PSYCHIATRIC NURSING

1. One afternoon the nurse on the unit overhears a young female client having an argument with her boyfriend. A
while later the client complaints to the nurse that the dinner is always late and the meals are terrible. The nurse
recognizes that the defense mechanism the client is using is:
a. projection
b. dissociation
c. displacement
d. intellectualization
2. Although upset by a young client’s continuous complaints about all aspects of care, the nurse ignores them
and attempts to divert the conversation. Immediately following this exchange with the client, the nurse
discusses with a friend the various stages of development of young adults. The defense mechanism in used is:
a. substitution
b. sublimation
c. identification
d. intellectualization
3. The mother of a 23-month old child works in a factory at night and says if she misses any more work she will
be fired. She is worried about leaving the child in the hospital at night because he is so young. What would be
an appropriate nursing response?
a. “He is really too young to suffer any untoward consequences.”
b. “It’s okay to leave; just leave a favorite toy.”
c. It would be better if you could stay, but we will take good care of him.”
d. “You will have a lot of expenses in the future, so you had better to go work.”
4. A 9 year old client with leukemia asks, “Will I die?” What is an initial therapeutic response based on the
needs of the dying child?
a. “Think about getting well instead of dying.”
b. “Tell me what you are thinking about dying.”
c. “You need to ask your doctor.”
d. “I really don’t know.”
5. An infant is scheduled for pyloromyotomy. The mother begins to cry and says “I’m such a bad mother.” What
is an appropriate response by the nurse?
a. “Tell me what makes you think that you are a bad mother”
b. “Don’t cry; your baby will be fine.”
c. You are really having a bad time; aren’t you?”
d. The nurse says nothing and puts her arms around the mother.”
6. An elderly client begins to cry during morning care. Which question by the nurse would be most appropriate
and solicit the best response by the client?
a. “Why are you crying?”
b. “What’s the matter with you?”
c. “You’re not going to cry again, are you?
d. “You seem very sad. Can you tell me what’s bothering you?
7. A 23-year old female client is admitted to a psychiatric unit after a several episodes of uncontrolled rage at
her parent’s home. She is diagnosed as having a borderline personality disorder. While watching a television
newscast describing an incidence of violence in the home, the client states, “People like that need to be put
away before they kill someone.” The nurse recognizes that the client is using:
a. Denial
b. Projection
c. Introjection
d. Sublimation
8. Survivors of a major earthquake are being interviewed on admission to the hospital. The nurse notes that they
exhibit flattened affect, make minimal eye contact, and speak in a monotone voice. This would be indicative
of the defense mechanism known as:
a. splitting
b. isolation
c. introjection
d. compensation
9. Three days after a stressful incident a client can no longer remember what there was to worry about. The
nurse, in relating to this client, can be most therapeutic by recognizing that the inability to recall the situation
is an example of:
a. Denial
b. repression
c. regression
d. dissociation
10. A woman newly diagnosed with end-stage renal failure states that “It’ll be okay. It’s not a big deal.” The
nurse should recognize that the defense mechanism in use is:
a. Denial
b. Compensation
c. Intellectualization
d. Rationalization
11. A man develops blindness after watching his friend get seriously injured in a race car accident is an example
of what defense mechanism:
a. denial
b. dissociation
c. introjection
d. conversion
12. A young adolescent who was the lone survivor of an airplane crash now experience amnesia. The patient used
what defense mechanism?
a. introjection
b. dissociation
c. repression
d. displacement
13. A man is extremely polite and courteous to his mother-in-law, whom he intensely dislike. Defense
mechanism in used is:
a. undoing
b. displacement
c. reaction-formation
d. denial
14. An adolescent who perceives herself as an unattractive focuses her energies on cultivating her intellectual
abilities and is on the honor roll at school. This is an example of:
a. denial
b. compensation
c. rationalization
d. undoing
15. Diversion of unacceptable instinctual drives into personally and socially acceptable areas to help channel
forbidden impulses into constructive activities is called:
a. compensation
b. isolation
c. sublimation
d. fantasy
16. A client’s husband reports that over the past month his wife has become increasingly agitated and
hyperexcitable, with a marked increase in verbal and physical activity. Based on these symptoms, the nurse
conclude client maybe experiencing which of the following?
a. panic attacks
b. paranoid behavior
c. free-floating anxiety
d. manic episode
17. A client with a diagnosis of schizophrenia repeatedly states, “There are flies eating my brain and making me
feel weird.” The client is most likely experiencing which of the following?
a. ideas of reference
b. grandiose delusion
c. somatic delusion
d. persecutory delusion
18. A client is experiencing lack of logical thought progression, resulting in disorganized and chaotic thinking.
The nurse understands this to be:
a. delusion of grandeur
b. ideas of reference
c. depersonalization
d. associative looseness
19. A client says, “I think everyone is out to get me. I don’t trust you at all.” The nurse’s best response would be?
a. “I really don’t think everyone is out to get you. You just think so.”
b. I don’t understand why you think everyone is out to get you. I know I am not one of those people.”
c. “How could you think everyone is out to get you when everyone is trying to help you?
d. “I know you think everyone is out to get you, but I don’t see it that way.”
20. The nurse at the crisis intervention center asks a new female client, who has come because her husband is
planning a divorce, her reasons for seeking help. The client responds by describing her first meeting with her
husband when they were both teenagers. When doing crisis intervention, the nurse’s most therapeutic
response would be:
a. “You’re avoiding talking about the divorce.”
b. “What does this have to do with your divorce?”
c. “And now your husband is asking for a divorce.”
d. “Would you like to tell me more about the early years?”
21. The nurse enters the room of an agitated, angry client to administer an ordered antipsychotic medication. The
client shouts, “Get out of here!” The nurse’s best approach would be to:
a. Say, I’ll be back in 15 minutes and we can talk.”
b. Get assistance and give the client the medication by injection.
c. Explain why it is necessary that the client take the medication
d. Say, “You must take the medicine that has been ordered for you.”
22. A client who has recently been diagnosed with AIDS comments to the nurse, “There are so many rotten
people around. Why couldn’t one of them get AIDS instead of me?” The nurse could best respond:
a. “I can understand why you’re afraid of death.”
b. “It seems unfair that you should have this disease.”
c. “I’m sure you really don’t wish this on someone else.”
d. “Have you though of speaking with a minister?”
23. A husband is upset that his wife’s delirium tremens have persisted for the second day. The initial response by
the nurse that would be most appropriate is:
a. “I see that you are very worried. Medications are being used to lessen your wife’s discomfort.”
b. “This is totally normal. I suggest that you go home because there is nothing you can do to help at
this time.”
c. “Are you afraid that your wife may die? I assure that very few alcoholics die during detoxification
process.”
d. “The staff is making your wife comfortable while she is undergoing the withdrawal process. Your
wife will not feel pain.”
24. When speaking with a client diagnosed with schizophrenia, the nurse notices that the client keeps interjecting
sentences that have nothing to do with the main thoughts being expressed. The client asks whether the nurse
understands. The nurse should reply:
a. “You aren’t making any sense, let’s talk about something else.”
b. “I’d like to understand what you are saying, but you are too confused now.”
c. “Why don’t you take a rest and then we can talk again later this afternoon.”
d. “I’d like to understand what you are saying, but I’m having difficulty following you.”
25. A newly admitted client looks at but does not respond to the nurse. The nurse’s most appropriate action
would be to state:
a. “I guess you would rather be alone for now; I will return later so we can talk.”
b. “I am talking to you. Are you having trouble understanding what I am saying?”
c. “I am here to tell you about the services available to you on the mental health unit and to offer
you my help”.
d. “This is the mental health unit of the hospital. We have many services to offer. Let me tell you about
them.”
 26. In an attempt to remain objective and support a client during a crisis, the nurse uses imagination and
determination to project the self into the client’s emotions. The nurse accomplishes this using the technique
known as:
a. empathy
b. sympathy
c. projection
d. acceptance
27. After a traumatic event a client is extremely upset and exhibits pressured and rambling speech. A therapeutic
technique that the nurse can use when a client’s communication rambles would be:
a. touch
b. silence
c. focusing
d. summarizing
28. When communicating with a client with a psychiatric diagnosis, the nurse uses silence. When silence is used
in therapeutic communication, clients should feel:
a. unhurried to answer
b. it is their turn to talk
c. the nurse is thinking
d. there is nothing more to say
29. The nurse tells a client that talking with the staff members is part of the therapy program. The client responds,
“I don’t see how talking to you can possibly help.” The nurse’s most appropriate response would be:
a. “I can see how you would feel that way now, but hopefully you’ll change your mind.”
b. “You will never know whether or not it is helpful unless you are willing to give it a try.”
c. “The one-to-one relationship has proven itself very helpful for others. Why don’t you give it a try?
d. “Hopefully, I can help you sort out your thoughts and feelings so you can better understand
them.”
30. The nurse states, “You look discouraged.” The client replies, “I’m a bother. Not much good to anyone
anymore. My wife would at least get some insurance money when I died.” The nurse’s most therapeutic
response would be:
a. “I can understand how you feel.”
b. “You feel so bad you wish you were dead.”
c. “We all have days we feel like that. Let’s talk about your diet.”
d. “I know it’s hard, but don’t let it get you down or let your wife hear you.”
Situation: Mrs. Orlando, age 50, complains of severe on and off headache which started six months after her
husband died in a vehicular accident.

31. The physician orders various diagnostic tests for Mrs. Orlando’s problem to:
a. Rule out organic pathology
b. Satisfy her psychological need
c. Decrease her anxiety
d. Confirm to the patient that her symptom is real
32. After a thorough assessment, the nurse concludes that Mrs. Orlando’s Problem is:
a. self-esteem disturbance
b. impaired social interaction
c. impaired adjustment
d. ineffective individual coping
33. An anti-anxiety drug which is ordered to Mrs. Orlando would be:
a. Chlorpromazine
b. Diazepam (Valium)
c. Imipramine HCL(Tofranil)
d. Haloperidol (Haldol)
34. Aside from taking the anti-anxiety medication, it is best for Mrs. Ocampo to do one of the following:
a. verbalize her feeling more openly
b. decrease her social activities
c. use relaxation techniques everyday
d. decrease her workload
 35. Anxiety as a subjective individual experience is described as:
a. predominant feelings of fearfulness or apprehensions
b. loss of interest in usual activities
c. inability to experience pleasure
d. predominant feeling of helplessness and despair
36. For suspicious patients, involving higher level of concentration are provided because of one of the following
rationales. Theses patients:
a. need not to be challenged by this type of activities
b. lose interest easily if not given this type of activities
c. will have lesser need for acting out
d. will have less time for delusional thinking
37. In a nurse-patient relationship, more interactions occur during this phase:
a. orientation
b. working
c. pre-interaction
d. termination
38. A young woman, Monina, suffers from headache every time she is confronted with a problem. Mr. Recto
identifies one of the following as the appropriate nursing diagnosis:
a. Moderate anxiety
b. Severe anxiety
c. Mild anxiety
d. Panic episodes
39. When a withdrawn patient says does not want to talk, the nurse says:
a. “Can you tell me what have been going on with you?”
b. “You seem to be upset, what are you thinking right now?
c. “Why do you feel this way?”
d. “It is all right, I would like to spend time with you. We don’t have to talk.”
Situation: Aling Rosalka, age 72, is a widower with moderate Alzheimer’s disease was brought to the Home for the
Aged by his married daughter. On admission, she says to the nurse, “I never thought this would happen to us. I
really feel guilty about bringing him here. I can’t bear to part with him.”
40. The nurses best therapeutic response to Aling Rosalka’s daughter would be:
a. “You have indeed made a sound decision. Your father needs professional care which you can not
provide at home.”
b. “Why are you feeling guilty about bringing him here?”
c. “I know this has been difficult time for you. Maybe it would be good if we talk for a while.”
d. Certainly, you have done everything for your father. Don’t worry, he is going to received excellent
care here.”
41. Initially, the nursing diagnosis would be:
a. impaired communication
b. impaired social interaction
c. altered family process
d. altered thought process
42. To guide him in planning nursing care for Aling Rosalka, the nurse should prioritize soliciting this
information:
a. significant others
b. coping mechanism
c. routine activities at home
d. extent of his memory impairement
43. Two days after admission, Aling Rosalka was observed to be awake and restless most of the night. After
referral to the physician, this medication was ordered:
a. Diazepam (Valium) 10 mg. H.S.
b. Chlorpromazine (Thorazine) 10 mg. TID
c. Imipramine HCL (Tofranil) 30 mg OD
d. Lithium 600 mg OD
44. One evening, Aling Rosalka finds difficulty putting on her pajama. In Alzheimer’s disease, this is known as:
a. Aphasia
 b. Apraxia
c. Anomia
d. Agnosia
Situation: Glenda, 35 years old, has difficulty falling asleep with poor appetite which started after being terminated
from her work
45. A relevant information about crisis is, it:
a. Is not caused by stressful events
b. Can result to personality disorganization
c. Can not lead to personal growth
d. Is a pathological state
46. An initial nursing diagnosis would be:
a. Altered family process
b. Impaired adjustment
c. Ineffective Individual coping
d. Altered though process
47. During a nurse-patient interaction. The nurse asks one of the following questions to help her in assessing the
coping style of Glenda:
a. “How are you feeling right now?”
b. “Do you have anyone to talk to?”
c. “What do you think would help your situation?”
d. “How does this problem in your work affects your life?”
48. One afternoon, after visiting hours, Ace became agitated and talkative. The nurse using the collaboration
technique of communication would ask him:
a. “What would you like to discuss?”
b. “Perhaps you and I can discover what causes you anxiety.”
c. “What are you thinking about?”
d. “Has this ever happened before?”
49. After a therapy session with the psychologist in the mental health clinic, a client tells nurse that the therapist
is uncaring and impersonal. The nurse could be best respond:
a. “Your therapist is really very good.”
b. “I hope that the rest of the staff is caring.”
c. “The therapist is there to help you, try to cooperate.”
d. “You have strong feelings about your therapy session and your therapist.”
50. A client on a psychiatric unit who has been hearing voices is receiving a neuroleptic medication for the first
time. The client takes the cup of water and pill and stares at them. The most therapeutic response by the nurse
is:
a. “You have to take the medicine.”
b. “This is the medication that your doctor ordered.”
c. “There must be reason you don’t want to take your medicine.”
d. “This is medicine that your doctor wants you to have. Swallow it.”
51. A person with a history of alcoholism states, “I have been drinking since lasts Friday to celebrate my son’s
graduation from college.” This is an example of the defense mechanism of:
a. denial
b. projection
c. identification
d. rationalization
52. If interrupted in the performance of the ritual, a client with an obsessive-compulsive disorder would most
likely react with:
a. anxiety
b. hostility
c. aggression
d. withdrawal
53. When a nurse is working with a client with psychiatric problems, a primary goal is the establishment of a
therapeutic nurse-client relationship. The major purpose of this relationship is to:
a. Increase the client’s non-verbal communication
b. Provide an outlet for suppressed hostile feelings
 c. Assist the client in acquiring more effective behavior
d. Provide the client with someone to help make decisions
54. One of the patients in the psychiatric unit loss her ability to recognize objects. It is termed as:
a. anhedonia
b. agnosia
c. apraxia
d. alogia
55. A nurse when talking to a patient with Alzheimer’s disease recognized that the patient is confabulating.
Confabulation means:
a. Consciously forgetting of events or instances to decrease the level of anxiety
b. Disorder in which patients resolve psychological conflicts through the loss of specific physical
function
c. Unconscious filling of gaps in memory with fabricated facts and experiences.
d. Loss of purpose without loss without loss of muscle power leads to difficulty carrying out complex
task
56. Cognitive therapy is best utilized because it aims to:
a. Alter relationship within the family and change the problematic behavior of one or more members.
b. Seeks to help patients develop adequate coping skills to resolve an immediate problem.
c. Establish appropriate goals by mediating the patient’s disturbed behavior patterns to promote
personality growth and development
d. To identify and change patient’s negative thoughts and expectations.
57. This is the treatment of choice for phobias where the patient is slowly expose to something he fears. This is
termed as:
a. cognitive therapy
b. systematic desensitization
c. thought stopping
d. positive conditioning
58. A female client, who has been told by her physician that she has untreatable metastatic carcinoma, tells the
nurse that she believes the physician has made an error, she does not have cancer, and she is not going to die.
The nurse evaluates that the client is experiencing what stage of dying?
a. anger
b. denial
c. bargaining
d. acceptance
59. A female client terminally ill with cancer says to the nurse, “My husband is avoiding me. He doesn’t love me
anymore because of this damn tumor.” The nurse’s most appropriate response would be:
a. “What makes you think he doesn’t love you?”
b. “Avoidance is a defense; he needs your help to cope.”
c. “He is probably having difficulty dealing with your illness.”
d. “You seem very upset. Tell me how your husband avoiding you.”
60. Some clients repeatedly perform ritualistic behaviors throughout the day to limit anxious feelings. The nurse
recognizes that these behaviors are:
a. Compulsion
b. Obsession
c. Under personal control
d. Related to rebelliousness
61. The nurse plans to teach a client to use healthier coping behaviors that consciously can be used to reduce
anxiety. These include
a. Eating, dissociation, fantasy
b. Sublimation, fantasy, rationalization
c. Exercise, talking to friends, suppression
d. Repression, intellectualization, smoking
62. Situational crises are usually resolved in a time period of:
a. 1-4 days
b. 2-3 weeks
c. 1-2 months
 d. 2-6 months
63. The nurse suggests a crisis intervention group to a client experiencing a developmental crisis. These groups
are successful because the:
a. Client is encouraged to talk about personal problems
b. Crisis group supplies a workable solution to the client’s problem
c. Crisis intervention worker is a psychologist and understands behaviors patterns
d. Client is assisted to investigate alternative approaches to solving the identified problems.
64. A young mother of three children, each born one year apart, has been hospitalized after attempting to hang
herself. The client is being treated with milieu therapy. The nurse is aware that this therapeutic modality
consist of:
a. Using positive reinforcement to reduce guilt
b. Uncovering unconscious conflicts and fantasies
c. Providing individual, group, and family therapy
d. Manipulating the environment to benefit the client
65. A young child suspected of being sexually abused says to the nurse, “Did I do something bad?” the nurse’s
most therapeutic reply would be:
a. “Who said you did something bad.”
b. “What do you mean something bad?”
c. “Do you think that you did something bad?”
d. “I’m not sure I would say it was something bad.”
66. During a nurse’s interview with a client who has been sexually assaulted, the woman states that she should
have fought back. The most therapeutic response by the nurse would be:
a. “You are feeling guilty about submitting.”
b. “You may have submitted, but you are alive.”
c. “It’s over; let’s not explore what could you have done.”
d. “It is hard to know, but it’s all right now; you are alive.”
67. A client who has been admitted with a diagnosis of schizophrenia says to the nurse, “Yes, it’s March. March
is little women. That’s literal you know.” These statements illustrate:
a. echolalia
b. neologism
c. flight of ideas
d. loosening of association
68. A client with schizophrenia repeatedly says to the nurse, “No moley, jandu! No moley, jandu.” The nurse
understands that this is called
a. echolalia
b. concretism
c. neologism
d. paleologic thinking
69. A client who has been hospitalized with schizophrenia tells the nurse, “My heart has stopped and my veins
have turned to glass!” The nurse recognizes that this is an example of:
a. Echolalia
b. Hypochondriasis
c. Somatic delusions
d. Depersonalization
70. A female client with acute schizophrenia tells the nurse, “Everyone hates me.” The best response by the nurse
would be:
a. “Tell me more about this.”
b. “Everyone does not hate you.”
c. “The feeling is part of your illness.”
d. “You maybe doing something to promote this feeling.”
71. In caring for a patient with suicidal ideation, what is the nurse’s priority?
a. communication
b. ventilation of feeling
c. patient’s safety
d. patient’s feeling of belongingness
72. A client has been hospitalized for two days for treatment of hepatitis A. when the nurse enters the client’s
room, he asks the nurse to leave him alone and stop bothering him. Which among the ff. responses b y the
nurse would be most appropriate?
a. “I understand and will leave you along for now.”
b. “Why are you angry with me?”
c. “Are you upset because you do not feel better?”
d. “You seem upset this morning.”
73. The nurse observes a patient who has preoccupation or constantly recurring thoughts that interfere with daily
living. He should identify this behavior as:
a. Compulsions
b. Obsessions
c. Ideas of reference
d. Delusions
74. Which of the following is the nurse likely to include in the care plan of a client who’s to receive behavioral
therapy?
a. Group therapy
b. Assertiveness training
c. Token economy
d. Flooding
75. The nurse asks a patient to remember three words: house, ball and rain. About 10 minutes later, she asks the
patient to repeat those words. Which aspect of memory is the nurse teaching?
a. immediate recall
b. delayed recall
c. recent memory
d. remote memory
76. The nurse recognizes that, according to Piaget’s stages of cognitive development, children usually begin to
think abstractly and logically during:
a. formal operations stage
b. concrete operations stage
c. preoperational stage
d. sensorimotor stage
77. A patient with schizophrenia says, “We can, pan, scan, plan, ran.” The nurse identifies this as which speech
abnormality?
a. Clang association
b. Echolalia
c. Word salad
d. Neologism
78. The nurse observed that the patient repeatedly utters his own words. This means that the patient is having:
a. echolalia
b. verbigeration
c. neologism
d. word salad
79. Upon trying to communicate with the client, the nurse noted that the patient answers in every question with
illogical word groupings such as this statement, “I saw the star, the barn, plant.” This is an example of:
a. neologism
b. clang association
c. looseness of association
d. word salad
80. A patient with schizophrenia exhibits flattening of affect. The nurse documents this finding as:
a. anhedonia
b. asociality
c. blunted affect
d. regression
81. During the assessment interview, a schizophrenic patient tells the nurse, “People are reading my mind.
They’re out to get me.” The nurse documents that the patient is experiencing:
a. Delusion
 b. Hallucinations
c. Illusions
d. Magical thinking
82. The most common type of hallucination is:
a. auditory
b. visual
c. gustatory
d. olfactory
83. The nurse interprets a patient’s fear of being in situations or places that may be difficult or embarrassing to
leave as evidence of:
a. Social phobia
b. Panic disorder
c. Agoraphobia
d. Acrophobia
84. A patient states, “I’m so afraid of embarrassing myself in public. My face gets so red and I start to perspire.
Then the words just won’t come out.” The nurse interprets these statements as possibly indicating:
a. Specific phobia
b. Social phobia
c. PTSD
d. Panic disorder
85. The fear of losing one’s mind or having a heart attack is most likely to occur in:
a. panic disorder
b. social phobia
c. GAD
d. Myctophobia
86. A patient with a history of panic attacks reports feeling “trapped” after having an attack. The nurse interprets
that this as indicating that the patient fears the loss of:
a. maturity
b. control
c. memory
d. identity
87. A patient with body dysmorphic disorder (BDD) is receiving behavioral therapy that involves the application
of painful stimuli to modify her obsession with a perceived defect. The nurse that the technique is a form of:
a. thought stopping
b. aversion therapy
c. implosion therapy
d. response prevention
88. Misinterpretation of bodily sensations or symptoms is a chief feature of:
a. BDD
b. Somatization disorder
c. Conversion disorder
d. Hypochondriasis
89. A patient comes to the clinic reporting a sudden onset of paralysis in the legs. A thorough history and
physical examination along with numerous diagnostic tests fail to reveal a physical disorder. The history does
reveal that the patient had recently been treated for stress after witnessing a multivehicle accident in which
several people died. The nurse interprets these findings as suggesting which condition?
a. hypochondriasis
b. somatization disorder
c. conversion disorder
d. pain disorder
90. The nurse understand that the personality disorder characterized primarily by mistrust is commonly classified
as:
a. Paranoid personality disorder
b. Antisocial personality disorder
c. Dependent personality disorder
d. Schizotypal personality disorder
91. For most patients with personality disorders, the treatment of choice is usually:
a. group therapy
b. individual psychotherapy
c. self-help support groups
d. inpatient therapy
92. When assessing a patient with personality disorder, the nurse notes ideas of reference and magical thinking
leading her to suspect what personality disorder?
a. borderline
b. schizotypal
c. schizoid
d. histrionic
93. Which finding would the nurse identify as the most prominent characteristic of borderline personality
disorder?
a. Suspiciousness
b. Reckless disregard for others
c. Instability in personal relationship
d. Unlawful behavior
94. Which characteristic would the nurse most likely identify as common to all personality disorders?
a. Positive self-image
b. Adequate impulse control
c. Appropriate range of emotions
d. Personal relationship problems
95. Which nursing intervention is appropriate to include in the care plan of a patient with schizoid personality
disorder?
a. Push the patient to express and discuss his feelings
b. Sit as close to the patient as possible
c. Ensure the patient’s privacy
d. Encourage the patient to respond quickly
96. While assessing a patient with borderline personality disorder, the nurse notes that the patient tends to view
others and situations as extremes of good and bad. The nurse documents this finding as:
a. dissociation
b. splitting
c. dialectical behavior
d. milieu
97. The basis for a therapeutic nurse patient relationship begins with the nurse’s:
a. Sincere desire to help the patient
b. Realistic goal setting
c. Acceptance of others
d. Self-awareness and understanding
98. Freud stresses that this part of the personality is concerned with the control of the physical needs and the
instincts of a person:
a. Id
b. Libido
c. Ego
d. Superego
99. According to Erickson, the major task to be accomplished during adolescence is:
a. Final refinement of the superego
b. Choosing an adult occupation
c. Establishment of ego identity
d. Development of heterosexual relationship
100. The goal of orientation phase of nurse-client relationship is:
a. Helping the client review what she has learned
b. Facilitating the expression of concerns and feelings
c. Providing an atmosphere to establish trust
d. Evaluate problems and goals