The "Directive counselling approach" is also known as

Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2022

Explanation

The directive counselling approach is also known as prescriptive counselling.
This is because the counsellor takes an active role in diagnosing the client's problem and directly advises or 'prescribes' a course of action.
The counsellor is seen as the expert who provides the solution, similar to a physician writing a prescription.
This approach is counsellor-centered and focuses on solving the problem efficiently.

Option A: Eclectic counselling is a hybrid approach that combines techniques from both directive and non-directive counselling based on the client's needs. It is not a synonym for directive counselling.
Option C: Patient-centered counselling is the primary term for non-directive counselling, developed by Carl Rogers. It is the philosophical opposite of the directive approach.
Option D: Permissive counselling is another name for the non-directive or client-centered approach. It emphasizes creating a safe, non-judgmental space for the client to explore their feelings freely.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Types and synonyms of counselling approaches as background academic context rather than a clinical decision trigger.
Understanding different counselling approaches allows nurses to adapt their communication style to specific patient needs and clinical contexts.
A directive approach is useful in emergencies or when providing clear, essential health instructions (e.g., medication adherence, post-operative care).
A non-directive approach is more effective for providing emotional support, helping patients cope with a new diagnosis, or exploring feelings about their illness.

How to Approach the Question

First, identify the key term in the question stem, which is 'Directive counselling approach'.
The question asks for a synonym ('also known as'). This is a factual recall question.
Analyze the meaning of 'directive'. It implies giving directions or instructions.
Evaluate the options based on this meaning. 'Prescriptive' means to prescribe or recommend an action, which aligns closely with 'directive'.
Eliminate options that represent different or opposite concepts. 'Patient-centered' and 'Permissive' are associated with non-directive counselling. 'Eclectic' refers to a combination of methods.

Concept Tested & Keywords

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E6 Nursing Education & Educational TechnologySuresh k Sharma (pp 21-557 of 572) pp. 449-451, 451-453, 452-454

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