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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Command hallucinations directing harmful actions, like throwing a plate, indicate a severe psychotic state posing imminent danger to others. This meets criteria for emergency or involuntary admission to ensure safety and stabilize the mental illness, making this the correct choice.
Choice B reason: Staying in their room during outpatient therapy suggests withdrawal but not imminent danger. Outpatient settings allow autonomy, and this behavior does not warrant emergency admission unless accompanied by severe risk, making this choice incorrect for involuntary intervention.
Choice C reason: Requesting to speak with a nurse indicates engagement with care, not a crisis requiring emergency admission. It reflects a desire for support, not danger to self or others, making this choice inappropriate for involuntary hospitalization in mental health settings.
Choice D reason: Playing cards alone during group therapy suggests social withdrawal, not an acute crisis. This behavior does not indicate imminent danger or severe mental instability requiring emergency admission, making it incorrect compared to violent actions driven by hallucinations.
Correct Answer is A
Explanation
Choice A reason: Transference occurs when a patient unconsciously projects feelings or attitudes from past relationships onto the nurse, a common phenomenon in psychotherapy. This influences the therapeutic relationship, requiring careful management, aligning with psychoanalytic principles, making this the correct choice.
Choice B reason: The nurse projecting feelings onto the patient describes countertransference, not transference. This involves the nurse’s unconscious biases, which can hinder therapy if not addressed, but it is distinct from the patient-driven process of transference, making this choice incorrect.
Choice C reason: A patient refusing to engage reflects resistance, not transference. Resistance involves avoiding therapeutic work, often due to anxiety, but it lacks the projective quality of transference, which involves redirecting past emotions, making this choice incorrect.
Choice D reason: Establishing boundaries is a therapeutic technique, not transference. Boundaries ensure professional interactions but do not involve the unconscious projection of feelings from past relationships, which defines transference, making this choice incorrect for the described phenomenon.
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