A client in a children's mental health behavioral center says, "I got five tickets today!" The nurse knows giving tickets to children for good behavior and not giving them for poor behavior is which type of therapy?
Individual psychotherapy
Reality Therapy
Cognitive Therapy
Behavioral therapy
The Correct Answer is D
A. Individual psychotherapy: Individual psychotherapy typically focuses on exploring and addressing individual thoughts, feelings, and behaviors through therapeutic techniques such as talk therapy. It does not specifically involve the use of rewards or consequences for behavior modification, as seen in the scenario of giving tickets for good behavior.
B. Reality Therapy: Reality Therapy, developed by William Glasser, emphasizes personal responsibility and choices. It involves setting specific goals and evaluating behaviors in relation to these goals. In the context of the scenario, giving tickets for good behavior and not giving them for poor behavior aligns with Reality Therapy's focus on consequences and choices.
C. Cognitive Therapy: Cognitive Therapy focuses on identifying and changing negative thought patterns and beliefs that contribute to emotional distress and maladaptive behaviors. While it may incorporate behavioral techniques, such as behavioral activation, it primarily targets cognitive processes rather than directly using rewards or consequences for behavior modification.
D. Behavioral therapy: Behavioral therapy, including approaches like Applied Behavior Analysis (ABA), focuses on modifying behaviors through reinforcement (positive or negative) and shaping behavior using rewards or consequences. Giving tickets for good behavior and withholding them for poor behavior reflects a behavioral approach to therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Objectivity:
Objectivity refers to the ability to remain impartial and unbiased when assessing and interacting with clients. While objectivity is important in maintaining professional standards and making objective clinical judgments, it is not the most critical skill in the therapeutic nurse-client relationship in a mental health facility. Empathy, which involves understanding and sharing the client's feelings and experiences, is often considered more crucial in building trust and rapport.
B. Approachability:
Approachability refers to being accessible, open, and welcoming to clients, allowing them to feel comfortable and encouraged to communicate with the nurse. Approachability is indeed an important quality that facilitates communication and relationship-building. However, it is not the most critical skill compared to empathy, which involves deeper emotional understanding and connection with the client's experiences.
C. Interest:
Interest refers to genuine curiosity and concern for the client's well-being, including their thoughts, feelings, and needs. Showing interest in the client's life and experiences is essential for building rapport and trust. However, interest alone may not be sufficient without empathy, which involves actively understanding and validating the client's emotions and perspectives.
D. Empathy:
Empathy is the ability to understand and share the feelings, thoughts, and experiences of another person, including clients in a mental health facility. Empathy is considered the most important skill in the therapeutic nurse-client relationship because it fosters a deep emotional connection, promotes trust and understanding, and validates the client's experiences and feelings. It helps create a supportive and therapeutic environment where clients feel heard, valued, and empowered to work towards their mental health goals.While objectivity, approachability, and interest are valuable skills for a nurse, empathy is considered the most crucial skill in the therapeutic nurse-client relationship in a mental health facility.
Correct Answer is A
Explanation
A. Restate a feeling or thought the patient has expressed: Restating a feeling or thought the patient has expressed shows active listening and genuine interest in understanding the client's perspective. It demonstrates empathy and encourages further communication.
B. Make a judgment about the client's problem: Making a judgment about the client's problem can be perceived as non-empathetic and may hinder effective communication. It can create barriers and reduce the client's willingness to share their thoughts and feelings openly.
C. Say, "I understand what you're saying": While saying "I understand what you're saying" can show acknowledgment, it may come across as superficial or dismissive if not accompanied by active listening behaviors. It's important to demonstrate understanding through active listening techniques rather than just verbal reassurances.
D. Ask a direct question, such as, "Did you feel angry?": Asking direct questions can be helpful for clarification or gathering specific information, but it may not necessarily communicate genuine interest in listening. Direct questions should be used appropriately and complemented with active listening skills to foster effective communication.
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