An advanced practice nurse determines that a group of clients would benefit from opportunities to practice appropriate social behaviors and learn about basic living skills together. Which of the following interventions would the advanced practice nurse suggest?
Cognitive therapy
Reality therapy
Dialectical behavioral therapy
Milieu therapy
The Correct Answer is D
A. Cognitive therapy:
Cognitive therapy is a type of psychotherapy that focuses on identifying and changing negative thought patterns and beliefs that contribute to emotional and behavioral issues. While cognitive therapy can be beneficial for addressing cognitive distortions and maladaptive thinking, it is more individual-focused and may not provide the group dynamics and social learning opportunities offered by milieu therapy.
B. Reality therapy:
Reality therapy is a therapeutic approach that emphasizes personal responsibility, choice, and action to address current problems and meet basic needs. While reality therapy focuses on individual accountability and decision-making, it may not specifically target group interactions and social skill development as milieu therapy does.
C. Dialectical behavioral therapy (DBT):
Dialectical behavioral therapy is a type of cognitive-behavioral therapy that combines elements of cognitive therapy and mindfulness techniques to help individuals regulate emotions, improve interpersonal skills, and manage distress. While DBT includes group skills training components, its primary focus is on individual therapy sessions and may not provide the same emphasis on group interactions and social learning as milieu therapy.
D. Milieu therapy.
Milieu therapy focuses on creating a therapeutic environment or community where clients can interact and engage in activities that promote positive social behaviors and enhance basic living skills. In milieu therapy, clients participate in group activities, social interactions, and structured routines designed to improve their communication skills, socialization, and daily living skills. The goal of milieu therapy is to create a supportive and structured environment that facilitates learning, socialization, and behavior change within a group setting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The Parietal Lobe: The parietal lobe is primarily involved in processing sensory information, such as touch, temperature, and pain, as well as spatial awareness and perception. It is not directly responsible for controlling emotions.
B. The Endocrine System: The endocrine system consists of glands that secrete hormones into the bloodstream, regulating various bodily functions. While hormones can influence emotions, the endocrine system as a whole is not specifically responsible for controlling emotions.
C. The Limbic System: The limbic system, including structures like the amygdala, hippocampus, and hypothalamus, plays a crucial role in regulating emotions, memory, and motivation. The amygdala, in particular, is involved in processing emotions, especially fear and aggression, making the limbic system the correct answer.
D. The Occipital Lobe: The occipital lobe is primarily responsible for processing visual information, such as color, shape, and movement, and is not directly involved in controlling emotions.
Correct Answer is C
Explanation
A. Offer sympathetic support: This approach involves showing understanding, compassion, and empathy towards the client's situation. It can help build rapport and trust, which are important in therapeutic relationships. However, it may not fully address the complexity of the client's substance abuse and treatment needs.
B. Verbalize disapproval of the client's substance abuse: Expressing disapproval can create a negative atmosphere and may hinder the client's willingness to open up and engage in treatment. It can also contribute to feelings of shame and guilt, which are counterproductive in the therapeutic process.
C. Maintain a nonjudgmental attitude: This approach involves avoiding judgmental language, attitudes, or behaviors toward the client's substance abuse. It creates a safe and supportive environment for the client to discuss their experiences, challenges, and goals without fear of criticism or condemnation.
D. Avoid displaying an emotional response: While it's important for the nurse to maintain professionalism and emotional boundaries, completely avoiding emotional responses may come across as cold or indifferent. It's crucial to balance empathy and emotional support with professional boundaries.
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