Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which of the following is a key consideration when assessing motivation in Lippitt's theory?

1. Only external motivations

2. Understanding clients' backgrounds

3. Assessing both intrinsic and extrinsic motivation

4. Focusing solely on behavioral changes

The correct answer is: Assessing both intrinsic and extrinsic motivation

In Lippitt's theory, understanding motivation involves recognizing the interplay between both intrinsic (internal) and extrinsic (external) factors that drive behavior. This holistic approach is essential because motivation is rarely influenced by a single source; rather, it's a combination of what individuals feel internally about their goals and the external rewards or pressures they experience. Intrinsic motivation refers to the internal desire to perform a task for its own sake, such as personal satisfaction or the enjoyment of the activity. Extrinsic motivation, on the other hand, involves external influences, like rewards, recognition, or social pressures that encourage certain behaviors. By assessing both intrinsic and extrinsic motivations, healthcare providers can develop a comprehensive understanding of what encourages clients to change their behavior, adhere to treatment plans, or engage in self-care. Identifying both types of motivation allows for tailored interventions that resonate with the client's values and experiences. This dual assessment empowers clinicians to facilitate more effective change strategies and increases the likelihood of successful outcomes in client engagement and adherence. The focus on only external motivations would neglect a significant aspect of what drives behavior, while a singular focus on clients' backgrounds may overlook the immediate motivational factors at play. Concentrating solely on behavioral changes overlooks the underlying motivations that could sustain those changes long-term.