Question 1

A nursing instructor is teaching about the application of Peplau's theory to nursing care.Which student statement indicates that learning has occurred?
A)"The nurse assumes the role of a parenting figure,instructing the client in good health practices."
B) "The nurse is concerned more about psychosocial functioning than physiological functioning."
C) "The nurse bases the client care plan on standardized nursing approaches and physician orders."
D) "The nurse applies principles of human relations to the problems that arise at all levels of experience."

Accepted Answer

Peplau applied interpersonal theory to nursing practice and,most specifically,to nurse-client relationship development.

Question 2

Which concepts are included in the definition of personality? Select all that apply.
A) Personality is the characteristic way in which a person thinks, feels, and behaves.
B) Personality is the ingrained pattern of behavior that evolves as one's style of life.
C) Personality is developed in sporadic stages that vary from person to person.
D) Personality develops both consciously and unconsciously.
E) Personality is inborn and cannot be influenced by developmental progression.

Accepted Answer

Black and Andreasen (2011)offer a definition of personality that includes each of the concepts in answers A,B,and D.Various theorists have identified stages in the development of personality; none identify personality development as sporadic or variable.

Question 3

From an interpersonal theory perspective,which intervention would a nurse use to assist a client diagnosed with major depressive disorder?
A)Encourage discussion of feelings
B) Offer family therapy sessions
C) Discuss childhood events
D) Teach alternate coping skills

Accepted Answer

Sullivan,an interpersonal theorist,believed that individual behavior and personality development are the direct result of interpersonal relationships.Family therapy would assist the client to deal with relationships within the family system.

Question 4

Which is a nursing intervention to assist a client to achieve Erikson's developmental task of ego integrity?
A)Encourage a life review of triumphs and disappointments.
B) Provide opportunities for success experiences.
C) Focus on embracing the future.
D) Foster the development of creativity.

Accepted Answer

Erikson believed that between the age of 65 years and death,the goal is to review one's life and derive meaning from both positive and negative events,while achieving a positive sense of self.

Question 5

A psychiatric nurse uses Sullivan's theories in group and individual therapy.According to Sullivan and other theorists like him,how are client symptoms viewed?
A)Client symptoms are viewed as learned behaviors that are maintained because they are reinforced.
B) Client symptoms are viewed as responses to anxiety arising from interpersonal relationships.
C) Client symptoms are viewed as internal conflicts arising from early childhood trauma.
D) Client symptoms are viewed as the misinterpretations of experiences.

Accepted Answer

Sullivan believed that anxiety is the chief disruptive force in interpersonal relations and the main factor in the development of serious difficulty in living.

Question 6

Which statement describes achievement of Erikson's generativity versus stagnation developmental stage?
A)"I've been a girl scout leader for troop 259 for 7 years."
B)"I feel great that I could pay for my bike with my paper route money."
C)"My parents are so pleased that John and I are going to be married."
D) "I've had a very full life. I'm not afraid to leave this world."

Accepted Answer

The major task of generativity versus stagnation is to achieve the life goals established for oneself while also considering the welfare of future generations.

Question 7

According to Peplau,treatment of client symptoms should involve which nursing action?
A)Establishing a therapeutic nurse-client relationship
B) Using the technique of desensitization
C) Challenging clients' negative thoughts
D) Uncovering clients' past experiences

Accepted Answer

Peplau applied interpersonal theory to nursing practice and,most specifically,to nurse-client relationship development.

Question 8

A 29-year-old client living with parents has few interpersonal relationships.The client states,"I have trouble trusting people." Based on Erikson's developmental theory,which should the nurse recognize as a true statement about this client?
A) The client has not progressed beyond the trust versus mistrust developmental stage.
B) Developmental deficits in earlier life stages have impaired the client's adult functioning.
C) The client cannot move to the next developmental stage until mastering all earlier stages.
D) The client's developmental problems began in the intimacy versus isolation stage.

Accepted Answer

Many individuals with mental health problems are still struggling to achieve tasks from a number of developmental stages.Nurses can plan care to assist these individuals to complete these tasks and move on to a higher developmental level.

Question 9

Which statement is most likely to be made by a nurse practitioner who shares the philosophy of an interpersonal theorist?
A)"Let's discuss your use of defense mechanisms."
B)"We need to examine how your relationships affect your ability to cope."
C)"It is important that you take the medications that I have prescribed for you."
D) "Your genetic background is a factor in your predisposition to mental illness."

Accepted Answer

Sullivan,an interpersonal theorist,believed that individual behavior and personality development are the direct result of interpersonal relationships.

Question 10

The nurse practitioner plans to use a psychoanalytical framework when treating a client diagnosed with an anxiety disorder.Which would be the focus of this nursing intervention?
A) Correcting inappropriate learning patterns
B) Changing a dysfunctional social environment
C) Exploring the "here and now" with the client and family
D) Exploring behaviors and defense mechanisms associated with the superego.

Accepted Answer

Freud identified the superego as the component of the personality that strives for perfection.Violation of the superego's standards generates guilt and anxiety in a person with a strong superego and understanding of these defense mechanisms is identified as important to assisting the client in achieving desired changes or accepting themselves as unique individuals.

Quiz 3: Theoretical Models of Personality Development

A nursing instructor is teaching about the application of Peplau's theory to nursing care.Which student statement indicates that learning has occurred?

Which concepts are included in the definition of personality? Select all that apply.

From an interpersonal theory perspective,which intervention would a nurse use to assist a client diagnosed with major depressive disorder?

Which is a nursing intervention to assist a client to achieve Erikson's developmental task of ego integrity?

A psychiatric nurse uses Sullivan's theories in group and individual therapy.According to Sullivan and other theorists like him,how are client symptoms viewed?

Which statement describes achievement of Erikson's generativity versus stagnation developmental stage?

According to Peplau,treatment of client symptoms should involve which nursing action?

A 29-year-old client living with parents has few interpersonal relationships.The client states,"I have trouble trusting people." Based on Erikson's developmental theory,which should the nurse recognize as a true statement about this client?

Which statement is most likely to be made by a nurse practitioner who shares the philosophy of an interpersonal theorist?

The nurse practitioner plans to use a psychoanalytical framework when treating a client diagnosed with an anxiety disorder.Which would be the focus of this nursing intervention?