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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.
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A nurse is developing a plan of care integrating Maslow?s hierarchy of needs. Which of the following would the nurse identify as the priority?
- A. Activity level
- B. Predictable social environment
- C. Acceptance from family
- D. Positive self-image
Correct Answer: B
Rationale: Maslow?s hierarchy prioritizes physiological needs, followed by safety needs, which include a predictable social environment for stability and security. Activity level (physiological), acceptance from family (love/belonging), and positive self-image (esteem) are higher-level needs addressed after safety.
A group of nursing students are reviewing information about psychodynamic theories. The students demonstrate a need for additional study when they identify which of the following as a humanistic theorist?
- A. Carl Jung
- B. Carl Rogers
- C. Abraham Maslow
- D. Frederick Perls
Correct Answer: B
Rationale: Carl Rogers is a humanistic theorist, emphasizing client-centered therapy and unconditional positive regard. Identifying him as a psychodynamic theorist indicates a misunderstanding, as psychodynamic theorists like Carl Jung focus on the unconscious. Maslow and Perls are also humanistic, reinforcing the need for study.
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 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.
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.