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?

Rational Emotive Therapy

Cognitive Theory

Reality Therapy

Gestalt Therapy

Answer and Explanation

The Correct Answer is A

A. Rational Emotive Therapy: Rational Emotive Therapy (RET), also known as Rational Emotive Behavior Therapy (REBT), is a type of cognitive-behavioral therapy that focuses on identifying and challenging irrational beliefs and thought patterns. It aims to help individuals develop more rational and adaptive ways of thinking, feeling, and behaving. The nurse's statement of asking the client to consider other reasons for their parent not answering the phone aligns with the principles of RET, where challenging irrational beliefs is a key component.

B. Cognitive Theory: Cognitive Theory, in the context of therapy, refers to approaches that focus on how thoughts and beliefs influence emotions and behaviors. This can include identifying and changing cognitive distortions and negative thought patterns. The nurse's statement reflects a cognitive approach by encouraging the client to consider alternative explanations for the parent's behavior, which can help challenge and modify their negative cognitive patterns.

C. Reality Therapy: Reality Therapy, as mentioned earlier, emphasizes personal responsibility and choices. It focuses on the present and encourages individuals to evaluate their behavior and choices in relation to their goals and values. While the nurse's statement involves considering alternative explanations (which aligns with reality testing), the emphasis on exploring deeper emotional issues and personal responsibility is not as prominent in this scenario.

D. Gestalt Therapy: Gestalt Therapy focuses on the present moment and the client's awareness of their thoughts, feelings, and behaviors. It often involves techniques such as role-playing, empty chair exercises, and focusing on non-verbal cues. While the nurse's statement promotes awareness and exploration of different perspectives, it does not specifically align with the techniques and principles of Gestalt Therapy.

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Correct Answer is C

Explanation

A. Public: The public distance zone typically ranges from about 12 feet or more away from the individual. It's a distance appropriate for public speaking or formal interactions with a large group of people.

B. Personal: The personal distance zone is typically around 1.5 to 4 feet away from the individual. This distance is common in conversations with friends, family, or close acquaintances.

C. Intimate: The intimate distance zone is usually within 0 to 1.5 feet from the individual. It's reserved for very close relationships, such as intimate partners or close family members.

D. Social: The social distance zone is approximately 4 to 12 feet away from the individual. It's the distance used in most social interactions, such as conversations with colleagues or acquaintances.

A. Identifying possible solutions for the client's problems B. Encouraging the client to clarify feelings and behavior C. Referring the client to a self-help group D. Comparing past and present coping strategies

Correct Answer is B

Explanation

A. Identifying possible solutions for the client's problems:
While identifying possible solutions is an important aspect of problem-solving and goal-setting in therapy, it is not the primary focus during the working phase of a therapeutic relationship. The focus is more on exploring and understanding the client's problems, feelings, and behaviors before moving on to generating and evaluating potential solutions.

B. Encouraging the client to clarify feelings and behavior.
During the working phase of a therapeutic relationship, the nurse's role is to facilitate the exploration of the client's problems, emotions, thoughts, and behaviors. Encouraging the client to clarify their feelings and behaviors helps them gain insight into their challenges, triggers, and coping mechanisms, which is essential for problem exploration and resolution. This action promotes self-awareness, reflection, and deeper understanding of the issues at hand, leading to more meaningful discussions and therapeutic progress.

C. Referring the client to a self-help group:
Referring the client to a self-help group can be beneficial for ongoing support, peer connection, and learning from others' experiences. However, during the working phase of a therapeutic relationship, the emphasis is on individual exploration, understanding, and processing of problems within the therapeutic context before considering external resources like self-help groups.

D. Comparing past and present coping strategies:
Comparing past and present coping strategies can provide valuable insights into the client's progress, strengths, and areas for growth. However, this action is more relevant to the assessment and evaluation phases of therapy rather than the working phase focused on exploring and addressing current problems and challenges.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parent of a child client holds the child close during the initial assessment. Which distance zone is the parent exhibiting with the child?

Correct Answer is C

Explanation

A nurse is caring for a client in a mental health setting. During the working phase of a therapeutic relationship, which action by the nurse would best help the client to explore problems?

Correct Answer is B

Explanation

A nurse is analyzing a client's diagnosis list and medication list. Which medication class can be effectively in treating manic episodes with bipolar disorder?

A client is being seen in the mental health clinic. The client has been on a conventional, first-generation antipsychotic for 8 months and is now exhibiting tongue protrusion, lip smacking, and rapid eye blinking. A nurse would document this chronic syndrome as:

A client being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the client. The nurse can assist the client in this stage of the nurse-client relationship with which therapeutic response?

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?

A nurse is providing care to a client using assertive community treatment (ACT). Which of the following is accurate about this type of treatment?

A nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships. which is the best explanation?

A nurse is interviewing a client during admission to an alcohol treatment center. Which of the following approaches should the nurse take?

A nurse is caring for a client admitted to the emergency room exhibiting impulsive behaviors of rage and anger. Dysfunction in which brain structure contributes to this behavior?