Nokea
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.
You may also like to solve these questions
An instructor is preparing a class discussion on the various theoretical models used in psychiatric-mental health nursing. When describing cognitive theories, which statement would the instructor include?
- A. The theories attempt to explain the mental processes development and effects on behavior.
- B. The theories attempt to describe how people learn and act.
- C. The theories attempt to link internal thought processes with behavior.
- D. The theories attempt to explain normal human growth and development.
Correct Answer: C
Rationale: Cognitive theories focus on how internal thought processes influence behavior, emphasizing perception, memory, and problem-solving. Linking thought processes to behavior is the most accurate description. Option A is vague, option B is too broad, and option D aligns with developmental theories.
The nurse is assessing a patient with anxiety and observes the patient yelling and screaming. The nurse, integrating Peplau?s theory, interprets this behavior as which of the following?
- A. Panic behaviors
- B. Relief behaviors
- C. Empathetic linkage
- D. Social distance
Correct Answer: A
Rationale: Peplau?s theory describes anxiety levels, with panic behaviors (e.g., yelling and screaming) occurring at severe or panic levels, indicating overwhelming distress. Relief behaviors reduce anxiety, empathetic linkage involves shared emotions, and social distance is not a Peplau concept.
A nursing instructor is integrating Piaget?s theory of cognitive development into the discussion of learning and mental health issues affecting adolescents. The instructor would identify this age group as in which stage?
- A. Concrete operations
- B. Preoperational
- C. Formal operations
- D. Sensorimotor
Correct Answer: C
Rationale: Piaget?s theory identifies adolescents (roughly ages 12 and up) as being in the formal operations stage, characterized by abstract thinking and problem-solving. Concrete operations apply to younger children, preoperational to preschoolers, and sensorimotor to infants.
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.
The nurse is assessing a young adult and determines that the individual has achieved successful resolution of the previous stage of growth and development, evidenced by demonstrating which of the following?
- A. Drive and hope
- B. Direction and purpose
- C. Devotion and fidelity
- D. Production and care
Correct Answer: C
Rationale: In Erikson?s psychosocial development theory, young adults (intimacy vs. isolation stage) build on the adolescent stage (identity vs. role confusion). Successful resolution of the adolescent stage results in devotion and fidelity, reflecting a strong sense of identity. Drive and hope, direction and purpose, and production and care relate to other stages.