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Psychiatric Mental Health Nursing From Suffering to Hope 1st Edition By Mertie - Test Bank

Psychiatric Mental Health Nursing From Suffering to Hope 1st Edition – Test Bank

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Psychiatric Mental Health Nursing From Suffering to Hope 1st Edition By Mertie – Test Bank

Psychiatric Mental Health Nursing (Potter)

Chapter 4   Psychological Concepts: Theories and Therapies

1) Which theory or concept does a psychiatric nurse consider to be most closely aligned with Erikson’s developmental theory?

1. Freud’s psychosexual stages

2. Freud’s behaviorist concepts

3. Sullivan’s stages of interpersonal development

4. Maslow’s theory of self-actualization and hierarchy of needs

Answer:  3

Explanation:  3. Like Erikson, Sullivan believed that learning and development occur across the life span and that individuals can relearn tasks previously unaccomplished at earlier stages of life. Freud believed all developmental tasks were accomplished by a certain age, and tasks that remained unaccomplished resulted in fixation and caused lifelong psychiatric problems. Freud did not develop behaviorist concepts; furthermore, behaviorist concepts do not account for developmental tasks. Maslow proposed an order of basic human needs that were not linked to developmental stages or tasks. According to Maslow, physiologic needs must be met before higher-level needs such as self-esteem and self-actualization.

Page Ref: 68

Cognitive Level:  Applying

Client Need/Sub:  Psychosocial Integrity

Standards:  QSEN Competencies: 1.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essential Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Relationship Centered Care: The role of family, culture, and community in a person’s development | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  Apply developmental theories that inform nurses’ understanding of patient development.

MNL LO:  1.2.3. Distinguish among the different psychosocial theories about the development of mental illness.

2) A 54-year-old patient tells the nurse that she is very upset that her son has become involved in demonstrations protesting corporate lobbying. Which of Kohlberg’s stages of moral development does the nurse identify as her patient’s current stage?

1. Adaptation

2. Assimilation

3. Conventional

4. Pre-conventional

Answer:  1

Explanation:  1. In the conventional stage, the individual focuses on doing his or her duty to keep the social order, which the patient would prefer her son to do. Adaptation and assimilation are concepts of Piaget’s cognitive theory, not Kohlberg’s stages of moral development. The pre-conventional stage is characterized by avoidance of punishment.

Page Ref: 72

Cognitive Level:  Analyzing

Client Need/Sub:  Psychosocial Integrity

Standards:  QSEN Competencies: 1.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essential Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Relationship centered care: Promote and accept the patient’s emotions; accept and respond to distress in patient and self | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  Apply developmental theories that inform nurses’ understanding of patient development.

MNL LO:  1.4.4. Examine the components of the mental health assessment.

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