Chapter 3
Which theorist believed that a corrective interpersonal relationship with the therapist was the primary mode of treatment?
a.Sigmund Freud
b.William Glasser
c.Hildegard Peplau
d.Harry Stack Sullivan
D. Harry Stack Sullivan
Dream analysis and free association are techniques in which modality?
a.Client-centered therapy
b.Gestalt therapy
c.Logotherapy
d.Psychoanalysis
D. Psychoanalysis
Which intervention is an example of primary prevention implemented by a public health nurse?
a.Reporting suspected child abuse
b.Monitoring compliance with medications for a client with schizophrenia
c.Teaching effective problem-solving skills to high school students
d.Helping a client apply for disability benefits
C. Teaching effective problem-solving skills to high school students
The primary purpose of psychiatric rehabilitation is to
a.control psychiatric symptoms.
b.manage clients’ medications.
c.promote the recovery process.
d.reduce hospital readmissions.
C. Promote the recovery process
Stress management education
The personality structures of id, ego, and superego were described by
a.Sigmund Freud.
b.Hildegard Peplau.
c.Frederick Perls.
d.Harry Stack Sullivan.
A. Sigmund Freud
When a nurse develops feelings toward a client that are based on the nurse’s past experience, it is called
a.countertransference.
b.role reversal.
c.transference.
d.unconditional regard.
A. Countertransference
The mentally ill homeless population benefits most from
a.case management services.
b.outpatient psychiatric care to manage psychiatric symptoms.
c.stable housing in a residential neighborhood.
d.a combination of housing, rehabilitation services, and community support.
D. A combination of housing, rehabilitation services, and community support.
When comparing homeless people without mental illness to homeless people with mental illness, homeless people with mental illness:
A. spend more time in jail.
B. spend less time in shelters.
C. have more contact with family members.
D. face fewer barriers to employment.
A. spend more time in jail
What is secondary prevention?
Early identification of mental health problems
The nurse is conducting an admission interview with an adult mental health client. The client begins to talk in a childish voice about riding a bike and playing outside. What defense mechanism is this client demonstrating?
A. Regression
B. Suppression
C. Repression
D. Projection
A. Regression
A mentally healthy individual exhibits Maslow's concept of self-actualization when:
A. approaching a problem with more than one possible solution.
B. regularly consulting with family when making major decisions.
C. describing themselves as a totally independent person.
D. deciding that nothing will interfere with achieving a goal.
A. Approaching a problem with more than one possible solution
Which areas of discharge planning are important to ensuring client safety? Select all that apply.
A. Payment of care
B. Medication education
C. Food-drug interactions
D. Special diet instructions
E. Social status
B. Medication education
C. Food-drug interactions
D. Special diet instructions
One major reason that clients with mental disorders are rehospitalized is what?
A. Resurfacing of acute symptoms
B. Severe side effects of antipsychotic agents
C. Need for close supervision by medical personnel
D. Diagnosis of comorbid diseases
A. Resurfacing of acute symptoms
What is tertiary prevention?
Monitoring and coordinating psychiatric rehabilitation services
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. Basic trust vs. mistrust
C. Identity vs. identity diffusion
D. Industry vs. inferiority
C. Identity vs. identity diffusion
Which concept states that if a certain behavior is rewarded with praise, the behavior will probably be repeated?
A. operant conditioning
B. modeling
C. self-efficacy
D. behaviorism
A. Operant conditioning
Which statement accurately describes the clubhouse model of community-based mental health rehabilitation?
A. It exists to promote rehabilitation alliance.
B. Focus is on illness, not health.
C. Taking prescribed drugs is a condition to participation.
D. Staff ultimately makes decisions about treatment.
A. It exists to promote rehabilitation alliance
A client with a mental illness is receiving care which includes counseling, mentoring, and support from individuals who are successfully dealing with their illness and training in daily living. The client is also receiving interventions related to illness self-management. The client is involved with which type of psychosocial rehabilitation?
A. Recovery center
B. Self-help group
C. Relapse prevention after care
D. Supported employment
A. Recovery center
What are the four phases of Peplau's theory?
Orientation, identification, exploitation, resolution
Which are two of the most important reasons that nurses utilize theories in their approach to helping clients with psychiatric disorders?
A. Theories help to give a basis for giving certain types of medications and they also give specific examples of how to help each client.
B. Theories are the basis for reimbursement of health care costs, and they also drive providers' economic motivations for seeking health care.
C. Theories provide knowledge expansion in the field, and they are a way of incorporating known findings into a framework for understanding clients.
D. Theories give the nurse examples of how to intervene with clients and also provide criteria for health care reimbursement.
C. Theories provide knowledge expansion in the field, and they are a way of incorporating known findings into a framework for understanding clients.
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?
A. Blocker
B. Dominator
C. Follower
D. Gatekeeper
A. Blocker
Which best describes the scope of what community support services provide?
A. Help with instrumental activities of daily living, such as money management, transportation, and employment opportunities
B. A wide range of services, from health care and education to housing arrangements, employment counseling, and rehabilitation
C. Mental health counseling and medication management
D. Crisis intervention assistance and referral
B. A wide range of services, from health care and education to housing arrangements, employment counseling, and rehabilitation
A nurse has transferred recently to a forensic practice setting from an acute care medical setting. During the orientation period, the nurse's mentor helps the nurse learn the culture of a forensic setting. The nurse learns to be alert to one of the most dominant barriers to building a therapeutic relationship with forensic clients. What is this barrier?
A. Clients commonly struggle with trusting others.
B. Clients are transferred frequently to other forensic institutions.
C. The lifestyle of the incarcerated client is solitary.
D. Nurses often transgress professional boundaries with the clients.
A. Clients commonly struggle with trusting others.
What are Erikson's psychosocial stages of development?
Trust vs. mistrust, autonomy vs. shame and doubt, initiative vs. guilt, industry vs. inferiority, identity vs. role confusion, intimacy vs. isolation, generativity vs. stagnation, ego integrity vs. despair