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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.
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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 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 group of nursing students are reviewing the various theories that form the basis for psychiatric-mental health nursing. The students demonstrate understanding of these theories when they identify which theorist as addressing female development? Select all that apply.
- A. Maslow
- B. Gilligan
- C. Bandura
- D. Miller
- E. Thorndike
Correct Answer: B,D
Rationale: Carol Gilligan and Jean Baker Miller addressed female development. Gilligan focused on women?s moral development, emphasizing care-based ethics, while Miller?s relational-cultural theory highlighted women?s relational growth. Maslow focused on human needs, Bandura on social learning, and Thorndike on behaviorism.
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.