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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.
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A nursing student is to provide a class presentation about interpersonal and psychoanalytic theories. As part of this presentation, the student is planning to address the major way these two categories differ. Which of the following would the student include as key to interpersonal theories?
- A. Human relationships
- B. Instincts
- C. Drives
- D. Potential for goodness
Correct Answer: A
Rationale: Interpersonal theories, like those of Sullivan and Peplau, emphasize human relationships and social interactions as central to mental health. Psychoanalytic theories, like Freud?s, focus on instincts and drives. The potential for goodness is more aligned with humanistic theories.
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.
A nurse is applying King?s model to a nurse-patient interaction by identifying the outcome as which of the following?
- A. Transaction
- B. Adaptation
- C. Transpersonal caring
- D. Self-system
Correct Answer: A
Rationale: Imogene King?s goal attainment theory focuses on transactions, which are purposeful interactions between nurse and patient to achieve mutually set goals. Adaptation is Roy?s model, transpersonal caring is Watson?s, and self-system is part of Orem?s theory.
The nurse is integrating Peplau?s model when providing care to a patient with a mental illness. Which of the following would the nurse identify as a key component?
- A. Suffering
- B. Anxiety
- C. Self-care
- D. Nonverbal behaviors
Correct Answer: B
Rationale: Hildegard Peplau?s interpersonal model identifies anxiety as a key component, as it drives patient behavior and influences the nurse-patient relationship. The model focuses on therapeutic interactions to address anxiety. Suffering is less specific, self-care aligns with Orem, and nonverbal behaviors are secondary.
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.