A nurse influenced by Peplau's interpersonal theory works with an ...

[kshipps]

A nurse influenced by Peplau's interpersonal theory works with an anxious, withdrawn patient. Interventions should focus on:
 
  a. rewarding desired behaviors.
  b. use of assertive communication.
  c. changing the patient's self-concept.
  d. administering medications to relieve anxiety.

Question 2

The parent of a child diagnosed with schizophrenia tearfully asks the nurse, What could I have done differently to prevent this illness? Select the nurse's best response.
 
  a. Although schizophrenia results from impaired family relationships, try not to feel guilty. No one can predict how a child will respond to parental guidance.
  b. Schizophrenia is a biological illness resulting from changes in how the brain and nervous system function. You are not to blame for your child's illness.
  c. There is still hope. Changing your parenting style can help your child learn to cope effectively with the environment.
  d. Most mental illnesses result from genetic inheritance. Your genes are more at fault than your parenting.

[TINA]

Answer to Question 1

ANS: B
The nurse-patient relationship is structured to provide a model for adaptive interpersonal relationships that can be generalized to others. Helping the patient learn to use assertive communication will improve the patient's interpersonal relationships. The distracters apply to theories of cognitive, behavioral, and biological therapy.

Answer to Question 2

ANS: B
The parent's comment suggests feelings of guilt or inadequacy. The nurse's response should address these feelings as well as provide information. Patients and families need reassurance that the major mental disorders are biological in origin and are not the fault of parents. One distracter places the burden of having faulty genes on the shoulders of the parents. The other distracters are neither wholly accurate nor reassuring.