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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.
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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 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.
While working with an older male patient, the nurse begins to think that the patient reminds the nurse of her grandfather and responds as if she was the granddaughter. The nurse is developing which of the following?
- A. Empathy
- B. Transference
- C. Countertransference
- D. Modeling
Correct Answer: C
Rationale: Countertransference occurs when the nurse projects personal feelings or experiences onto the patient, such as responding as if the patient were her grandfather. Transference is the patient?s projection onto the nurse, empathy is understanding the patient?s feelings, and modeling involves demonstrating behaviors.
When integrating the Neuman systems model while caring for a patient with a mood disorder, the nurse would focus on which of the following about the patient?
- A. Behaviors
- B. Relationships
- C. Self-care activities
- D. Stressors
Correct Answer: D
Rationale: The Neuman systems model views the patient as a system affected by stressors. Nurses focus on identifying and managing stressors to maintain system stability. Behaviors, relationships, and self-care are secondary to addressing stressors in this model.
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.