When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in that supports the theory of interpersonal relations?
Reflect on personal interactions with the patient
Administer medications as prescribed
Document patient behaviors daily
Teach coping skills to the patient
The Correct Answer is A
Choice A reason: Peplau’s interpersonal relations theory emphasizes the nurse-patient relationship as a therapeutic tool. Reflecting on interactions helps nurses understand dynamics, build trust, and adjust approaches, fostering therapeutic growth, making this the correct choice aligned with her theory.
Choice B reason: Administering medications is a clinical task, not a core component of Peplau’s theory, which focuses on interpersonal dynamics. While important, it does not directly enhance the therapeutic relationship, making this choice incorrect for the theory’s focus.
Choice C reason: Documenting behaviors is standard practice but not central to Peplau’s theory, which prioritizes relational dynamics over administrative tasks. Documentation supports care but does not foster interpersonal growth, making this choice incorrect for the theory.
Choice D reason: Teaching coping skills is therapeutic but secondary to Peplau’s focus on the nurse-patient relationship itself. Reflection on interactions directly supports the theory’s emphasis on understanding relational dynamics, making this choice less relevant than self-reflection.
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Correct Answer is D
Explanation
Choice A reason: Mood stabilizers, like lithium, are used for bipolar disorder to regulate mood swings, not for acute anxiety. They target long-term mood stabilization, not immediate symptom relief, which is critical for post-traumatic anxiety, making this category inappropriate for the patient’s condition.
Choice B reason: Antidepressants, such as SSRIs, treat depression and chronic anxiety over weeks, not acute anxiety. Their delayed onset makes them unsuitable for immediate relief following a traumatic event like a car accident, where rapid symptom management is needed, making this choice incorrect.
Choice C reason: Antipsychotics treat psychosis or severe agitation, not primary anxiety. Their use in anxiety is off-label and typically reserved for cases unresponsive to anxiolytics, with higher side effect risks. This makes them inappropriate for acute anxiety management, rendering this choice incorrect.
Choice D reason: Anxiolytics, like benzodiazepines, provide rapid relief for acute anxiety by enhancing GABA activity, calming the central nervous system. They are the primary choice for short-term management of anxiety post-trauma, aligning with clinical guidelines, making this the correct medication category for patient teaching.
Correct Answer is B
Explanation
Choice A reason: Asking about feelings explores emotions but does not address the patient’s question about neurotransmitters. Educational queries require informative responses to enhance understanding, not redirection to feelings, making this choice non-therapeutic and incorrect for the patient’s need.
Choice B reason: Explaining neurotransmitters as brain communication chemicals directly addresses the patient’s question. It provides clear, accurate information about their role in mood and behavior, aligning with patient education principles in psychiatric nursing, making this the correct, informative response.
Choice C reason: Focusing on medication avoids explaining neurotransmitters, failing to address the patient’s educational need. It shifts focus prematurely to treatment, which may confuse the patient, making this response less effective and incorrect for providing the requested information.
Choice D reason: Deferring to the doctor dismisses the nurse’s role in patient education, undermining trust. Nurses are equipped to explain basic concepts like neurotransmitters, and this response fails to meet the patient’s need for understanding, making it non-therapeutic and incorrect.
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