Nokea
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.
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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.
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.
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.
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.
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.