A nurse is caring for a client with major depressive disorder in a residential facility who refuses to participate in therapies because their parent did not answer the phone when the client called the previous evening. The client told the nurse. "I know they are mad at me." The nurse asks the client, "Are there other reasons you can think of that could have caused your parent not to answer the phone last evening?" In this statement, the nurse is using which type of therapy?

A. Psychiatric disorders generally affect a client's ability to communicate verbally: This statement highlights the impact of psychiatric disorders on verbal communication, which may be impaired due to symptoms such as disorganized thinking, speech disturbances, or reduced speech output. However, it does not specifically address the importance of nonverbal communication awareness for nurses.

B. Clients are guarded with both verbal and nonverbal communication: This choice suggests that clients with mental illness may be guarded or reluctant to express themselves both verbally and nonverbally. While this can be true in some cases, it doesn't fully capture the primary reason why nurses are encouraged to be aware of nonverbal communication.

C. Psychiatric disorders are more likely to affect thoughts than physical behaviors: This statement focuses on the cognitive aspects of psychiatric disorders, emphasizing their impact on thoughts rather than physical behaviors. It does not directly address the importance of nonverbal communication in nursing care.

D. Nonverbal communication provides additional client information that is acted out unconsciously: This choice highlights a key reason why nurses are encouraged to be aware of nonverbal communication. Nonverbal cues, such as body language, facial expressions, and gestures, can convey important information about a client's emotional state, intentions, and needs, often unconsciously. This information is valuable for nurses in understanding and responding effectively to clients' needs and concerns.

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.