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A nurse is demonstrating behaviors that the treatment team is attempting to get the patient to develop. The nurse is integrating which theory?
- A. Erikson?s model of psychosocial development
- B. Albert Bandura?s social cognitive theory
- C. Skinner?s operant conditioning
- D. Freud?s psychoanalytic model
Correct Answer: B
Rationale: Albert Bandura?s social cognitive theory emphasizes learning through observation and modeling. The nurse demonstrating desired behaviors for the patient to emulate aligns with this theory. Erikson focuses on developmental stages, Skinner on reinforcement, and Freud on unconscious drives.
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A psychiatric-mental health nurse is integrating Carl Rogers? theory into the plan of care for a patient with a mental illness. The nurse incorporates understanding of this theory by acknowledging that the therapist accomplishes which of the following?
- A. Provide validation of the terminology used during the session.
- B. Focus on the client?s instinctual drives.
- C. Recognize an understanding of the client?s basic needs.
- D. Develop unconditional positive regard for the client.
Correct Answer: D
Rationale: Carl Rogers? humanistic theory emphasizes unconditional positive regard, empathy, and genuineness to foster client growth. This involves accepting the client without judgment. Validation of terminology is not a core concept, instinctual drives are Freudian, and basic needs align more with Maslow.
A group of nursing students are reviewing the various theories that form the basis for psychiatric-mental health nursing. The students demonstrate understanding of these theories when they identify which theorist as addressing female development? Select all that apply.
- A. Maslow
- B. Gilligan
- C. Bandura
- D. Miller
- E. Thorndike
Correct Answer: B,D
Rationale: Carol Gilligan and Jean Baker Miller addressed female development. Gilligan focused on women?s moral development, emphasizing care-based ethics, while Miller?s relational-cultural theory highlighted women?s relational growth. Maslow focused on human needs, Bandura on social learning, and Thorndike on behaviorism.
A psychiatric-mental health nurse is working on an inpatient unit that uses a privilege system. The nurse understands that this intervention integrates which group of theories?
- A. Behavioral
- B. Developmental
- C. Humanistic
- D. Cognitive
Correct Answer: A
Rationale: A privilege system, where behaviors are reinforced with rewards, aligns with behavioral theories, particularly operant conditioning (e.g., Skinner?s work). Developmental theories focus on growth stages, humanistic theories emphasize personal growth, and cognitive theories address thought processes.
When describing the influence of Harry Stack Sullivan on psychiatric-mental health nursing, which of the following would the instructor address as a major concept?
- A. Interpersonal relations
- B. Harmony between the individual and society
- C. Collective unconscious
- D. Unconditional positive regard
Correct Answer: A
Rationale: Harry Stack Sullivan emphasized interpersonal relations as the foundation of personality development and mental health. His theory focuses on how interactions with others shape behavior and mental well-being. Harmony is a broader concept, the collective unconscious is Jung?s theory, and unconditional positive regard is associated with Carl Rogers.
The nurse is watching a video that depicts a patient and therapist interacting. The patient is asked to say whatever comes to his mind. The nurse identifies this as which of the following?
- A. Dream work
- B. Free associations
- C. Gestalt therapy
- D. Classical conditioning
Correct Answer: B
Rationale: Free association, a technique where the patient verbalizes thoughts without censorship, is a core method in psychoanalytic therapy (Freud). Dream work is part of psychoanalytic analysis, Gestalt therapy focuses on present awareness, and classical conditioning involves learned responses.