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,Shuo: Essentials of Psychiatric Mental Health Test Bank
(Answers are at the end of each Chapter)
Chapter 1: Concepts of Personality Development
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A jilted college student is admitted to a hospital following a suicide attempt and
states, “No one will ever love a loser like me.” According to Erikson’s theory
of personality development, a nurse should recognize that this patient has a
deficit in which developmental stage?
1. Trust versus mistrust
2. Initiative versus guilt
3. Intimacy versus isolation
4. Ego integrity versus despair
2. A nurse observes a 3-year-old client willingly sharing candy with a sibling.
According to Peplau, which psychological stage of development should the
nurse determine that this child has completed?
1. Learning to count on others
2. Learning to delay satisfaction
3. Identifying oneself
4. Developing skills in participation
3. A 9-month-old child screams every time his mother leaves and will not
tolerate anyone else changing his diaper. The nurse should determine that,
according to Mahler’s developmental theory, this child’s development was
arrested at which phase?
1. The autistic phase
2. The symbiotic phase
3. The separation-individuation phase
4. The rapprochement phase
4. According to Peplau, a nurse who provides an abandoned child with
parental guidance and praise following small accomplishments is serving
which therapeutic role?
1. Technical expert
2. Resource person
3. Surrogate
4. Leader
5. When assessing clients, a psychiatric nurse should understand that
psychoanalytic theory is based on which underlying concept?
1. A possible genetic basis for the client’s problems
2. The structure and dynamics of the personality
3. Behavioral responses to stressors
4. Maladaptive cognitions
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, 6. Which underlying concept should a nurse associate with interpersonal
theory when assessing a client?
1. The effects of social processes on personality development
2. The effects of unconscious processes and personality structures
3. The effects on thoughts and perceptual processes
4. The effects of chemical and genetic influences
7. A physically healthy, 35-year-old, single client lives with his parents, who
provide total financial support. According to Erikson’s theory, which
developmental task should a nurse assist the client to accomplish?
1. Establishing the ability to control emotional reactions
2. Establishing a strong sense of ethics and character structure
3. Establishing and maintaining self-esteem
4. Establishing a career, personal relationships, and societal connections
8. A 1-month-old infant is left alone for extended periods, has little
physical stimulation, and is malnourished. Based on this infant’s
situation, in which phase of development, according to Mahler’s
theory, should a nurse expect to see a potential deficit?
1. The symbiotic phase
2. The autistic phase
3. The consolidation phase
4. The rapprochement phase
9. A 6-year-old boy uses his father’s flashlight to explore his 3-year-old sister’s
genitalia. According to Freud, in which stage of psychosocial development
should a nurse identify this behavior as normal?
1. Oral
2. Anal
3. Phallic
4. Latency
10. A married, 26-year-old client works as a schoolteacher. She and her husband
have just had their first child. A nurse should recognize that this client is
successfully accomplishing which stage of Erikson’s developmental theory?
1. Industry versus inferiority
2. Identity versus role confusion
3. Intimacy versus isolation
4. Generativity versus stagnation
11. A 10-year-old child wins the science fair competition and is chosen
as a cheerleader for the basketball team. A nurse should recognize
that this child is in the process of successfully accomplishing which
stage of Erikson’s developmental theory?
1. Industry versus inferiority
2. Identity versus role confusion
3. Intimacy versus isolation
4. Generativity versus stagnation
12. A client has flashbacks of sexual abuse by her uncle. She did not have these
memories until recently, when she became sexually active with her
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, boyfriend. A nurse should identify this experience as which part of Sullivan’s
concept of the self-system?
1. The good me
2. The bad me
3. The not me
4. The bad you
13. According to Freud, which statement should a nurse associate with
predominance of the superego?
1. “No one is looking, so I will take three cigarettes from Mom’s pack.”
2. “I don’t ever cheat on tests; it is wrong.”
3. “If I skip school, I will get into trouble and fail my test.”
4. “Dad won’t miss this little bit of vodka.”
14. A female complains that her husband only satisfies his sexual needs and never
her needs. According to Freud, which personality structure should a nurse
identify as predominantly driving the husband’s actions?
1. The id
2. The superid
3. The ego
4. The superego
15. A father of a 5-year-old demeans and curses his child for disobedience. In
turn, when upset, the child uses swear words at kindergarten. A school nurse
recognizes this behavior as unsuccessful completion of which stage of
development, according to Peplau?
1. Learning to count on others
2. Learning to delay satisfaction
3. Identifying oneself
4. Developing skills in participation
16. A nurse is caring for a hospitalized client who is quarrelsome, opinionated,
and has little regard for others. According to Sullivan’s interpersonal theory,
the nurse should associate the client’s behaviors with a previous deficit in
which stage of development?
1. Infancy
2. Childhood
3. Early adolescence
4. Late adolescence
Completion
Complete each statement.
17. “It is never right to take something that doesn’t belong to you.” According to
Sigmund Freud, this
statement reflects the predominance of the
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