A psychiatric technician mentions that little of what takes place on the behavioral health unit seems
to be theory based. The nurse can enlighten the technician by citing the fact that many of Sullivan's
theoretic constructs are used in
a. the ongoing use of restraint and seclusion as behavior management tools.
b. the structure of the therapeutic milieu of most behavioral health units.
c. assessment tools based on age-appropriate versus arrested behaviors.
d. the method nurses use to determine the best sequence for nursing actions.
ANS: B
The structure of the therapeutic environment has as foci an accepting atmosphere and provision of
opportunities for practicing interpersonal skills. Both constructs are directly attributable to
Sullivan's theory of interpersonal relationships. Option A: Sullivan's interpersonal theory did not
specifically consider use of restraint or seclusion. Option C: Assessment based on developmental
level is more the result of Erikson's theories. Option D: Sequencing nursing actions based on client
priority needs is related to Maslow's hierarchy of needs.
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1. Initiate CPR. 2. Call 911. 3. Find the parents and offer them comfort. 4. Check the child for hemorrhage.
A home health agency has a policy requiring nurses to make routine visits at night. How might politics be used to change this policy?
1. Make visits during the day and tell the supervisor clients are not home when visited at night. 2. Obtain research material to provide reasons why routine nursing visits at night are not as effective as during daytime. 3. Encourage others to refuse to make routine visits at night so you will not be alone. 4. Take the supervisor to lunch and invite all the staff to join to talk the supervisor into changing the policy.
The nurse explains that vitamin K by injection is given to the newborn at risk for hemorrhage because:
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Reasoned thought is characterized by the lack of:
a. reflection. b. emotion. c. parity. d. contrast.