Chapter 3 Development of Psychiatric-Mental Health Nursing Theory

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Chapter 3  Development of Psychiatric-Mental Health Nursing Theory

 

 

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depression, she takes into account that the family will not have income while the client is hospitalized. This assessment by the nurse regarding the impact of client’s hospitalization on the family system can best be described as what?
A)
A theoretical approach, whereby the nurse uses systems-oriented theory to understand her client and to plan his care
B)
A practical approach, wherein the nurse can now work to get some funds for the family
C)
An outcome-oriented approach, whereby the nurse sees lack of funds as an outcome
D)
A somewhat ineffective way to look at this hospitalization because the client is now ill
Ans:
A

Feedback:

Assessing the client within the context of his family system is a way to use systems-oriented theory to understand the client. This is a theoretical approach; using theory will assist the nurse to understand the client’s family as well as to assess and plan care that will best meet his needs.

2.
The nursing theorist Peplau identified which of the following as the essence of psychiatric–mental health nursing?
A)
Nursing care independent of physicians
B)
The nurse’s use of self
C)
The nurse–patient relationship
D)
A neurobiologic approach
Ans:
C

Feedback:

Peplau was known for first highlighting the importance of the relationship between the nurse and the patient as the basis for the therapeutic relationship. She believed that this relationship was the essence of psychiatric–mental health nursing.

3.
The nurse views her client as an individual who has self-care deficits that need to be addressed. The nurse works with the client to assist him or her to meet self-care needs, such as personal grooming, until the client can care for himself or herself independently. This is an example of which of the following theoretical approaches?
A)
Parse’s Theory of Human Becoming
B)
Roy’s Theory of Adaptation
C)
Orem’s Behavioral Nursing Theory
D)
Peplau’s Interpersonal Theory
Ans:
C

Feedback:

Orem’s theory includes the concepts of self-care and self-care deficits; the nurse’s role is to assist the client to meet self-care deficits until the client can be independent.

4.
A psychiatric–mental health nurse gathers information from several nursing theories and combines the client’s resources as a unique person with the most suitable theoretical model. The nurse is using which of the following approaches to applying theory to practice?
A)
Outcome
B)
Needs
C)
Eclectic
D)
Interaction
Ans:
C

Feedback:

An eclectic approach to practice implies the use of various models along with the client’s personality and individualized resources in order to assess and plan nursing care that is tailored to meet his or her unique needs.

5.
The theoretical terms “meaning, rhythmicity, and transcendence” are components of which of the following nursing theorists’ work?
A)
Hildegard Peplau
B)
Rosemarie Parse
C)
Sister Callista Roy
D)
Dorothea Orem
Ans:
B

Feedback:

Parse’s Theory of Human Becoming posits quality of life from each person’s own perspective as the goal of nursing practice. The three themes of meaning, rhythmicity, and transcendence are used by Parse when discussing the role of a nurse in guiding a client or in bearing witness to a client’s experiences.

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