A psychiatric technician mentions that little of what takes place ...

[rlane42]

A psychiatric technician mentions that little of what takes place on the behavioral health unit seems
  to be theory based. The nurse can enlighten the technician by citing the fact that many of Sullivan's
  theoretic constructs are used in
 
  a. the ongoing use of restraint and seclusion as behavior management tools.
  b. the structure of the therapeutic milieu of most behavioral health units.
  c. assessment tools based on age-appropriate versus arrested behaviors.
  d. the method nurses use to determine the best sequence for nursing actions.

Question 2

An appropriate outcome for a client with a personality disorder with a nursing diagnosis of
  ineffective coping related to use of manipulation would be that the client will
 
  a. identify when angry.
  b. use manipulation only to get legitimate needs met.
  c. acknowledge manipulative behavior when it is called to his or her attention.
  d. accept the decision that staff will fulfill a client request within an hour rather than
  immediately.

[Swizqar]

Answer to Question 1

ANS: B
The structure of the therapeutic environment has as foci an accepting atmosphere and provision of
opportunities for practicing interpersonal skills. Both constructs are directly attributable to
Sullivan's theory of interpersonal relationships. Option A: Sullivan's interpersonal theory did not
specifically consider use of restraint or seclusion. Option C: Assessment based on developmental
level is more the result of Erikson's theories. Option D: Sequencing nursing actions based on client
priority needs is related to Maslow's hierarchy of needs.

Answer to Question 2

C
This is an early outcome that paves the way for later taking greater responsibility for controlling
manipulative behavior. Option A relates to anger and aggression control. Option B: This outcome is
inappropriate. The client would ideally use assertive behavior to promote need fulfillment. Option
D: This outcome relates to impulsivity and immediacy control.