A 25-year-old man who smokes says his smoking is not a problem now because he is young and healthy. He will quit when he is “older.” The therapist asks him, “What do you consider to be older?” The young man answers, “You know, middle age, like 40 or 50.” The therapist says, “Didn't you tell me your grandfather died from lung cancer at age 49? What would his middle age have been?” The young man quietly says, “I guess my age. Maybe I should think about cutting back.” What technique is this an example of?
Social learning
Motivational interviewing
Person-centered therapy
Transactional analysis
The Correct Answer is B
Choice A reason: Social learning involves modeling behavior and reinforcement, not eliciting self-reflection on behavior.
Choice B reason: This is correct. Motivational interviewing uses open-ended questions, reflective listening, and strategic prompts to help clients recognize discrepancies between their current behavior and long-term goals, promoting intrinsic motivation to change.
Choice C reason: Person-centered therapy emphasizes empathy, unconditional positive regard, and client self-exploration, not direct elicitation of ambivalence.
Choice D reason: Transactional analysis focuses on interpersonal communication and ego states, not targeted behavioral change through motivational questioning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Installation is the phase where positive cognitions are strengthened after desensitization, not for initial trauma activation.
Choice B reason: Desensitization is the phase where the client processes the trauma through bilateral stimulation to reduce distress, after assessment has been done.
Choice C reason: This is correct. The assessment phase involves identifying the target memory, activating it through visualization, noting associated thoughts and emotions, and establishing a baseline for emotional and physical reactions to guide the subsequent processing phases.
Choice D reason: Closure occurs at the end of the session to ensure the client is stable and safe, not for memory activation or baseline assessment.
Correct Answer is B
Explanation
Choice A reason: Fluoxetine is an SSRI that may be used off-label for PTSD, but it is not specifically FDA-approved for this condition.
Choice B reason: This is correct. Sertraline is an SSRI and one of the first-line medications approved by the FDA for PTSD treatment, demonstrating efficacy in reducing core PTSD symptoms.
Choice C reason: Mirtazapine is not FDA-approved for PTSD but may be used off-label to target sleep disturbances or depressive symptoms.
Choice D reason: Lamotrigine is a mood stabilizer used primarily for bipolar disorder and not FDA-approved for PTSD management.
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