Psychiatric Nursing, 7th Edition by Norman L. Keltner - Debbie Steele
Psychiatric Nursing, 7th Edition by Norman L. Keltner - Debbie Steele
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Chapter 07: Models for Working with Psychiatric Patients
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | keep id impulses from gaining control. |
| b. | protect the ego from excessive anxiety. |
| c. | access unconscious feelings and memories. |
| d. | prevent conflict among the id, ego, and superego. |
ANS: B
Theorists widely accept the Freudian concept that ego defense mechanisms operate unconsciously to lower anxiety. The function of defense mechanisms is limited to anxiety control, so the other options are incorrect.
DIF: Cognitive level: Understanding REF: p. 67 TOP: Nursing process: Planning
MSC: NCLEX: Psychosocial Integrity
| a. | provides rational, logical reality testing. |
| b. | is primarily concerned with right and wrong. |
| c. | uses primary process imagery to meet basic needs. |
| d. | is derived from the individual’s pattern of thinking. |
ANS: A
The ego focuses on the reality principle and uses secondary-process thinking, a logical, rational operation to maintain the well-being of the individual. The superego is concerned with right and wrong. The id uses primary process. Ego formation is influenced by heredity, environment, and maturation.
DIF: Cognitive level: Understanding REF: p. 67
TOP: Nursing process: Implementation MSC: NCLEX: Psychosocial Integrity
| a. | resolve developmental issues, fears, and crises. |
| b. | allow an individual control over the id and superego. |
| c. | suppress painful feelings and increase rational thinking. |
| d. | provide insight into behavior and allow meaningful change to occur. |
ANS: D
Freud believed that uncovering unconscious material generates an understanding of behavior that enables individuals to make choices about behavior and thus improve mental health. It will not, however, automatically resolve issues, give the patient control over id and superego strivings, or result in rational thinking.
DIF: Cognitive level: Understanding REF: p. 67
TOP: Nursing process: Implementation MSC: NCLEX: Psychosocial Integrity
| a. | the patient has difficulty with problem solving. |
| b. | the patient has an increased risk for psychosis. |
| c. | emotions are experienced with great intensity. |
| d. | reality is denied. |
ANS: A
Excessive use of defense mechanisms results in the distortion of reality. When reality is not perceived accurately, problem solving is impaired. The other options might or might not be experienced by the patient.
DIF: Cognitive level: Understanding REF: p. 67
TOP: Nursing process: Assessment MSC: NCLEX: Psychosocial Integrity
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