A psychiatric technician says, "Little of what takes place on the behavioral health unit seems to be theory based." A nurse educates the technician by identifying which common use of Sullivan's theory?
a. Structure of the therapeutic milieu of most behavioral health units
b. Frequent use of restraint and seclusion as behavior management tools
c. Assessment tools based on age-appropriate versus arrested behaviors
d. Method nurses use to determine the best sequence for nursing actions
ANS: A
The structure of the therapeutic environment has, as its foci, an accepting atmosphere and provision of opportunities for practicing interpersonal skills. Both constructs are directly attributable to Sullivan's theory of interpersonal relationships. Sullivan's interpersonal theory did not specifically consider the use of restraint or seclusion. Assessment based on the developmental level is more the result of Erikson's theories. Sequencing nursing actions based on the priority of patient needs is related to Maslow's hierarchy of needs.
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