Varcarolis Chapter 2

Front 1

One implication of Freud's theory of the unconscious on psychiatric mental health nursing is related to the consideration that conscious and unconscious influences can help nurses better understand:

A) Correct the root causes of client suffering.
B) the client's immature behavior.
C) the client's interpersonal interactions.
D) the client's psychological ability to reason.

Back 1

A)

Rationale:Freud's theory of the unconscious is particularly valuable as a baseline for considering the complexity of human behavior. By considering conscious and unconscious influences, a nurse can develop and begin to think about the root causes of client suffering.
Text page: 25

Front 2

According to Freud, the nurse recognizes that a client experiencing dysfunction of the conscious as the part of the mind will have problems with:

A) Incorrect only recent memory.
B) recent and long-term memory.
C) Correct all material that the person is aware of at any one time.
D) only material that should be easily retrieved.

Back 2

C)

Rationale:Freud described the conscious part of the mind as the tip of the iceberg. It contains all of the material that the person is aware of at any one time.
Text page: 25

Front 3

The nurse uses Maslow's model of needs to direct the identification of an anxious client' priority intervention to be:

A) assessing the client's success at fulfilling her appropriate developmental level tasks.
B) assessing the client for her strengths upon which a nurse-client relationship can be based.
C) planning one-on-one time with the client to assist in identify the fears behind her anxiety.
D) evaluating the client's ability to learn and retain essential information regarding her condition.

Back 3

B)

Rationale: The value of Maslow's model in nursing practice is twofold. First, the emphasis on human potential and the client's strengths is key to successful nurse-client relationships. The second value lies in establishing what is most important in sequencing of nursing actions in the nurse-client relationship.
Text page: 40

Front 4

A suspicious client smokes several packs of cigarettes daily and drinks as much coffee or soda as he is able to afford. The nurse finds that every nursing intervention is met with sarcasm. When she asks for advice from a peer, the most helpful response would be:

A) "You are dealing with a very difficult and resistant client just stick to your plan."
B) "If you haven't been able to establish client trust ask for a change of assignment."
C) "It might help if you remember that sarcasm represents oral-stage fixation."
D) "You are attempting to work with a client who likes to keep others off balance."

Back 4

C)

Rationale:According to Freud's psychosexual stages of development, this client is exhibiting the oral (0-1 year) personality traits: fixation at the oral stage is associated with passivity, gullibility, and dependence; the use of sarcasm; and the development of orally focused habits (e.g., smoking, nail biting).
Text page: 27

Front 5

A client comes to the clinic asking for help because his third fiancée has broken their engagement. He states "I don't know what is wrong with me, but my friends tell me I am too possessive." The type of therapy that might address his interpersonal deficit is:

A) psychoanalysis.
B) cognitive therapy.
C) behavioral therapy.
D) interpersonal psychotherapy.

Back 5

D)

Rationale:Interpersonal psychotherapy is considered to be effective in resolving problems of grief, role disputes, role transition, and interpersonal deficit.
Text page: 30

Front 6

Role playing is associated with which type of therapy?

Back 6

Modeling

Rationale:In modeling, the therapist provides a role model for specific identified behaviors, and the client learns through imitation. The therapist may do the modeling, provide another person to model the behaviors, or present a video for the purpose. Some behavior therapists use role playing in the consulting room for modeling therapy.
Text page: 33