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 C

Explanation

A. This is not the primary reason for the counseling. The decision-making recommendation is
more related to the effects of the electroconvulsive therapy and the need for the patient to recover from its associated side effects.
B. While readjustment to a work schedule might be a consideration, the primary reason for counseling against major decisions for a month is related to the potential side effects of
electroconvulsive therapy.
C. Temporary memory impairments and confusion are potential side effects of electroconvulsive therapy, which might interfere with decision-making abilities, hence the advice to refrain from major decisions.
D. Antidepressant medications causing confusion related to dietary limitations with tyramine is not directly relevant to the counseling against making major decisions after electroconvulsive therapy.

A. A suspicion that a staff member is unfit to provide client care B. Working with a client to identify triggers for aggressive behavior C. A client's need for assistance while ambulating post-surgery D. Providing emotional support to a client experiencing a loss of a parent

Correct Answer is A

Explanation

A. This situation reflects the responsibility of a nurse to advocate for patients' safety by intervening if they suspect a staff member is unfit to provide proper care.
B. Working with a client to identify triggers for aggressive behavior is more related to the therapeutic process than the specific role of patient advocacy.
C. A client's need for assistance while ambulating post-surgery is part of standard nursing care but does not directly involve patient advocacy.
D. Providing emotional support to a client experiencing a loss is part of nursing care but does not specifically address the nurse's role as a patient advocate.

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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.)

Nursing Test Bank

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Correct Answer is C

Explanation

The decision to intervene as a patient advocate is clearly identified by the American Nurses Association's (ANA) code of ethics in which situation?

Correct Answer is A

Explanation

A nurse caring for a patient prescribed a selective serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to what outcome?

A charge nurse is conducting a staff education in-service about depressive disorders. Which of the following should the nurse identify as a risk factor for depression?

A nurse teaching a patient about a tyramine-restricted diet would approve which meal?

A client has made a successful suicide attempt while hospitalized on a unit that specializes in the treatment of depression. When considering both milieu control and crisis management, which intervention will the nursing staff implement?

Which experiences are most likely to precipitate posttraumatic stress disorder (PTSD)? (Select all that apply.)

A nurse is teaching a newly licensed nurse about appropriate actions to take when a client threatens to harm a specific individual. Which of the following statements by the newly licensed nurse indicates understanding?

Nursing behaviors associated with the implementation phase of the nursing process are concerned with the responsibilities of the psychiatric mental health nurse?