Which statement is most likely to be made by a nurse practitioner who shares the philosophy of an interpersonal theorist?
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A
Lets discuss your use of defense mechanisms.
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B
We need to examine how your relationships affect your ability to cope.
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C
It is important that you take the medications that I have prescribed for you.
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D
Your genetic background is a factor in your predisposition to mental illness.
The best way to answer the question is We need to examine how your relationships affect your ability to cope..
A. Lets discuss your use of defense mechanisms.
This might be chosen when the idea in “Lets discuss your use of defense mechanisms.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
B. We need to examine how your relationships affect your ability to cope.
This fits because Sullivan, an interpersonal theorist, believed that individual behavior and personality development are the direct result of interpersonal relationships. Need: Psychosocial Integrity The underlying principle in the stem is best addressed by choosing the response that is both specific to the cue provided and consistent with evidence-informed psychiatric nursing practice. From a nursing standpoint, this selection guides assessment and interventions toward what is most clinically meaningful in the moment—risk reduction, safety, accurate appraisal, and support for adaptive coping.
C. It is important that you take the medications that I have prescribed for you.
This might be chosen when the idea in “It is important that you take the medications that I have prescribed for you.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
D. Your genetic background is a factor in your predisposition to mental illness.
This reflects a related idea, but it fits best when the idea in “Your genetic background is a factor in your predisposition to mental illness.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
Conclusion
A precise read of the stem reveals which concept is being tested and which response best reflects it. Options that generalize or add unstated conditions do not meet the stem’s requirements as well.