide for himself
The psychiatrist states that repressed memories in the client's unconscious are causing his depression. This reasoning implies that the psychiatrist uses which of the following theories?
A teenage client defies the nurse's repeated requests to turn off the video game and go to sleep. The teen says angrily, "You sound just like my mother at home!" and continues to play the video game. The nurse understands that this statement likely indicates ...
the presence of transference.
The nurse on the Psych unit reinforces to the clients that they can earn off-unit privileges for daily use of socially appropriate behavior. This is an example of employing which concept of behavior modification?
Which of the following are foundational concepts of Jean Watson's theory? Select all that apply.
• 10 caritas processes
• The caritas field
• Transpersonal caring-healing relationships
Some behavioral therapists believe that seclusion and restraint are forms of punishment. It may be assumed that these therapists view seclusion and restraint as
an unpleasant stimulus that happens after a certain unwanted behavior.
Which one of the following statements is most accurate regarding the cohesiveness of a group in group therapy?
Cohesiveness is a desirable group characteristic that is associated with positive group outcomes.
In terms of Maslow's hierarchy of need, families living in poverty may be focused on more on which type of needs rather than self-actualization?
Which of the following theorists was the first to challenge the traditional psychoanalytic belief that women felt disadvantaged because of their genital organs?
Which of the following cognitive theorists conceptualized distorted cognitions as a basis for depression?
Which of the following is most essential when planning care for a client who is experiencing a crisis?
Explore previous coping strategies
Calling the client by name and spending time with the client are examples of which of the following?
A client has experienced a traumatic assault and the nurse is conducting an assessment of the client's support systems. What would the nurse identify as components of the client's informal support? Select all that apply.
• The client's father
• A cousin with whom the client has a close relationship
• A coworker who has long been supportive of the client
A 55-year-old woman 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?
The nurse is providing care for a client of Chinese descent who has been admitted to the hospital for the treatment of depression. It has become clear during the client's time of stay in the hospital that the client and his family understand his illness and treatment options in a way that is informed by their culture. Which of the following nursing theorists prioritizes the role of culture in assessment and care?
A nurse is working with a patient with an eating disorder who refuses to eat a muffin. The nurse asks the patient "Is there any way that you could see the muffin as just flour and water, basic nutrients your body needs?" In this statement, the nurse is using which type of therapy?
A client reports a pattern of being suspicious of others, causing difficulty in sustaining lasting relationships. Which stage according to Erikson's psychosocial development was not successfully completed?
Trust vs. Mistrust
A client begins to take stock of his life and look into the future. The nurse assesses that this client is in which of Erikson's developmental stages?
Integrity versus despair
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