Chapter 3: Theoretical Models for Working with Psychiatric Patients

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Chapter 3: Theoretical Models for Working with Psychiatric Patients
Match the DSM-IV axis with its description:
1.
2.
3.
4.
5.
Axis I
Axis II
Axis III
Axis IV
Axis V
a.
b.
c.
d.
e.
Clinical syndromes
Physical disorders and conditions
Personality and development disorders
Severity of psychosocial stressors
Global assessment of functionality
6. This patient is 29 years old and states, “I do not trust anything or anybody. I am very
afraid of trusting someone. I will just get hurt.” According to Erikson, what stage of
development did this patient not master?
7. In what age range should a person master this stage?
8. A therapist says to the patient, “You must be responsible for yourself and your
future.” What kind of therapy is this?
9. On the adult psychiatric unit, you see the patient smoking in her room, and smoking
is not allowed on the unit. What do you as the registered nurse do?
a.
b.
c.
d.
Confront the behavior.
Tell the charge nurse.
Ignore the behavior.
Remind all patients of the nonsmoking policy.
Match the defense mechanism with the example:
10.
Projection
a. A patient with a chemical dependency states to his
wife, “I do not have a problem.”
11.
Repression
b. A rape victim becomes a worker at Victims
Witness, a self-help support group for rape victims.
12.
Denial
c. After seeing her brother shot, a young girl
becomes blind.
13.
Rationalization
d. A daughter who unconsciously hates her mother
sends her a card every holiday.
14.
Sublimation
e. An alcoholic states, “I drink because my wife is my
problem.”
15.
Regression
f. A student nurse states, “I did not pass my clinical
course because the instructor was too picky.”
16.
Introjection
g. John, a 36 year old patient, is sucking on his
thumb in the patient lounge.
17.
Reaction formation
h. A nurse goes home after a rough day at work and
kicks the dog.
18.
Displacement
i. A patient takes over a group and uses DSM-IV
terminology in analyzing others.
19.
Conversion
j. A young girl who was sexually abused by her father
cannot understand her reason for not liking him.
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