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

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

Explanation

The Orientation phase is the initial encounter where the nurse and patient meet and begin to build trust.
During this phase, the nurse's primary task is to assess the patient's health status and understand why they sought help.
This assessment leads to the identification and definition of the patient's health problem, which forms the basis for the entire care plan.
Key activities include establishing rapport, defining roles, and formulating a contract for the therapeutic relationship.

Option B: The Resolution phase is the final stage of the relationship, where the therapeutic connection is terminated because the patient's goals have been met.
Option C: The Identification phase occurs after the problem has already been defined. In this stage, the patient begins to respond to the nurse and starts to work through their feelings and set goals.
Option D: The Exploitation phase is the 'working' phase where the patient actively uses the available resources and services to solve their problems and achieve their health goals. The problem has already been defined.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Phases of Peplau's Interpersonal Relations Theory as background academic context rather than a clinical decision trigger.
Understanding Peplau's phases provides a structured framework for nurses to build and navigate the therapeutic relationship, ensuring patient care is systematic and goal-oriented.
This model is especially critical in mental health nursing, where the relationship itself is a primary therapeutic tool.
A strong orientation phase, with accurate problem definition and trust-building, sets the foundation for successful outcomes in the later phases.

How to Approach the Question

First, identify the key concepts in the question: 'Peplau's theory' and 'Problem defining phase'.
This is a factual recall question that requires knowledge of a specific nursing theory.
Recall the four sequential phases of Peplau's model: Orientation, Identification, Exploitation, and Resolution.
Consider the logical flow of a relationship. The beginning, or 'orientation,' is when you get to know someone and understand their situation or problem.
Associate the task of 'defining the problem' with the initial phase of the relationship.
Select the 'Orientation phase' as it is the stage where the initial assessment and problem identification occur.

Concept Tested & Keywords

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

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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

Practise the full AIIMS Raipur NO - 2019 (Shift-1)

Attempt every question from this paper in a timed mock, then review the full solution for each one.