ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 7 : Psychosocial Theoretic Basis of Psychiatric Nursing Questions
Question 1 of 5
A patient is being discharged from the psychiatric unit this afternoon, and the nurse needs to teach the patient about discharge medications. The patient is exhibiting signs of moderate anxiety about the upcoming discharge. Based on Peplau?s views regarding anxiety, the nurse would expect to implement the teaching plan at which time?
Correct Answer: B
Rationale: Peplau?s theory suggests that moderate anxiety impairs learning, while mild anxiety can enhance it. Teaching about discharge medications would be most effective when the patient?s anxiety decreases to a mild level, allowing better comprehension. Complete absence of anxiety is unrealistic, and panic level would hinder learning.
Question 2 of 5
A nursing instructor is integrating Piaget?s theory of cognitive development into the discussion of learning and mental health issues affecting adolescents. The instructor would identify this age group as in which stage?
Correct Answer: C
Rationale: Piaget?s theory identifies adolescents (roughly ages 12 and up) as being in the formal operations stage, characterized by abstract thinking and problem-solving. Concrete operations apply to younger children, preoperational to preschoolers, and sensorimotor to infants.
Question 3 of 5
While working with an older male patient, the nurse begins to think that the patient reminds the nurse of her grandfather and responds as if she was the granddaughter. The nurse is developing which of the following?
Correct Answer: C
Rationale: Countertransference occurs when the nurse projects personal feelings or experiences onto the patient, such as responding as if the patient were her grandfather. Transference is the patient?s projection onto the nurse, empathy is understanding the patient?s feelings, and modeling involves demonstrating behaviors.
Question 4 of 5
A psychiatric-mental health nurse is working on an inpatient unit that uses a privilege system. The nurse understands that this intervention integrates which group of theories?
Correct Answer: A
Rationale: A privilege system, where behaviors are reinforced with rewards, aligns with behavioral theories, particularly operant conditioning (e.g., Skinner?s work). Developmental theories focus on growth stages, humanistic theories emphasize personal growth, and cognitive theories address thought processes.
Question 5 of 5
A group of nursing students are reviewing the various theories that form the basis for psychiatric-mental health nursing. The students demonstrate understanding of these theories when they identify which theorist as addressing female development? Select all that apply.
Correct Answer: B,D
Rationale: Carol Gilligan and Jean Baker Miller addressed female development. Gilligan focused on women?s moral development, emphasizing care-based ethics, while Miller?s relational-cultural theory highlighted women?s relational growth. Maslow focused on human needs, Bandura on social learning, and Thorndike on behaviorism.