A patient states, "I'm starting cognitive behavioral therapy. What can I expect from the sessions? Which responses by the nurse are appropriate? (Select all that apply.)

The goal is to increase your subjectivity about thoughts that govern your behavior."

"The therapist will help you look at ideas and beliefs you have about yourself."

"You may be given homework assignments."

The therapist will be active and questioning."

Answer and Explanation

Correct Answer : B,C

A.   The term "subjectivity" might not be the most suitable word here and might not accurately represent cognitive-behavioral therapy's goals.
B.   Cognitive-behavioral therapy involves exploring and challenging beliefs and perceptions about oneself, making this an appropriate response.
C.   Homework assignments are often part of cognitive-behavioral therapy to practice skills or implement strategies outside of therapy sessions.
D.   The statement is true regarding the therapist's active role but might not encompass the entire essence of cognitive-behavioral therapy.

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Correct Answer is B

Explanation

A: Demonstrating empathy would involve acknowledging the client's feelings or beliefs, but the nurse does not validate the client's delusion or express understanding of the client's emotional state. Instead, the nurse redirects the client to the reality of the situation, which is the group therapy session.

B: The nurse's response is therapeutic because it clearly communicates the expectations of the therapy environment. By stating "it is time for group therapy and we expect everyone to attend," the nurse is providing clear, structured guidance without engaging with the delusion, which can help the client understand the reality of the situation and what is required of them.

C: Setting limits on manipulative behavior would involve addressing and curtailing attempts by the client to control or influence a situation for their own benefit. In this scenario, the client's behavior is delusional rather than manipulative, and the nurse's response does not directly set limits on manipulation but rather on adhering to the therapy schedule.

D: Using reflection would mean the nurse is mirroring the client's thoughts or feelings to help them self-reflect. However, the nurse does not reflect the client's statement but instead focuses on the expectations of the therapy program. The nurse's response does not encourage the client to reflect on their own thoughts or feelings but redirects them to the activity at hand.

A. Personality disorders B. Substance abuse disorders C. Eating disorders D. Depression

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

Explanation

A. Dissociative disorders can coexist with personality disorders, as both involve disruptions in self-identity and behavior.
B. Individuals with dissociative disorders may use substances to cope with symptoms or distress.
C. While dissociative disorders and eating disorders share some symptoms, they are not commonly identified as comorbid conditions.
D. It is common for dissociative disorders to co-occur with depressive disorders due to shared symptoms and overlapping psychological factors.

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A patient states, "I'm starting cognitive behavioral therapy. What can I expect from the sessions? Which responses by the nurse are appropriate? (Select all that apply.)

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Correct Answer is B

Explanation

An individual has been diagnosed with a dissociative disorder. Which comorbid psychiatric disorders are most likely to accompany this type of mental illness? (Select all that apply.)

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

Explanation

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