A nurse is describing cognitive therapy to a new nurse. Which of the following is the correct explanation as to how cognitive therapy works?
"Cognitive therapy is based on the concept that problems can begin in the past and are guided by what is currently occurring with the patient."
"Cognitive therapy is based on the principle that a person's behaviors are determined in nature versus nurture."
"Cognitive therapy is based on the concept that all problems are based on the client's current state."
"Cognitive therapy is based on the concept that problems are based on a person's childhood and guides their reaction in the present."
The Correct Answer is C
A. This statement refers more to psychodynamic therapy, which explores how past experiences influence current behaviors and emotions.
B. The nature versus nurture concept is related to developmental psychology and personality formation, not the core principle of cognitive therapy.
C. Cognitive therapy focuses on the client’s current thoughts, beliefs, and perceptions, with the understanding that distorted thinking patterns contribute to emotional distress and maladaptive behaviors. Therapy aims to identify and modify these dysfunctional thought patterns to improve mood and behavior, emphasizing the present rather than past experiences.
D. This statement also aligns more closely with psychodynamic approaches, which explore childhood experiences to understand present reactions, rather than the present-focused approach of cognitive therapy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","F"]
Explanation
A. Adaptive defense mechanisms are associated with mature functioning and are typically seen in individuals who cope effectively with stress.
B. Defense mechanisms and coping strategies are not the same; defense mechanisms are mostly unconscious processes that protect against anxiety, while coping strategies are often conscious efforts to manage stress.
C. Defense mechanisms can help a client deal with stress in a positive way, particularly when they are adaptive.
D. Development of defense mechanisms occurs as individuals progress through neurological and psychological growth, with more mature defenses emerging with age.
E. Maladaptive defense mechanisms generally impair mental well-being rather than improve it; they may temporarily reduce anxiety but can cause dysfunction in the long term.
F. Adaptive defense mechanisms enable a person to accept situations and transform them into less stressful experiences, promoting healthy adjustment and coping.
Correct Answer is D
Explanation
A. While group therapy resources are important for long-term management, they are not the immediate priority.
B. Insurance coverage information is practical but does not address urgent safety concerns.
C. Medication compliance is relevant if prescribed, but borderline personality disorder is primarily treated with psychotherapy, and medications do not directly prevent the most critical risks.
D. Awareness of potential for self-harm is the priority teaching point, as clients with borderline personality disorder are at high risk for impulsive behaviors, self-injury, and suicide. Ensuring the family recognizes warning signs and knows how to respond is crucial for the client’s immediate safety..
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