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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.
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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 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.
A group of nursing students are reviewing information about the various nursing theorists and their application to psychiatric-mental health nursing. The students demonstrate understanding when they identify which theorist as responsible for developing the theory of cultural care diversity and universality?
- A. Madeleine Leininger
- B. Sister Calista Roy
- C. Hildegard Peplau
- D. Dorothea Orem
Correct Answer: A
Rationale: Madeleine Leininger developed the theory of cultural care diversity and universality, emphasizing culturally congruent care. Roy developed the adaptation model, Peplau focused on interpersonal relations, and Orem created the self-care deficit theory.
When describing the major concepts of Jean Watson?s theory to a group of nursing students, which of the following would the nurse expect to include? Select all that apply.
- A. Freedom
- B. Paradox
- C. Carative factors
- D. Rhythmicity
- E. Caritas field
- F. Mystery
Correct Answer: C,E
Rationale: Jean Watson?s caring theory emphasizes carative factors (therapeutic caring processes) and the caritas field (a caring environment fostering spiritual connection). Freedom, paradox, rhythmicity, and mystery are not core concepts in Watson?s theory, though they may relate to other nursing theories.
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.