Which is the 'Problem defining phase of interpersonal relationship as per Peplau's theory?

AIIMS Raipur NO - 2019 (Shift-1)

Mental Health Nursing

Easy

Appeared in: AIIMS Raipur NO - 2019 (Shift-1)

Explanation

The Orientation phase is the first stage of Peplau's model, beginning when the nurse and patient first meet.
During this phase, the primary tasks are to establish trust, clarify roles, and, most importantly, define the patient's health problem.
The nurse gathers data and assesses the patient's needs to understand why they are seeking help, which forms the basis for the entire therapeutic process.
This initial assessment and problem definition set the stage for all subsequent phases of the relationship.

Option B: The Resolution phase is the final stage, not the initial problem-defining stage. Its focus is on terminating the therapeutic relationship after the patient's goals have been successfully met.
Option C: The Identification phase occurs after the problem has been defined. In this phase, the patient begins to identify with the nurse and starts to explore their feelings and the health issue more deeply.
Option D: The Exploitation phase is the 'working' phase where the patient actively uses the nurse's help and resources to achieve their health goals. This happens well after the initial problem has been defined.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Peplau's Theory of Interpersonal Relations as background academic context rather than a clinical decision trigger.
Understanding Peplau's phases allows nurses to structure their interactions purposefully, building a strong therapeutic relationship that facilitates healing.
By recognizing which phase the relationship is in, a nurse can anticipate the patient's needs and apply the correct interventions to move the process forward.
This model is fundamental in psychiatric nursing but is applicable to all areas of nursing, as it emphasizes communication and a goal-directed partnership with the patient.

How to Approach the Question

First, identify the key terms in the question: 'Problem defining phase' and 'Peplau's theory'.
Recall or recognize that Peplau's theory describes the stages of the nurse-patient relationship.
Think about the logical progression of any relationship. It must start with an introduction and an understanding of the purpose or problem.
Review the four phases: Orientation, Identification, Exploitation, and Resolution.
Match the term 'problem defining' with the initial phase where the nurse and patient meet and assess the situation. This is the Orientation phase.
Eliminate the other options by recalling their purpose: Identification (feeling connected), Exploitation (working on goals), and Resolution (ending the relationship).

Concept Tested & Keywords

Concept Tested: Peplau's Theory of Interpersonal Relations
Stem keywords: Problem defining phase, interpersonal relationship, Peplau's theory
Lead-in keywords: Which is
Negative lead-in flag: false

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E6 Nursing Fundamentals Taylor p. 1054-1056

E6 Guide to Mental Health & PSYCHIATRIC NURSING R Sreevani— Part 1 (pp 26-289 of 579) p. 108-110