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Daniela is a 35-year-old who presents with symptoms of
apathy, sadness, and irritation. She states that she and her
husband have been arguing for months about the division of
labor associated with household tasks. Both Daniela and her
husband work full time, but she states she "takes on the lion's
share" of the work. She feels fed up and misunderstood.
Which interpersonal problem area best fits this situation?
Grief
Role
dispute
Interpersonal
deficit
Role transition - ANSWER-Role
dispute
Rationale: Role disputes occur in marital, family, social, and
work settings when
,individuals have different expectations of a situation. The
conflict leads to
significant distress in at least one of the
individuals.
Which theory would the psychiatric mental health nurse
practitioner (PMHNP) most need to consider when conducting a
psychiatric interview in the following situations?
A 35-year-old homeless client is in the emergency department
with suicidal ideations.
Hierarchy of Needs
Theory
Psychosocial Development
Theory
Cognitive Development Theory - ANSWER-Hierarchy of
Needs Theory
Rationale: To attend to higher-level needs, a client must first
meet foundational
needs. A homeless client may be struggling to meet
physiological and safety
needs.
Which theory would the PMHNP most need to consider when
conducting a psychiatric interview in the following situations?
A 14-year-old foster child struggling to develop trusting
relationships with his foster parents.
,Hierarchy of Needs
Theory
Psychosocial Development
Theory
Cognitive Development Theory - ANSWER-Psychosocial
Development Theory
Rationale: According to Erickson's theory, a developmental
crisis in infancy trust vs. mistrust. When basic trust in
caregivers is not developed in early life, it can impact the
creation of trusting relationships later.
humanistic approach to nursing - ANSWER--Joyce Travelbee's
humanistic approach to nursing
• places emphasis on free will and the search for meaning in
pain and illness
-Josephine Paterson and Loretta
Zderad
• view nursing as a lived dialogue between the
nurse and client
-Jean Watson's Theory of Human Caring
• nursing as caring action that regards clients with
unconditional acceptance and positive regard
Which theory would the PMHNP most need to consider when
conducting a psychiatric interview in the following situations?
, A 4-year-old is struggling to understand what she has seen on
television about civil protests.
Hierarchy of Needs
Theory
Psychosocial Development
Theory
Cognitive Development Theory - ANSWER-Cognitive
Development Theory
Rationale: According to Piaget, children in early childhood
do not have the
cognitive ability to understand abstract concepts,
such as justice.
Essential characteristics of the humanistic-existential
approach: - ANSWER-focus on the phenomenological
perspective
-primacy of the therapeutic relationship
-belief in holism
-emphasis on the here and now
-emphasis on humanistic-existential themes
-centrality of process
-use of experiential techniques
Mateo is a 19-year-old transgender male who presents for
therapy. He states that his gender identity is incongruent with
his sex assigned at birth. He has transitioned to dressing as a
man, goes by Mateo, his chosen name, and uses he/him