ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 7 : Psychosocial Theoretic Basis of Psychiatric Nursing Questions
Question 1 of 5
The nurse is assessing a patient with anxiety and observes the patient yelling and screaming. The nurse, integrating Peplau?s theory, interprets this behavior as which of the following?
Correct Answer: A
Rationale: Peplau?s theory describes anxiety levels, with panic behaviors (e.g., yelling and screaming) occurring at severe or panic levels, indicating overwhelming distress. Relief behaviors reduce anxiety, empathetic linkage involves shared emotions, and social distance is not a Peplau concept.
Question 2 of 5
The nurse is watching a video that depicts a patient and therapist interacting. The patient is asked to say whatever comes to his mind. The nurse identifies this as which of the following?
Correct Answer: B
Rationale: Free association, a technique where the patient verbalizes thoughts without censorship, is a core method in psychoanalytic therapy (Freud). Dream work is part of psychoanalytic analysis, Gestalt therapy focuses on present awareness, and classical conditioning involves learned responses.
Question 3 of 5
A nurse is developing a plan of care integrating Maslow?s hierarchy of needs. Which of the following would the nurse identify as the priority?
Correct Answer: B
Rationale: Maslow?s hierarchy prioritizes physiological needs, followed by safety needs, which include a predictable social environment for stability and security. Activity level (physiological), acceptance from family (love/belonging), and positive self-image (esteem) are higher-level needs addressed after safety.
Question 4 of 5
A group of nursing students are reviewing information about Freud?s personality structure. The students demonstrate understanding of this information when they identify the ability to form mutually satisfying relationships as a function of which of the following?
Correct Answer: D
Rationale: Freud?s personality structure includes the id, ego, and superego. The ego mediates between the id?s impulses and the superego?s moral standards, enabling reality-based functions like forming mutually satisfying relationships. Defense mechanisms protect the ego, the unconscious is a repository of repressed thoughts, and the id drives instinctual desires, none of which directly facilitate relationships.
Question 5 of 5
When describing the influence of Harry Stack Sullivan on psychiatric-mental health nursing, which of the following would the instructor address as a major concept?
Correct Answer: A
Rationale: Harry Stack Sullivan emphasized interpersonal relations as the foundation of personality development and mental health. His theory focuses on how interactions with others shape behavior and mental well-being. Harmony is a broader concept, the collective unconscious is Jung?s theory, and unconditional positive regard is associated with Carl Rogers.