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PSYCH ⏐ 𝙲𝙰 𝟸

Total questions: 67

Worksheet time: 1hrs 7mins

Name
Class
Date
1.

Match the three structures/aspects of personality according to Sigmund Freud's PSYCHOANALYTIC THEORY.

a)

Pleasure principle

1.

ID

b)

Reality principle

2.

EGO

c)

Morality principle

3.

SUPEREGO

2.

Match the functions of the three structures/aspects of personality according to Sigmund Freud's PSYCHOANALYTIC THEORY.

a)

fulfil the most basic needs / urges / drives and instincts that people have

1.

ID

b)

protects itself from anything that threatens it by balancing of ID & SUPEREGO

2.

EGO

c)

counteracts the socially unacceptable impulses of the ID.

3.

SUPEREGO

3.

Match the following psychosocial crises as to AGE according to the PSYCHOSOCIAL THEORY of Erik Erickson

a)

Infancy (0-18m)

1.

Trust vs Mistrust

b)

Early Childhood (2-3)

2.

Autonomy vs Shame and Doubt

c)

Pre-school (3-5)

3.

Initiative vs Guilt

d)

School Age (6-11)

4.

Industry vs Inferiority

e)

Adolescence (12-18)

5.

Identity vs Role Confusion

4.

Match the following psychosocial crises as to AGE according to the PSYCHOSOCIAL THEORY of Erik Erickson

a)

Adolescence (12-18)

1.

Identity vs Role Confusion

b)

Young Adult (19-40)

2.

Intimacy vs Isolation

c)

Middle Adulthood (40-65)

3.

Generativity vs Stagnation

d)

Maturity (65 and above)

4.

Ego Identity vs Despair

5.

Match the following psychosocial crises as to KEY QUESTIONS TO BE ANSWERED according to the PSYCHOSOCIAL THEORY of Erik Erickson.

a)

"Is my world safe?"

1.

Trust vs Mistrust

b)

"Can I do things by myself or need I always rely on others?"

2.

Autonomy vs Shame and Doubt

c)

"Am I good or bad?"

3.

Initiative vs Guilt

d)

"How can I be good?"

4.

Industry vs Inferiority

e)

"Who am I and where am I going?"

5.

Identity vs Role Confusion

6.

Match the following psychosocial crises as to KEY QUESTIONS TO BE ANSWERED according to the PSYCHOSOCIAL THEORY of Erik Erickson

a)

"Who am I and where am I going?"

1.

Identity vs Role Confusion

b)

"Am I loved and wanted?"

2.

Intimacy vs Isolation

c)

"Will I provide something of real value?"

3.

Generativity vs Stagnation

d)

"Have a lived a full life?"

4.

Ego Identity vs Despair

7.

Focusing on the patient's feeling is which of the following therapeutic techniques.

a)

Empathy

b)

Offering self

c)

Exploring

d)

Reflecting

e)

Seeking clarification

8.

NURSE: "I'll sit with you for awhile."

a)

Offering self

b)

Focusing

c)

Exploring

d)

Reflecting

e)

Seeking clarification

9.

NURSE: "Is there something you’d like to talk about?"

a)

Giving broad opening

b)

Focusing

c)

Reflecting

d)

Exploring

e)

Seeking clarification

10.

NURSE: "Tell me more about…"

a)

Exploring

b)

Focusing

c)

Giving broad opening

d)

Reflecting

e)

Seeking clarification

11.

PATIENT: "I can’t sleep. I stay awake at night most of the times."

NURSE: "You have difficulty sleeping?"

a)

Restating

b)

Focusing

c)

Giving broad opening

d)

Exploring

e)

Reflecting

12.

PATIENT: "It’s a waste of time talking to anyone!”

NURSE: "Do you feel that no one understands?"

a)

Verbalizing the implied

b)

Giving broad opening

c)

Encouraging Comparison

d)

Reflecting

e)

Supportive Confrontation

13.

PATIENT: "I'm feeling sick inside!" (Sick – can mean a lot)

NURSE: "What do you mean by feeling sick inside?"

a)

Seeking clarification

b)

Verbalizing the implied

c)

Supportive Confrontation

d)

Focusing

e)

Reflecting

14.

PATIENT: "I am in Cloud 9!"

NURSE: "Are you feeling happy today?"

a)

Translating (into feelings)

b)

Focusing

c)

Reflecting

d)

Exploring

e)

Verbalizing the implied

15.

PATIENT: "Do you think I should tell my dad?"

NURSE: "What do you think would work best?"

a)

Reflecting

b)

Focusing

c)

Exploring

d)

Giving broad opening

e)

Verbalizing the implied

16.

NURSE: “It would be difficult at first, but you’ll get through it.”

a)

Supportive Confrontation

b)

Focusing

c)

Reflecting

d)

Exploring

e)

Giving broad opening

17.

NURSE: "What is different about your feelings today?"

a)

Encouraging Comparision

b)

Focusing

c)

Reflecting

d)

Giving broad opening

e)

Exploring

18.

Match the following DEFENSE MECHANISMS.

a)

refusal to admit

1.

Denial

b)

redirection of anger

2.

Displacement

c)

blaming others

3.

Projection

d)

making excuses

4.

Rationalization

e)

being good at one area (to cover up a deficit in another area)

5.

Compensation

19.

Match the following DEFENSE MECHANISMS.

a)

voluntary refusal to remember

1.

Suppression

b)

involuntary refusal to remember

2.

Repression

c)

going back to an earlier developmental stage

3.

Regression

d)

behaving in a way opposite to real feelings

4.

Reaction Formation

e)

overcorrecting previous mistakes or undesirable behavior

5.

Undoing

20.

Match the following DEFENSE MECHANISMS.

a)

channeling negative emotions into doing something productive

1.

Sublimation

b)

demonstrating hostile feelings in a non-confrontational manner

2.

Passive Aggression

c)

copying or imitating others

3.

Identification

d)

taking something personal where there might be alternative answers

4.

Personalization

e)

behaving in a way opposite to real feelings

5.

Reaction Formation

21.

Match the following DEFENSE MECHANISMS.

a)

Denial

1.

refusal to admit

b)

Displacement

2.

redirection of anger

c)

Projection

3.

blaming others

d)

Rationalization

4.

making excuses

e)

Compensation

5.

being good at one area (to cover up a deficit in another area)

22.

Match the following DEFENSE MECHANISMS.

a)

Suppression

1.

voluntary refusal to remember

b)

Repression

2.

involuntary refusal to remember

c)

Regression

3.

going back to an earlier developmental stage

d)

Reaction Formation

4.

behaving in a way opposite to real feelings

e)

Undoing

5.

overcorrecting previous mistakes or undesirable behavior

23.

Match the following DEFENSE MECHANISMS.

a)

Sublimation

1.

channeling negative emotions into doing something productive

b)

Passive Aggression

2.

demonstrating hostile feelings in a non-confrontational manner

c)

Identification

3.

copying or imitating others

d)

Personalization

4.

taking something personal where there might be alternative answers

e)

Reaction Formation

5.

behaving in a way opposite to real feelings

24.

Mental health is defined as:

a)

A state of well-being where a person can realize his own abilities, can cope with normal stresses of life and work productively.

b)

Is the promotion of mental health, prevention of mental disorders, nursing care of patients during illness and rehabilitation.

c)

Absence of mental illness.

d)

The ability to distinguish what is real from what is not.

25.

The superego is that part of the psyche that:

a)

The censoring portion of the mind.

b)

Determines the circumstances before making decisions.

c)

Is impulsive and without morals.

d)

Uses defensive function for protection.

26.

In the care of a withdrawn, reclusive psychotic client, the priority goal is for the client to develop what?

a)

Trust

b)

Self-worth

c)

A sense of identity

d)

An ability to socialize

27.

The nurse is aware that a 6-year old with normal psychosocial development would have achieved Erickson’s developmental tasks of trust, autonomy, and?

a)

Initiative

b)

Industry

c)

Identity

d)

Intimacy

28.

The nurse is aware that according to Erikson's developmental psychosocial theory, which is expected by 20 years of age?

a)

Having the capacity for love and commitment to work.

b)

Accepting the worth, integrity, and uniqueness of one’s past and present life.

c)

Having a coherent sense of self and plans for self-actualization.

d)

Being creative and productive and having concern for others.

29.

A depressed client is brought to the emergency department after taking an overdose of a sedative. After lavage the client says, "Let me die. I'm no good." What is the most appropriate response by the nurse?

a)

“You must have been upset to try to take your life.”

b)

“You have been through a tough time; let me take care of you.”

c)

“Of course you’re good; we’ll take care of you.”

d)

“Do you feel like telling me why you did this?”

30.

A client, who is to have mastectomy for breast cancer, tells the nurse that she is worried about what she will look like after the surgery. The nurse’s most appropriate initial response would be:

a)

“I can understand that you’d be concerned.”

b)

“Try not to think about the surgery now.”

c)

“Why don’t you discuss this with your husband?”

d)

“Everyone having this surgery feels the same way.”

31.

When a disturbed client who has a history of using neologisms says to the nurse, “My lacket hss kelong mon.” The nurse should respond by:

a)

Telling the client that these words are not understood.

b)

Trying to learn the language of the client.

c)

Communicating in simple terms directed toward the client.

d)

Recognizing that the client needs a nurse who can understand the fantasies expressed.

32.

A client with bulimia nervosa eats two sandwiches, two salads, and four desserts for lunch. After the meal the nurse would expect to observe the client:

a)

Withdrawing from the group, go to the bathroom.

b)

Hoarding more food for a later binge.

c)

Actively socializing with small groups of clients.

d)

Performing excessive exercise.

33.

After detoxification, a client with a long history of alcohol abuse has agreed to attend Alcoholics Anonymous meetings at the hospital. On the day of the second meeting, the client states, “I cannot attend the AA meeting today because I am expecting an important phone call.” The nurse's most therapeutic response would be:

a)

“You are expected to go to the meeting.”

b)

“Is your phone call really that important?

c)

“Go to the meeting after you receive the call.”

d)

“You can wait for the call and skip the meeting.”

34.

A client is admitted to a psychiatric unit with the diagnosis of schizophrenia, undifferentiated type. When assessing the client, the nurse identifies the presence of several characteristics related to this disorder. What may this include? Select all that apply.

a)

Bizarre Behavior

b)

Disorganized Speech

c)

Auditory Hallucinations

d)

Extreme Negativism

e)

Persecutory Delusions

35.

A 30-year-old male employee frequently complains of low back pain that leads to frequent absences from work. Consultation and tests reveal negative results. What would be the best response to the client’s repeated complaints of pain?

a)

“I know the feeling is real; tests revealed negative results.”

b)

“So tell me more about the pain.”

c)

“Try to forget this feeling and have activities to take it off your mind.”

d)

“I think you’re exaggerating things a little bit.”

36.

The client said, “I can’t even take care of my baby. I’m good for nothing.” Which is the appropriate nursing diagnosis?

a)

Low self-esteem related to failure in role performance

b)

Impaired social interaction related to repressed anger

c)

Impaired verbal communication related to inadequate social skills

d)

Ineffective individual coping related to loss

37.

A 42-year-old male client is admitted to the ward because of bizarre behaviors. He is given a diagnosis of schizophrenia, a paranoid type. The client should have achieved the development task of:

a)

Generativity ᵛ/ₛ Stagnation

b)

Trust ᵛ/ₛ Mistrust

c)

Industry ᵛ/ₛ Inferiority

d)

Ego Integrity ᵛ/ₛ Despair

38.

The nurse asks a client to roll up his sleeves so she can take his blood pressure. The client replies, “If you want I can go naked for you.” The most therapeutic response by the nurse is:

a)

“I only need access to your arm. Putting up your sleeve is fine.”

b)

“I will report you to the guard if you don’t control yourself.”

c)

“You wouldn’t be the first that I will see naked.”

d)

“You’re attractive but I’m not interested.”

39.

A patient diagnosed with terminal cancer says to the nurse, “I’m going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I’m the one who’s dying.” Which response by the nurse is therapeutic?

a)

“You’re feeling angry that your family continues to hope for you to be cured?”

b)

“You are probably very depressed, which is understandable with such a diagnosis.”

c)

“I think we should talk more about your anger with your family.”

d)

“Have you shared your feelings with your family?”

40.

The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbor asks the nurse, “How is Mary doing? She is my best friend and is seen at your clinic every week.” Which is the most appropriate nursing response?

a)

“I cannot discuss any patient situation with you.”

b)

“Only because you’re worried about a friend, I’ll tell you that she is improving.”

c)

“Being her friend, you know she is having a difficult time and deserves her privacy.”

d)

“If you want to know about Mary, you need to ask her yourself.”

41.

Which therapeutic communication technique is being used in this nurse-client interaction.

Client: “My father spanked me often.”

Nurse: “Your father was a harsh disciplinarian?”

a)

Restating

b)

Exploring

c)

Focusing

d)

Reflecting

42.

A widow age 28, whose husband died one year ago due to AIDS, has just been told that she has AIDS. She says to the nurse, “Why me? How could God do this to me?” This reaction is one of:

a)

Anger

b)

Denial

c)

Bargaining

d)

Depression

e)

Acceptance

43.

A client is experiencing an anxiety attack. The most appropriate nursing intervention should include:

a)

Staying with the client and speaking in short sentences.

b)

Ask the client to play with other clients.

c)

Leaving the client alone.

d)

Turning on the television.

44.

Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda’s anxiety. The most therapeutic question by the nurse would be?

a)

Would you like me to talk with you?

b)

Are you feeling upset now?

c)

Ignore the client.

d)

Would you like to watch TV?

45.

A 35-year-old male has an intense fear of riding an elevator. He claims “As if I will die inside.” This has affected his studies. The client is suffering from:

a)

Claustrophobia

b)

Xenophobia

c)

Agoraphobia

d)

Philophobia

46.

An old woman was brought to the hospital for evaluation due to increasing forgetfulness and limitations in daily function. The daughter revealed that the client used her toothbrush to comb her hair. She is manifesting:

a)

Agnosia

b)

Amnesia

c)

Apraxia

d)

Aphasia

47.

The wife admits that she is a victim of abuse and opens up about her persistent distaste for sex. This sexual disorder is:

a)

Sexual desire disorder

b)

Sexual arousal disorder

c)

Sexual pain disorder

d)

Sexual orgasm disorder

48.

Clients with personality disorders have difficulties in their social and occupational functions. They most likely:

a)

Manifest enduring patterns of inflexible behaviors.

b)

Seek treatment willingly from some personally distressing symptoms.

c)

Respond to anti-anxiety medication.

d)

Recover with therapeutic intervention.

49.

Jane is admitted to an inpatient psychiatric unit for treatment of obsessive-compulsive symptoms. OCD is associated with:

a)

Repetitive thoughts and recurring, irresistible impulses

b)

Physical signs and symptoms with no physiologic cause

c)

Inability to concentrate

d)

Apprehension

50.

During a group therapy session in the psychiatric unit, Joyce constantly interrupts with impulsive behavior and exaggerated stories that cast her as hero or princess. She also manipulates the group with attention-seeking behaviors such as sexual comments and angry outbursts. Nurse Joey realizes that these behaviors are typical of:

a)

Histrionic personality disorder

b)

Borderline personality disorder

c)

Avoidant personality disorder

d)

Paranoid personality disorder

51.

Before eating a meal, a female client with OCD must wash his hands for 18 minutes, comb her hair 444 strokes, and switch the bathroom lights 44 times. What is the most appropriate goal of care for this client?

a)

Systemically decrease the number of repetitions of rituals and the amount of time spent performing them.

b)

Allow ample time for the client to complete all rituals before each meal.

c)

Increase the client’s acceptance of therapeutic drug use.

d)

Omit one unacceptable behavior each day.

52.

A client is admitted to the psychiatric clinic for the treatment of anorexia nervosa. To promote the client’s physical health, the nurse should plan to:

a)

Monitor vital signs, serum electrolyte levels, and acid base balance.

b)

Instruct the client to keep an accurate record of food and fluid intake.

c)

Weigh the client daily, after the evening meal.

d)

Severely restrict the client’s physical activities.

53.

The client is arrogant and manipulative. In ensuring a therapeutic milieu, the nurse does one of the following:

a)

Agree on a consistent approach among the staff assigned to the client.

b)

Provide the client with extra time for one on one session.

c)

Suggest that the client take a leading role in the social activities.

d)

Allow the client to negotiate the plan of care.

54.

The nurse is interviewing a handsome man. He is intelligent and very charming. When asked about his family, he states he has been married four times. He says three of those marriages were "shotgun" weddings. He states he never really loved any of his wives. He doesn't know much about his three children. "I've lost track," he states. The nurse recognizes these are traits of:

a)

Antisocial personality

b)

Alcoholic personality

c)

Borderline personality

d)

Bipolar disorder

55.

One client spends hours arranging and re-arranging furniture in his room. This behavior is identified as:

a)

Compulsion

b)

Obsession

c)

Phobia

d)

Derealization

56.

How soon after chlorpromazine (Thorazine) administration should the nurse expect to see a client’s delusional thoughts and hallucinations eliminated:

a)

Several weeks

b)

Several minutes

c)

Several hours

d)

Several days

57.

A client tells the nurse that the television newscaster is sending a secret message to her. The nurse suspects the client is experiencing:

a)

Ideas of reference

b)

Flight of ideas

c)

Hallucination

d)

Delusion

58.

A client is admitted to the psychiatric unit of a local hospital with chronic undifferentiated schizophrenia. During the next several days, the client is seen laughing, yelling, and talking to herself. This behavior is characteristic of:

a)

Hallucination

b)

Ilussion

c)

Delusion

d)

Looseness of Association

59.

A client has been receiving Chlorpromazine (Thorazine), an antipsychotic, to treat his psychosis. Which findings should alert the nurse that the client is experiencing pseudoparkinsonism?

a)

Tremors, shuffling gait, and mask-like face.

b)

Extremity and neck spasms, facial grimacing, and jerky movements.

c)

Involuntary rolling of the eyes.

d)

Restlessness, difficulty sitting still, and pacing.

60.

A client is admitted to a psychiatric facility with a diagnosis of chronic schizophrenia. The history indicates that the client has been taking neuroleptic medication for many years. Assessment reveals unusual movements of the tongue, neck, and arms. Which condition should the nurse suspect?

a)

Tardive dyskinesia

b)

Dystonia

c)

Neuroleptic malignant syndrome

d)

Akathisia

61.

What medication would probably be ordered for the acutely aggressive schizophrenia client?

a)

Haloperidol (Haldol)

b)

Chlorpromazine (Thorazine)

c)

Lithium carbonate (Lithonate)

d)

Amitriptyline (Elavil)

62.

A client with chronic schizophrenia who takes neuroleptic medication is admitted to the psychiatric unit. Nursing assessment reveals rigidity, fever, hypertension, and diaphoresis. These findings suggest which life-threatening reaction:

a)

Neuroleptic malignant syndrome

b)

Tardive dyskinesia

c)

Dystonia

d)

Akathisia

63.

A client is about to be discharged with a prescription for the antipsychotic agent haloperidol (Haldol), 10 mg p.o. BID. During a discharge teaching session, the nurse should provide which instruction to the client?

a)

Apply sunscreen before being exposed to the sun.

b)

Increase the dosage up to 50 mg twice per day if signs of illness don’t decrease.

c)

Decrease the dosage if signs of illness decrease.

d)

Take the medication 1 hour before a meal.

64.

A teenage girl is diagnosed to have a borderline personality disorder. Which manifestations support the diagnosis?

a)

Lack of self-esteem, strong dependency needs, and impulsive behavior.

b)

Social withdrawal, inadequacy, sensitivity to rejection and criticism.

c)

Preoccupation with perfectionism, orderliness, and the need for control.

d)

Suspicious, hypervigilance, and coldness.

65.

Bessey with a borderline personality disorder is to be discharged soon threatens to “do something” to herself if discharged. Which of the following actions by the nurse would be most important?

a)

Discuss the meaning of the client’s statement with her

b)

Ignore the client's statement because it’s a sign of manipulation.

c)

Request an immediate extension for the client.

d)

Ask a family member to stay with the client at home temporarily.

66.

One morning the nurse sees the client in a depressed mood. The nurse asks “What are you thinking about?” This communication technique is:

a)

Giving broad opening

b)

Reflecting

c)

Focusing

d)

Exploring

67.

The primary level of prevention is exemplified by:

a)

Teaching the client stress management techniques.

b)

Case finding and surveillance in the community.

c)

Ensuring the safety of a suicidal client in the institution.

d)

Helping the client resume self-care.