ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 7 : Psychosocial Theoretic Basis of Psychiatric Nursing Questions
Question 1 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 2 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 3 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 4 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.
Question 5 of 5
A nursing student is to provide a class presentation about interpersonal and psychoanalytic theories. As part of this presentation, the student is planning to address the major way these two categories differ. Which of the following would the student include as key to interpersonal theories?
Correct Answer: A
Rationale: Interpersonal theories, like those of Sullivan and Peplau, emphasize human relationships and social interactions as central to mental health. Psychoanalytic theories, like Freud?s, focus on instincts and drives. The potential for goodness is more aligned with humanistic theories.