Neeb’s Fundamentals of Mental Health Nursing 4th Edition- Linda M. – Test Bank
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Sample Test
Chapter 3: Ethics and Law
Multiple Choice
Identify the choice that best completes the statement or answers
the question.
____ 1. A patient is expressing
anger when the nurse attempts to make him take a medication that he is
refusing. If the nurse pushes to give the medication against his will, the
nurse is:
|
A. |
Violating the patient’s
rights. |
|
B. |
Achieving a treatment goal
to get the medication in the patient any way possible. |
|
C. |
Supporting the family’s
demand that he take the medication. |
|
D. |
Following orders from the
charge nurse. |
____ 2. A mental health nurse
bumps into a member of her church, who begins questioning her about a former
neighbor. The woman from the church asks the nurse, “How is Rachael? We have
been friends for over 20 years and I have seen her come out of your clinic a
few times. Is she seeing one of the psychiatrists?” The nurse’s response is:
|
A. |
“The HIPAA law prevents me
from disclosing any information about any patient.” |
|
B. |
“All I can say is she is
seeing Dr. Leone.” |
|
C. |
“Rachael is seeing Dr.
Leone because she is concerned about feeling extremely happy sometimes and
about feeling extremely depressed other times.” |
|
D. |
“Rachael was only there to
renew her medication.” |
____ 3. You are working on a
mental health unit and have a diverse group of patients. Some of the patients
are of Middle Eastern descent. These patients have communicated to you that
they would like to follow the same period for praying as they did prior to
admission. What is your response?
|
A. |
“You are in America now.” |
|
B. |
“You can go back to your
regular time for praying when you are discharged.” |
|
C. |
“How can I accommodate you
with your prayer time?” |
|
D. |
“Would you like to learn
another prayer?” |
____ 4. The nursing student uses
the client’s full name on the assigned care plan during her recent clinical
rotation. What is the instructor’s priority intervention?
|
A. |
Express the importance of
factual documentation and that it should include the patient’s name. |
|
B. |
Remind the student of the
importance of maintaining patient confidentiality. |
|
C. |
Discuss with student that
the patient is homeless and illiterate. As a result of this, maybe the
patient will not be embarrassed about their homelessness status; therefore
confidentiality is not an issue. |
|
D. |
Explain to the student
because the patient was committed involuntary, confidentiality is not an
issue. |
____ 5. While shopping in the
local supermarket, a mental health nurse encounters an individual who recently
was a patient on her unit. Which is the proper response by the nurse?
|
A. |
Stop the person and ask how
they are doing since discharge. |
|
B. |
The closer you get to the
patient, look in another direction. |
|
C. |
Speak to the patient, but
not by name. |
|
D. |
If eye contact is made and
the patient responds, then you should respond back. |
____ 6. The telephone rings at the
nurses’ station of an inpatient psychiatric facility. The caller asks to speak
with Ms. Honey. Which nursing response protects the patient’s rights and
confidentiality?
|
A. |
“I cannot confirm or deny
that Ms. Honey was admitted here.” |
|
B. |
“Ms. Honey is in group therapy
at present.” |
|
C. |
“Hold on, I’ll go see if
she is in her room.” |
|
D. |
“Are you a family member?
Ms. Honey can only receive calls from family members.” |
Completion
Complete each statement.
7. In
the group therapy session, the nurse speaks up to remind a patient of a recent
improvement in his coping. The nurse’s action is an example of
______________________.
8. Another
term to describe the ethical principle of veracity is _________________.
9. The
name of a law that provides immunity to a citizen who offers medical aid is
_________________________.
10. The
patient is upset because her doctor has not been to see her today. The nurse
tells the patient the doctor will be in by 3 p.m., even though the nurse does
not know this to be true. This nurse has violated the ethical principle of
_____________.
11. The
basic concepts and fundamental moral principles that govern conduct are known
as _________________________.
12. Another
term for accepting responsibility is ________________.
13. _____________________
relates to space, time, and waiting and is influenced by culture.
14. The
National Federation of Licensed _________ Nurse organization adopted the
standards of practice that include ethics for the LPN/LVN.
15. The
American Nurse Association has written guidelines for minimum
__________________ of care.
16. The
Nurse Practice _____ indicates the acceptable scope of nursing practice for the
different levels of nursing.
17. _________________
addresses the security and privacy involved with medical records and how that
information is identified and passed between care providers.
18. The
_____________ ________________ is the leading national accreditation body of
health care organizations.
19. Immunity
for citizens who stop to assist someone in need of medical help is protected by
the Good ___________ Act.
20. This
document protects patients who are receiving care in a facility: Patient Bill
of _________.
21. Abuse
should be reported by ________________________.
22. Nurses
are expected to be respectful of the beliefs of their patients and coworkers
and not to force their personal beliefs on others at work. This is a
demonstration of the trait of ______________, which is required to be nurse.
23. The
_________Commission is the leading accrediting body of health care
organizations.
Multiple Response
Identify one or more choices that best complete the statement or
answer the question.
____ 24. Patient’s Bill of Rights includes the
right(s) to (select all that apply):
|
A. |
Open mail and make personal
phone calls. |
|
B. |
Have privacy and visitors. |
|
C. |
Treat staff in a
disrespectful manner. |
|
D. |
Be identified as a client. |
|
E. |
Choose one’s own nurse. |
____ 25. The Health Insurance Portability and
Accountability Act of 1996 (HIPAA) was developed by the Department of Health
and Human Services to provide national standards pertaining to transmission and
communication of medical information. Which of the following are true about
HIPAA (select all that apply)?
|
A. |
Only applies to electronic
chart, not the paper one |
|
B. |
Provides national standards
relating to the electronic transmission and communication of medical
information between patients, providers, employers, and insurers |
|
C. |
Allows less control on the
part of the patient as to what part of health information is disclosed |
|
D. |
Gives the patient immediate
access to his/her medical record at any time it is requested |
|
E. |
Eliminates the need for
patients to sign informed consents |
|
F. |
HIPAA was implemented in
2003 |
____ 26. The goals and objectives of the Joint
Commission (JC) include (select all that apply):
|
A. |
Committing to quality on a
daily basis within the entire facility. |
|
B. |
Reducing risk of
undesirable patient outcomes. |
|
C. |
Encouraging continuous
improvement. |
|
D. |
Reducing health care costs. |
|
E. |
Promoting nursing education
through scholarships and financial aid. |
____ 27. The LPNs/LVNs will use the Nurse
Practice Act as a guide in their practice. The Nurse Practice Act (select all
that apply):
|
A. |
Is a federal document that
all states must follow. |
|
B. |
Is established by each
state to define the scope of nursing practice in that state. |
|
C. |
Protects nurses from
lawsuits for violating rules about patients’ confidentiality. |
|
D. |
Established fair
compensation and benefits for nurses. |
|
E. |
Dictates the acceptable
scope of practice for the different levels of nursing. |
Chapter 3: Ethics and Law
Answer Section
MULTIPLE CHOICE
1. ANS:
A
The Patient Bill of Rights provides the patient’s right to
refuse medications and treatments. The nurse has a responsibility to advocate
for the patients and assure them of their rights. In addition, patients have
the right to be educated about medications and treatment, which allows them to
make an informed decision.
PTS:
1
REF: Chapter 3: Ethics and Law; Patient Bill of Rights; page 42
KEY: Integrated Processes: Nursing Process: Implementation
| Content Area: Legal | Cognitive Level: Application | Client Need: Safe and
Effective Care Environment: Client Rights
2. ANS:
A
HIPAA (Health Insurance Portability and Accountability Act)
states what can be disclosed about a patient and emphasizes patient privacy.
PTS:
1
REF: Chapter 3: Ethics and Law; Confidentiality; page 40
KEY: Integrated Processes: Teaching/Learning | Content
Area: Legal | Cognitive Level: Application | Client Need: Safe and Effective
Care Environment: Confidentiality/Information
3. ANS:
C
It is within the nurse’s scope of practice to advocate for the
patient. The nurse is the voice for the patient when needed. The nurse defends
the patient’s rights to their beliefs and values.
PTS:
1
REF: Chapter 3: Ethics and Law; Patient Advocacy; page 42-43
KEY: Integrated Processes: Nursing Process: Planning |
Content Area: Cultural Diversity | Cognitive Level: Analysis | Client Need:
Psychosocial Integrity: Religious and Spiritual Influences on Health
4. ANS:
B
All patient information is confidential, and only initials
should be used during the student clinical rotation.
PTS:
1
REF: Chapter 3: Ethics and Law; Confidentiality; page 40
KEY: Integrated Processes: Communication and Documentation
| Content Area: Mental Health: Confidentiality | Cognitive Level: Application |
Client Need: Safe and Effective Care Environment: Confidentiality/Information
Security
5. ANS:
D
Confidentiality is maintained, whether in a facility or out in
public. If the patient initiates contact, then responding back is appropriate.
PTS: 1
REF: Chapter 3: Ethics and Law; Confidentiality; page 38
KEY: Integrated Processes: Caring | Content Area: Legal |
Cognitive Level: Application | Client Need: Safe and Effective Care
Environment: Confidentiality/Information Security
6. ANS:
A
Patient information is confidential this includes even
acknowledging the presence of that person in the facility.
PTS:
1
REF: Chapter 3: Ethics and Law; Confidentiality; page 38
KEY: Integrated Processes: Communication and Documentation
| Content Area: Legal | Cognitive Level: Synthesis | Client Need: Safe and
Effective Care Environment: Confidentiality/Information Security
COMPLETION
7. ANS:
patient advocacy
The nurse understands that patients learn from their peers and
can help others. The nurse is providing information in the group to help this
patient acknowledge a recent success.
PTS:
1
REF: Chapter 3: Ethics and Law; Patient Advocacy; page 45
KEY: Integrated Processes: Caring | Content Area: Mental
Health: Therapeutic Communication | Cognitive Level: Synthesis | Client Need:
Safe and Effective Care Environment: Management of Care: Advocacy
8. ANS:
honesty
Veracity is telling the truth.
PTS:
1
REF: Chapter 3: Ethics and Law; Honesty; page 36
KEY: Integrated Processes: Teaching/Learning | Content
Area: Nursing Ethics | Cognitive Level: Knowledge | Client Need: Safe and
Effective Care Environment: Management of Care: Ethical Practice
9. ANS:
Good Samaritan law
The basis for all Good Samaritan laws is that a third party
cannot be charged with negligence unless help is given recklessly or that
person makes the situation significantly worse, according to the guidelines for
that particular state.
PTS:
1
REF: Chapter 3: Ethics and Law; Good Samaritan Laws; page 41-42
KEY: Integrated Processes: Teaching/Learning | Content
Area: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care
Environment: Management of Care: Legal Rights and Responsibilities
10. ANS:
honesty, or veracity
The professional choice is to tell the truth. Even though giving
false information to the patient reassured the patient, it is not ethical.
PTS:
1
REF: Chapter 3: Ethics and Law; Honesty; page 36
KEY: Integrated Processes: Caring | Content Area: Nursing
Ethics | Cognitive Level: Application | Client Need: Safe and Effective Care
Environment: Ethical Practice
11. ANS:
ethics
Ethics provide a framework of action to address conflicting
principles.
PTS:
1
REF: Chapter 3: Ethics and Law; Ethical Practices; page 34
KEY: Integrated Processes: Teaching/Learning | Content
Area: Nursing Ethics | Cognitive Level: Knowledge | Client Need: Safe and
Effective Care Environment: Management of Care: Ethical Practice
12. ANS:
accountability
Accountability is accepting responsibility for any actions
performed while caring for a patient.
PTS:
1
REF: Chapter 3: Ethics and Law; Accountability; page 41
KEY: Integrated Processes: Teaching/Learning | Content
Area: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care
Environment: Concepts of Management and Supervision
13. ANS:
Proxemics
Study of spatial relationships including space, time, and
waiting, which are all influenced by one’s culture.
PTS:
1
REF: Chapter 3: Ethics and Law; Culture of Nurses; page 37
KEY: Integrated Processes: Teaching/Learning | Content
Area: Mental Health: Therapeutic Communication | Cognitive Level: Knowledge |
Client Need: Psychosocial Integrity: Therapeutic Communication
14. ANS:
Practical
Ethical guidelines and practice standards for the LPN/LVN have
been developed by NFLPN.
PTS:
1
REF: Chapter 3: Ethics and Law; Professionalism; page 34
KEY: Integrated Processes: Teaching/Learning | Content
Area: Nursing Ethics | Cognitive Level: Knowledge | Client Need: Safe and
Effective Care Environment: Coordinated Care
15. ANS:
standards
The standards of care are written at a minimum level and for
each discipline of nursing. A nurse below the minimum competency is unsafe.
PTS:
1
REF: Chapter 3: Ethics and Law; Professionalism; page 34
KEY: Integrated Processes: Teaching/Learning | Content
Area: Nursing Licensure | Cognitive Level: Comprehension | Client Need: Safe
and Effective Care Environment: Coordinated Care
16. ANS:
Act
The Nurse Practice Act defines the level of practice for the
nurse. A nurse can consult with the Nurse Practice Act when unsure about a
specific skill. The Nurse Practice Acts varies from state to state.
PTS:
1
REF: Chapter 3: Ethics and Law; Professionalism; page 34
KEY: Integrated Processes: Teaching/Learning | Content
Area: Nursing Licensure | Cognitive Level: Knowledge | Client Need: Safe and
Effective Care Environment: Coordinated Care and Legal Rights and
Responsibilities
17. ANS:
HIPAA
The Health Insurance Portability and Accountability Act (HIPAA)
was developed by the U.S. Department of Health and Human Services to provide
national standards pertaining to the electronic transmission and communication
of medical information between patients, providers, employers, and insurers.
PTS:
1
REF: Chapter 3: Ethics and Law; Professionalism; page 39
KEY: Integrated Processes: Teaching/Learning | Content
Area: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care
Environment: Confidentiality/Information Security
18. ANS:
Joint Commission
The Joint Commission ensures that standards in the hospital and
other health care organizations are met and maintained. Their goal is to reduce
the risk of undesirable patient outcomes and encourage continuous improvement.
PTS:
1
REF: Chapter 3: Ethics and Law; Professionalism; page 40
KEY: Integrated Processes: Teaching/Learning | Content
Area: Management of Care | Cognitive Level: Knowledge | Client Need: Safe and
Effective Care Environment: Concepts of Management
19. ANS:
Samaritan
The Good Samaritan Act protects individuals who attempt to
provide medical treatment. The Good Samaritan Act does not always protect
nurses, physicians, and other medically trained persons.
PTS:
1
REF: Chapter 3: Ethics and Law; Abiding by Current Laws; page 41-42
KEY: Integrated Processes: Teaching/Learning | Content
Area: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care
Environment: Management of Care: Legal Rights and Responsibilities
20. ANS:
Rights
In many cases, this document was adopted to protect the rights
of patients while in the facility; thus the Bill of Rights may vary from state
to state, even though they are based on federal guidelines. These rights are to
be listed in the facility and placed in a prominent area of the facility or the
patient’s room.
PTS:
1
REF: Chapter 3: Ethics and Law; Patient Rights; page 42
KEY: Integrated Processes: Teaching/Learning | Content
Area: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care
Environment: Management of Care: Legal Rights and Responsibilities
21. ANS:
everyone
Everyone should report any form of abuse and negligence toward
those considered as vulnerable. Nurses and health care workers have a moral,
legal, and ethical responsibility to report known or suspected abuse of people
who cannot care for themselves. By law nurses are mandated to report child
abuse throughout the United States.
PTS:
1
REF: Chapter 3: Ethics and Law; Patient Advocacy; page 34
KEY: Integrated Processes: Nursing Process: Implementation
| Content Area: Mental Health: Abuse | Cognitive Level: Knowledge | Client
Need: Psychosocial Integrity: Abuse/Neglect
22. ANS:
professionalism
Being a professional means we respect others and are committed
to providing safe care to our patients.
PTS:
1
REF: Chapter 3: Ethics and Law; Professionalism; page 33
KEY: Integrated Processes: Caring | Content Area: Nursing
Ethics | Cognitive Level: Comprehension | Client Need: Safe and Effective Care
Environment: Ethical Practice
23. ANS:
Joint
Earning accreditation by Joint Commission indicates commitment
to quality on a daily basis within the entire institution. The commission’s
goal is to reduce the risk of undesirable patient outcomes and encourage
continuous improvement.
PTS:
1
REF: Chapter 3: Ethics and Law; Professionalism; page 40
KEY: Integrated Processes: Nursing Process: Evaluation |
Content Area: Management of Care | Cognitive Level: Knowledge | Client Need:
Safe and Effective Care Environment: Coordinated Care
MULTIPLE RESPONSE
24. ANS:
A, B, D
It is a legal right that advocates for the patient. Facilities
are required to post the Patient’s Bill of Rights.
PTS: 1
REF: Chapter 3: Ethics and Law; Patient’s Rights;
Table 3-1, Most Frequently Adopted Patient Rights; page 43 and 44
KEY: Integrated Processes: Teaching/Learning | Content
Area: Mental Health: Patient Advocacy/Legal | Cognitive Level: Analysis
25. ANS:
B, F
HIPAA was established to maintain confidentiality to anyone
receiving healthcare. HIPAA provides guidelines on how confidential health care
information is handled, including with the use of technology. HIPAA does not
impact other patient rights such as giving informed consent. The patient has a
right to access to his or her medical record, but there is a specific process
to be followed to achieve this for each health care institution so immediate
access is usually not available.
PTS: 1
REF: Chapter 3: Ethics and Law; Confidentiality; page 40
KEY: Integrated Processes: Communication and Documentation
| Content Area: Legal | Cognitive Level: Application | Client Need: Safe and
Effective Care Environment: Management of Care: Confidentiality/Information
Security
26. ANS:
A, B, C
The Joint Commission is the leading national accreditation body
of health care organizations that monitors quality outcomes.
PTS:
1
REF: Chapter 3: Ethics and Law; Joint Commission; page 40
KEY: Integrated Processes: Teaching/Learning | Content
Area: Management of Care | Cognitive Level: Comprehension | Client Need: Safe
and Effective Care Environment: Management of Care: Concepts of Management
27. ANS:
B, E
A nurse will consult the Nurse Practice Act in his ro her state
to determine if the nurse is performing at the appropriate level based on one’s
preparation.
PTS:
1
REF: Chapter 3: Ethics and Law; Professionalism-Nurse Practice Act;
page 34
KEY: Integrated Processes: Teaching/Learning | Content
Area: Nursing Licensure/Legal | Cognitive Level: Comprehension | Client Need:
Safe and Effective Care Environment: CoLegal Rights and Responsibility
Chapter 4: Developmental Psychology Throughout the Life Span
Multiple Choice
Identify the choice that best completes the statement or answers
the question.
____ 1. Nurse Toni’s assignment
included a 41-year-old male client. Per Erikson, which developmental stage is
the patient at?
|
A. |
Focus on having a family |
|
B. |
Does not assume
responsibility for his actions |
|
C. |
Unable to solve problems |
|
D. |
Perceptions are based on
illusions |
____ 2. A nursing intervention for
the initial phase of grief should focus on:
|
A. |
Ignoring the patient until
your presence is requested. |
|
B. |
Staying available to
provide support when the person demonstrates distress. |
|
C. |
Insisting the person face
reality of the loss. |
|
D. |
Organizing a support group
to provide a support system. |
____ 3. Joy is occupied
exclusively with thoughts of her father’s death. Although Joy is preoccupied
with his death, she is still planning to purchase a gift for his birthday,
which would have been in two more weeks. Dr. Leone advises the nurse to assist
Joy through this stage of grief, which is known as:
|
A. |
Denial. |
|
B. |
Anger. |
|
C. |
Bargaining. |
|
D. |
Acceptance. |
____ 4. Freud defines the ego as:
|
A. |
Helping to determine what
is right and what is wrong. |
|
B. |
Being concerned with
self-gratification. |
|
C. |
Focusing on reality. |
|
D. |
The part where a person is
only concerned with one’s individual needs. |
____ 5. A 16-year-old adolescent
is hospitalized and acting like a child. According to Erik Erikson, what is the
appropriate developmental task?
|
A. |
Industry vs. inferiority |
|
B. |
Integrity vs. despair |
|
C. |
Identity vs. role confusion |
|
D. |
Trust vs. mistrust |
____ 6. Which level of Maslow’s
hierarchy of need pyramid is necessary for survival?
|
A. |
Love and belonging |
|
B. |
Physiological needs |
|
C. |
Self-actualization |
|
D. |
Safety and security |
____ 7. This theorist supported
the theory of moral reasoning. The theory of moral reasoning demonstrates how a
person justifies right or wrong.
|
A. |
Freud |
|
B. |
Erikson |
|
C. |
Kohlberg |
|
D. |
Peters |
____ 8. Jean Piaget’s cognitive
theory elaborates on the way a person thinks and how these thoughts are used to
adapt to the surrounding environment. The age group for the formal operation
is:
|
A. |
Birth to 2 years of age. |
|
B. |
2 to 7 years of age. |
|
C. |
8 to 12 years of age. |
|
D. |
12 years of age to
adulthood. |
____ 9. Karen Horney was a
follower of Sigmund Freud. Dr. Horney believed that the abnormal behavior
experienced by her patient was the result of ineffective:
|
A. |
Parenting. |
|
B. |
Mother-child bonding. |
|
C. |
Environmental stressors. |
|
D. |
Genetic markers. |
____ 10. Jean Piaget’s theory focuses on a
person’s ability to reason. The stage of a person between 12 years of age and
an adult according to Piaget would be:
|
A. |
Sensorimotor. |
|
B. |
Preoperational. |
|
C. |
Concrete operational. |
|
D. |
Formal operations. |
____ 11. The id, the ego, and the superego
theory was established by:
|
A. |
Freud. |
|
B. |
Horney. |
|
C. |
Skinner. |
|
D. |
Pavlov. |
____ 12. When caring for a young child, Nurse
Andrea realizes that “trust” is a normal part of growth and further
development. “Trust” is primary in which age group according to Erikson?
|
A. |
3–6 years old |
|
B. |
Over 65 |
|
C. |
Birth –18 months |
|
D. |
12–18 |
Completion
Complete each statement.
13. The treatment
method known as behavior
modification is based on the theory of the behavioral
theorists Skinner and ____________________.
14. The
theorist__________ ________ believed that a person’s behavior is related to
ineffective personality development in childhood.
15. The
eight stages of development with each one having contradictory developmental
tasks was identified by _________ ___________.
16. Cognitive
Development is the central thesis of the theorist _________________.
17. According
to Freud, ______ is the part of the personality that is concerned with the
gratification of self.
18. The
humanistic theorist _________________ developed the hierarchy of needs.
19. In
Abraham Maslow’s hierarchy of needs, the level for survival is also known as the
level of __________ __________.
20. According
the Maslow, the highest level of need is _____________________.
21. Dr.
Elisabeth Kübler-Ross’s theory about facing death consists of a process of
_____(number) stages.
22. This
theorist ____________ ________________ identified eight developmental tasks or
stages that are expressed as opposites or contraindications of each other.
Multiple Response
Identify one or more choices that best complete the statement or
answer the question.
____ 23. The physiological needs components in
Maslow’s Hierarchy of Needs are (select all that apply):
|
A. |
Water |
|
B. |
Oxygen |
|
C. |
Elimination |
|
D. |
Safety |
|
E. |
Freedom from fear |
|
F. |
Giving and receiving |
____ 24. The love and belonging needs
components in Maslow’s Hierarchy of Needs are (select all that apply):
|
A. |
Companionship |
|
B. |
Physical safety |
|
C. |
Elimination |
|
D. |
Caring |
|
E. |
Freedom from fear |
|
F. |
Giving and receiving of
affection |
____ 25. Self-esteem components in Maslow’s
Hierarchy of Needs are (select all that apply):
|
A. |
Companionship |
|
B. |
Self-respect |
|
C. |
Achieve success |
|
D. |
Love |
|
E. |
Recognition |
|
F. |
Giving and receiving of
affection |
____ 26. The components of self-actualization
in Maslow’s Hierarchy of Needs are (select all that apply):
|
A. |
Achievement |
|
B. |
Working to one’s potential |
|
C. |
Achieve success |
|
D. |
Love |
|
E. |
Self-fulfillment |
|
F. |
Giving and receiving of
affection |
____ 27. Which of the following are components
of Freud’s theory of personality (select all that apply):
|
A. |
Personality is fully
developed by age 12. |
|
B. |
The personality is not
fully developed until after adolescence. |
|
C. |
Developmental behaviors can
happen at any age. |
|
D. |
Failure to progress in a
particular manner will lead to dysfunction. |
|
E. |
Behaviors resulting from
ineffective personality development are unconscious. |
|
F. |
Ineffective personality
development was in some way related to the relationship of the child to the
parent and is called psychosexual development. |
____ 28. Toni T is a 5-year-old girl who has a
broken pelvis as a result of falling out of her tree house. Toni was ordered to
stay in bed for 3 weeks. What would be the most appropriate activities for this
child (select all that apply)?
|
A. |
An age-appropriate video
game |
|
B. |
Sports video |
|
C. |
Finger paints |
|
D. |
A chess set |
|
E. |
A punching bag |
|
F. |
A Scrabble game set |
____ 29. The expected behavioral development
of the child that is between the ages of 6 and 12 is the following (select all
that apply):
|
A. |
Learning to share |
|
B. |
Forming friendships with
same-sex friends |
|
C. |
Beginning to show
acceptance of moral issues by questions and discussions |
|
D. |
Socializing |
|
E. |
Being self-centered |
|
F. |
Learning independence |
Other
30. Maslow’s
Hierarchy of Needs is arranged from the lowest level to the highest level
(placed in the order they will occur):
___A. Self-actualization
___B. Self-esteem
___C. Physiological needs
___D. Love and belonging
___E. Safety and security
31. According
to Freud, personality development stages follow this order.
(Place in order these stages occur.)
___ A. Phallic
___ B. Latency
___ C. Oral
___ D. Anal
___ E. Genital
32. The
five stages of death and dying based on Elisabeth Kubler-Ross’s work are (place
in the order they will occur):
___ A. Anger
___ B. Acceptance
___ C. Denial
___ D. Bargaining
___ E. Depression
Chapter 4: Developmental Psychology Throughout the Life Span
Answer Section
MULTIPLE CHOICE
1. ANS:
A
The developmental tasks for adults aged 21–45 are generativity
vs. stagnation.
PTS: 1
REF: Chapter 4: Developmental Psychology Throughout
the Life Span: Developmental Theorist-Erickson; Table 4-2, Erikson’s Eight
Stages of Development; page 55
KEY: Integrated Processes: Nursing Process: Analysis |
Content Area: Mental Health: Developmental Theory | Cognitive Level: Analysis |
Client Need: Health Promotion and Maintenance: Developmental Stages and
Transitions
2. ANS:
B
The initial phase of grief is denial. The individual may have
difficulty facing the scope of the loss initially, so being available to
support him or her when the emotions come is important.
PTS: 1
REF: Chapter 4: Developmental Psychology Throughout
the Life Span; Elisabeth Kübler-Ross/Death and Dying; page 69-70
KEY: Integrated Processes: Nursing Process: Implementation
| Content Area: Mental Health: Grief | Cognitive Level: Application | Client
Need: Psychosocial Integrity: Grief and Loss
3. ANS:
A
To protect themselves from the pain of the death, people use
denial to unconsciously avoid facing reality and pain from the loss. Denial can
seem irrational and can be intermittent.
PTS: 1
REF: Chapter 4: Developmental Psychology Throughout
the Life Span; Elisabeth Kübler-Ross/Death and Dying; Table 4-8 Five Stages of
Grief/Death and Dying; page 69
KEY: Integrated Processes: Caring | Content Area: Mental
Health: Grief | Cognitive Level: Synthesis | Client Need: Psychosocial
Integrity: Coping Mechanism
4. ANS:
C
The ego is responsible for meeting and interacting with the
outside world. The id is balanced by the ego.
PTS: 1
REF: Chapter 4: Developmental Psychology Throughout
the Life Span; Freud; Table 4-1, Freud’s Stages of Development; page 42
KEY: Integrated Processes: Teaching/Learning | Content
Area: Growth and Development | Cognitive Level: Knowledge | Client Need: Health
Promotion and Maintenance: Developmental Stages and Transitions
5. ANS:
C
A 16-year-old is experiencing role confusion perhaps in response
to the stress of hospitalization.
PTS: 1
REF: Chapter 4: Developmental Psychology Throughout
the Life Span; Table 4-2, Erikson’s Eight Stages of Development; page 54-55
KEY: Integrated Processes: Teaching/Learning | Content
Area: Mental Health: Development | Cognitive Level: Comprehension | Client
Need: Health Promotion and Maintenance: Developmental Stages
6. ANS:
B
Physiological needs are the foundation of the pyramid; they must
be met before any other needs can be addressed.
PTS: 1
REF: Chapter 4: Developmental Psychology Throughout
the Life Span; Maslow; page 60
KEY: Integrated Processes: Teaching/Learning | Content
Area: Growth and Development | Cognitive Level: Knowledge | Client Need: Health
Promotion and Maintenance: Developmental Stages
7. ANS:
C
Kohlberg believed there are three levels for determining moral
reasoning: preconventional, conventional, and postconventional.
PTS: 1
REF: Chapter 4: Developmental Psychology Throughout
the Life Span; Table 4-4, Lawrence Kohlberg’s Theory of Development of Moral
Reasoning; page 54-55
KEY: Integrated Processes: Teaching/Learning | Content
Area: Growth and Development | Cognitive Level: Analysis | Client Need: Health
Promotion and Maintenance: Developmental Stages and Transitions
8. ANS:
D
Twelve years to adulthood is the age for formal operations. The
person develops adult logic, can plan for the future, and is able to solve
abstract problems.
PTS: 1
REF: Chapter 4: Developmental Psychology Throughout
the Life Span; Table 4-3, Developmental Theory of Jean Piaget; page 56
KEY: Integrated Processes: Teaching/Learning | Content
Area: Growth and Development | Cognitive Level: Knowledge | Client Need: Health
Promotion and Maintenance: Developmental Stages and Transitions
9. ANS:
B
Horney believed abnormal behaviors were related to ineffective
mother and child bonding.
PTS: 1
REF: Chapter 4: Developmental Psychology Throughout
the Life Span: Developmental Theorist-Horney; page 58
KEY: Integrated Processes: Teaching/Learning | Content
Area: Growth and Development | Cognitive Level: Knowledge | Client Need: Health
Promotion and Maintenance: Developmental Stages and Transitions
10. ANS:
D
During the formal operational age, the person develops adult
logic, is able to reason, plans for the future, and able to form conclusions.
PTS: 1
REF: Chapter 4: Developmental Psychology Throughout
the Life Span; Development Theorist; Newborn to Adolescence; Table 4-3
Developmental Theory of Jean Piaget; page 56
KEY: Integrated Processes: Teaching/Learning | Content
Area: Growth and Development | Cognitive Level: Analysis | Client Need: Health
Promotion and Maintenance: Developmental Stages and Transitions
11. ANS:
A
Dr. Freud developed these personality components and believed
that these components are all set in the unconscious.
PTS: 1
REF: Chapter 4: Developmental Psychology Throughout
the Life Span; Developmental Theorist; Adolescence to Adulthood; page 57
KEY: Integrated Processes: Teaching/Learning | Content
Area: Growth and Development | Cognitive Level: Knowledge | Client Need: Health
Promotion and Maintenance: Developmental Stages and Transitions
12. ANS:
C
Trust versus mistrust is the developmental task in the formative
years—birth to 18 months.
PTS: 1
REF: Chapter 4: Developmental Psychology Throughout
the Life Span; Table 4-2, Erikson’s Eight Stages of Development (Psychoanalytic
or Psychosexual Stages); page 54
KEY: Integrated Processes: Teaching/Learning | Content
Area: Growth and Development | Cognitive Level: Comprehension | Client Need:
Health Promotion and Maintenance: Developmental Stages and Transitions
COMPLETION
13. ANS:
Pavlov
Behavior modification is used to eliminate and decrease the
frequency of identified negative behaviors. Skinner and Pavlov were leaders in
developing this theory.
PTS: 1
REF: Chapter 4: Developmental Psychology Throughout
the Life Span; Pavlov and Skinner; page 58
KEY: Integrated Processes: Teaching/Learning | Content
Area: Mental Health: Treatment | Cognitive Level: Knowledge | Client Need:
Psychosocial Integrity: Mental Health Concepts
14. ANS:
Sigmund Freud
One of Freud’s beliefs was that behaviors resulting from
ineffective personality development are unconscious. Freud believed that
ineffective personality development was in some way related to the relationship
of the child to the parent and that it was related to what he called
psychosexual development.
PTS: 1
REF: Chapter 4: Developmental Psychology Throughout
the Life Span; Developmental Theorist; page 52
KEY: Integrated Processes: Teaching/Learning | Content
Area: Growth and Development | Cognitive Level: Knowledge | Client Need: Health
Promotion and Maintenance: Developmental Stages and Transitions
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