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 young adult and determines that the individual has achieved successful resolution of the previous stage of growth and development, evidenced by demonstrating which of the following?
Correct Answer: C
Rationale: In Erikson?s psychosocial development theory, young adults (intimacy vs. isolation stage) build on the adolescent stage (identity vs. role confusion). Successful resolution of the adolescent stage results in devotion and fidelity, reflecting a strong sense of identity. Drive and hope, direction and purpose, and production and care relate to other stages.
Question 2 of 5
A group of nursing students are reviewing information about psychodynamic theories. The students demonstrate a need for additional study when they identify which of the following as a humanistic theorist?
Correct Answer: B
Rationale: Carl Rogers is a humanistic theorist, emphasizing client-centered therapy and unconditional positive regard. Identifying him as a psychodynamic theorist indicates a misunderstanding, as psychodynamic theorists like Carl Jung focus on the unconscious. Maslow and Perls are also humanistic, reinforcing the need for study.
Question 3 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 4 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 5 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.