Author Question: If psychiatric nurses used Orem's theory for structuring much of their nursing practice, a major ... (Read 12 times)

Mimi · **on:** Jul 19, 2018

If psychiatric nurses used Orem's theory for structuring much of their nursing practice, a major focus area for assessment would be the client's ability to do which of the following?

1. Adapt and function to meet various role expectations.
2. Care about self and participate in self-healing.
3. Implement self-care to meet psychosocial needs.
4. Enter into a therapeutic one-to-one relationship with the nurse.

Question 2

Which of the following treatment programs would be most appropriate for homeless clients whose judgment is severely impaired by paranoid delusions and command hallucinations due to medication and treatment nonadherence?

1. Inpatient hospital-based care
2. Mobile outreach units
3. Assertive community treatment
4. Partial hospitalization programs

brittanywood · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: Orem's theory of self-care identifies universal self-care requisites and categories that encompass both physical and psychosocial human needs. Orem focuses on abilities to perform self-care to maintain life, health, and well-being. Peplau conceptualizes the one-to-one nurseclient relationship. Roy's adaptation theory identifies modes of human adapting, including the area of role function. Watson's theory of human caring emphasizes self-caring and self-healing.

Answer to Question 2

1
Rationale: Clients who are strongly influenced by delusions or hallucinations that seriously impair judgment have a severe inability to function in almost all areas and require intense, skilled nursing care to ensure safety needs are met. This type of care can only be delivered through inpatient hospital-based care. Mobile outreach units, partial hospitalization, and assertive community treatment programs cannot provide the security and supervision necessary to ensure these clients' safety.