A nurse is reinforcing teaching with a client who has an eating disorder about mindfulness and distress tolerance skills. This is an example of which of the following treatment modalities?

Dialectical behavior therapy

Interpersonal therapy

Humanistic therapy

Cognitive therapy

Answer and Explanation

The Correct Answer is A

A. Dialectical behavior therapy. Dialectical behavior therapy (DBT) focuses on mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. It is particularly effective for individuals with eating disorders, borderline personality disorder, and self-destructive behaviors, helping clients cope with distress without engaging in harmful behaviors.
B. Interpersonal therapy. Interpersonal therapy (IPT) primarily addresses relationship issues and social functioning rather than specific coping strategies like mindfulness or distress tolerance. While helpful for depression and some eating disorders, it does not emphasize the skills being taught in this scenario.
C. Humanistic therapy. Humanistic therapy focuses on self-actualization, personal growth, and self-exploration rather than structured skills training. It is centered on the client’s perspective and emotional experience rather than behavioral coping techniques.
D. Cognitive therapy. Cognitive therapy targets maladaptive thought patterns by helping clients identify and reframe distorted thinking. While useful in treating eating disorders, it does not specifically focus on mindfulness or distress tolerance skills, which are key components of DBT.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Shuffling walk. A shuffling walk is typically associated with parkinsonism or other movement disorders, which may occur with antipsychotic medications, but the specific symptom of restlessness more directly relates to other conditions.
B. Suicidal ideation. While monitoring for suicidal ideation is important in any client with psychosis, it is not specifically associated with the restlessness that the client reports in relation to chlorpromazine use.
C. Abnormal movements of the tongue and face. Abnormal movements of the tongue and face are more characteristic of tardive dyskinesia, which develops over a longer period of treatment. The acute restlessness the client is experiencing is more closely aligned with akathisia, a side effect of antipsychotic medications.
D. Oculogyric crisis. This condition involves involuntary upward eye movement and can occur as an acute dystonic reaction to antipsychotic medications like chlorpromazine. Given the client's report of restlessness, the nurse should monitor for this adverse effect, as it is more likely to manifest in the context of acute medication side effects.

A. Hallucinations B. Inability to initiate activities C. Antisocial personality D. Lack of emotional expression E. Disorganized behavior F. Impaired interpersonal relationships

Correct Answer is ["A","D","E"]

Explanation

A. Hallucinations. Hallucinations, particularly auditory hallucinations, are one of the core symptoms of schizophrenia. They involve perceiving things that are not present, such as hearing voices.
B. Inability to initiate activities. While this may be a feature of schizophrenia, it is not one of the primary diagnostic criteria. This symptom may be related to negative symptoms but is not specifically required for diagnosis.
C. Antisocial personality. Antisocial personality disorder is a separate diagnosis and not a symptom of schizophrenia. The presence of antisocial personality traits does not fulfill the criteria for schizophrenia.
D. Lack of emotional expression. This symptom, often referred to as flat affect, is considered a negative symptom of schizophrenia and can contribute to the diagnosis, as it indicates diminished emotional responsiveness.
E. Disorganized behavior. Disorganized behavior, including disorganized speech and erratic actions, is a key symptom of schizophrenia and is part of the diagnostic criteria.
F. Impaired interpersonal relationships. While impaired relationships may result from the symptoms of schizophrenia, this is not a specific criterion for diagnosis. The focus is on the presence of specific symptoms such as hallucinations, disorganized behavior, and negative symptoms like lack of emotional expression.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reinforcing teaching with a client who has an eating disorder about mindfulness and distress tolerance skills. This is an example of which of the following treatment modalities?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has psychosis and is prescribed chlorpromazine. The client reports feelings of restlessness. The nurse should identify that the client should be monitored for which of the following adverse effects?

Correct Answer is D

Explanation

A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

A nurse is caring for an older adult client who reports their caregiver has been writing checks in their name without their consent. Which of the following types of abuse is the client experiencing?

A nurse is caring for a client who frequently breaks their arms and other bones on purpose. The nurse understands that the client likely has which diagnosis?

A nurse is planning discharge for a client who has schizophrenia and reports "I don't have a place to live." Which of the following referrals should the nurse request from the provider?

A nurse is providing information regarding the social determinants of mental health and persons with serious mental illnesses (SMI). Which of the following pieces of information should the nurse share during the presentation?

A nurse in the emergency department is caring for a client who reports having experienced sexual abuse. The nurse should identify that which of the following findings are consistent with the client's report? (Select All that Apply.)

A nurse is caring for a client who has schizophrenia and has been taking a first generation medication for several years. The client is exhibiting jerking movements and twitching of the face and tongue. Which of the following is the client experiencing?

A nurse is caring for a client who has anorexia nervosa. Which of the following findings should the nurse expect?

A nurse is caring for a client who has factitious disorder. The client states, "I am so tired of living like this. Maybe I should just end it all." Which of the following actions should the nurse take?