A nurse is caring for a client who is receiving cognitive behavioral therapy. The client tells the nurse, "Nothing good ever came from my marriage." To best support cognitive reframing, which of the following responses should the nurse offer?

"What were the bad things that came from your marriage?"

"What did you learn from your marriage to help you in the future?"

"Did you have any romantic relationships prior to your marriage?"

"Only you can understand how your marriage has negatively affected you."

Answer and Explanation

The Correct Answer is B

Choice A reason: Focusing on the bad things does not support cognitive reframing, which aims to find positive aspects or learning experiences.

Choice B reason: The correct answer is b) because cognitive reframing involves looking at situations from a different perspective, focusing on what can be learned and how it can be used positively in the future.

Choice C reason: Asking about prior relationships does not address the client's statement about the marriage.

Choice D reason: Stating that only the client can understand the impact does not support cognitive reframing.

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Correct Answer is C

Explanation

Choice A reason: Hypotension and venous pooling in the extremities are not typical of autonomic dysreflexia. Autonomic dysreflexia usually results in hypertension due to an exaggerated autonomic response to a stimulus such as a full bladder. This condition is characterized by severe, uncontrolled hypertension rather than hypotension.

Choice B reason: While pain and a burning sensation upon urination and hematuria can be related to a urinary tract infection or bladder issue, they are not specific to autonomic dysreflexia. Autonomic dysreflexia presents with symptoms that result from the body's exaggerated response to the stimulus, such as severe headache and sweating.

Choice C reason: The correct answer is c) because profuse diaphoresis (sweating) and a severe, pounding headache are hallmark signs of autonomic dysreflexia. This condition occurs in individuals with spinal cord injuries at or above the T6 level and is triggered by stimuli like a full bladder, causing a dangerous rise in blood pressure and severe autonomic responses.

Choice D reason: Reports of chest pain and shortness of breath are not typical signs of autonomic dysreflexia. While these symptoms may be concerning, they are not the primary indicators of this specific condition. The severe headache and sweating are more indicative of autonomic dysreflexia.

A. "You have the right to refuse prescribed treatment." B. "You have the right to mail out letters." C. "You have the right to file grievances against staff." D. "You have the right to a private room." E. "You have the right to conduct religious practices."

Correct Answer is ["B","C","E"]

Explanation

Choice A reason: Clients on an involuntary hold may not have the right to refuse treatment if it is deemed necessary for their safety.

Choice B reason: The correct answer is b) because clients have the right to communicate with others, including mailing letters.

Choice C reason: The correct answer is c) because clients have the right to file grievances against staff if they feel their rights are being violated.

Choice D reason: A private room is not a guaranteed right for clients on an involuntary hold.

Choice E reason: The correct answer is e) because clients have the right to practice their religion and conduct religious practices.

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A nurse is caring for a client who is receiving cognitive behavioral therapy. The client tells the nurse, "Nothing good ever came from my marriage." To best support cognitive reframing, which of the following responses should the nurse offer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?

Correct Answer is C

Explanation

A client newly placed on an involuntary hold is being given an orientation to the psychiatric unit. The nurse includes information about the client's rights. Which of the following statements should the nurse include? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

A nurse in an acute mental health facility is leading a nursing education session about the legal aspects of involuntary admissions. Which of the following pieces of information should the nurse include?

A nurse delegates a licensed practical nurse (LPN) to perform suicide precautions. Which of the following actions by the LPN indicates to the nurse that they require further education?

A charge nurse is discussing examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select the 3 that apply.)

A nurse is caring for a client who is receiving cognitive behavioral therapy. The client tells the nurse, "Nothing good ever came from my marriage." To best support cognitive reframing, which of the following responses should the nurse offer?

The psychiatric nurse works towards providing a therapeutic milieu for clients. What is the primary purpose of managing the milieu on a psychiatric unit?

A nurse is teaching a client who has a fear of heights about the use of systematic desensitization as a method of behavioral therapy. Which of the following client statements indicates an understanding of the teaching?