Author Question: The psychiatric-mental health nurse uses an eclectic clinical approach with newly admitted patients ... (Read 103 times)

strangeaffliction · **on:** Jul 19, 2018

The psychiatric-mental health nurse uses an eclectic clinical approach with newly admitted patients who are diagnosed with schizophrenia. Which statement most accurately reflects the therapeutic value of an eclectic approach?

1. Nurses do not need a philosophy of care to direct their practice.
2. It is difficult to determine a final plan of care for new patients with psychotic disorders.
3. There is limited scientific evidence about treatment for schizophrenia, so a variety of medications and interventions must be tried over time.
4. Strategies from one or a combination of psychiatric theories and therapies are used to determine interventions and evaluation criteria for working with each patient.

Question 2

A patient tells her therapist that she is having an affair because she needs more attention and her husband won't give it to her. What component of personality functioning does the patient's statement indicate to the therapist?

1. Id
2. Ego
3. Sensorimotor
4. Self-esteem

mcomstock09 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 4
Explanation: Eclectic approaches various features from several psychiatric theories and therapies to determine what assessment information, interventions, approaches, and evaluation criteria are needed for any given patient. An eclectic approach does not indicate indecision or use of interventions that are unsupported by evidence. An eclectic approach does not indicate a nurse is non-philosophical; rather, this demonstrates that a range of theories are used to understand the best way to approach assessing and planning care for different patients.

Answer to Question 2

Answer: 1
Explanation: When the id dominates in making decisions, impulsive and perhaps reckless behavior may result. When the ego is able to supersede the id's wishes, the individual can delay gratification. Sensorimotor is not a component of personality function; rather, it is a stage in Piaget's cognitive theory development. Self-esteem is not a component of personality function; rather, it is a level in Maslow's hierarchy of needs.