Chapter 3. Synergy of Integrative Treatment
MULTIPLE CHOICE
1. Which nursing action reflects Hildegard Peplaus theoretic framework regarding psychiatric
mental health nursing?
a. Basing patient outcomes on expected instinctual responses
b. Discussing a patients feelings regarding parents and siblings c. Providing the patient
with clean clothes and wholesome food
d. Centering professional practice in a state run psychiatric facility
ANS: B
Peplaus pioneering endeavors and contributions were largely influenced by interpersonal
psychotherapy. She believed that disorders evolved in the social context of interpersonal
interactions. (i.e., what went on between people). Instinctual responses are more related to
intrapersonal interactions. Florence Nightingale was instrumental in the holistic approach to
nursing care, whereas Linda Richards practice was centered on institutional care of the mental
ill.
2. The nurse is attempting to provide a safe environment for a patient at great risk for self-
harm. Which intervention shows an understanding of evidence-based practice (EBP)?
a. Using physical restraints only after all other options have been proven ineffective b.
Referring to the facilitys policies manual for guidelines for applying physical
restraints
c. Collecting data regarding the short-term effects of using physical restraints on an aggressive
patient
d. Requiring constant monitoring of a patient whose inability to self-regulate anger has required
the use of physical restraints
, ANS: B
Health care systems are participating in the shift in nursing practice by encouraging research
in their facilities and by implementing interventions that increase nurses knowledge about
EBP. Nurses are participating to make evidence-based nursing practices available for their
use, and they are helping to determine the outcomes that will benefit patients. The remaining
options are examples of long-standing practice related to the use of physical restraints.
3. Which statement by the patient reflects patient education that was based on the concept of
integrated patient care?
a. I know Im anxious when I get a tension headache.
b. My anxiety is a result of stressors I dont cope well with.
c. Medication has helped me tremendously with anxiety control.
d. Anxiety runs in my family; my entire family is trying to deal with it. ANS: A
Integrated patient care is the recognition of the interplay between physical and mental health.
In
integrated care, these disorders are not treated as separate illnesses; rather, they are treated
together. The remaining options make no mention of a relationship between mental and
physical illness.
4. The nurse demonstrates objective patient care when:
a. Being sympathetic to the patients recent loss of a spouse
b. Protecting the anxious patient by eliminating stressors in the milieu c. Responding to the
patient by stating, I know exactly how you feel.
d. Facilitating the patients exploration of various stress reduction techniques
ANS: D
The nurse demonstrates objectivity by helping the patient to process and organize thoughts
that are directed toward the solving of his or her own problems. With sympathy, the nurse
loses
MULTIPLE CHOICE
1. Which nursing action reflects Hildegard Peplaus theoretic framework regarding psychiatric
mental health nursing?
a. Basing patient outcomes on expected instinctual responses
b. Discussing a patients feelings regarding parents and siblings c. Providing the patient
with clean clothes and wholesome food
d. Centering professional practice in a state run psychiatric facility
ANS: B
Peplaus pioneering endeavors and contributions were largely influenced by interpersonal
psychotherapy. She believed that disorders evolved in the social context of interpersonal
interactions. (i.e., what went on between people). Instinctual responses are more related to
intrapersonal interactions. Florence Nightingale was instrumental in the holistic approach to
nursing care, whereas Linda Richards practice was centered on institutional care of the mental
ill.
2. The nurse is attempting to provide a safe environment for a patient at great risk for self-
harm. Which intervention shows an understanding of evidence-based practice (EBP)?
a. Using physical restraints only after all other options have been proven ineffective b.
Referring to the facilitys policies manual for guidelines for applying physical
restraints
c. Collecting data regarding the short-term effects of using physical restraints on an aggressive
patient
d. Requiring constant monitoring of a patient whose inability to self-regulate anger has required
the use of physical restraints
, ANS: B
Health care systems are participating in the shift in nursing practice by encouraging research
in their facilities and by implementing interventions that increase nurses knowledge about
EBP. Nurses are participating to make evidence-based nursing practices available for their
use, and they are helping to determine the outcomes that will benefit patients. The remaining
options are examples of long-standing practice related to the use of physical restraints.
3. Which statement by the patient reflects patient education that was based on the concept of
integrated patient care?
a. I know Im anxious when I get a tension headache.
b. My anxiety is a result of stressors I dont cope well with.
c. Medication has helped me tremendously with anxiety control.
d. Anxiety runs in my family; my entire family is trying to deal with it. ANS: A
Integrated patient care is the recognition of the interplay between physical and mental health.
In
integrated care, these disorders are not treated as separate illnesses; rather, they are treated
together. The remaining options make no mention of a relationship between mental and
physical illness.
4. The nurse demonstrates objective patient care when:
a. Being sympathetic to the patients recent loss of a spouse
b. Protecting the anxious patient by eliminating stressors in the milieu c. Responding to the
patient by stating, I know exactly how you feel.
d. Facilitating the patients exploration of various stress reduction techniques
ANS: D
The nurse demonstrates objectivity by helping the patient to process and organize thoughts
that are directed toward the solving of his or her own problems. With sympathy, the nurse
loses
