A nurse is teaching a client who was diagnosed with prolonged grief disorder about the importance of cognitive behavioral therapy (CBT), which of the following client statements indicates an understanding of the teaching?

"Cognitive behavioral therapy will help me figure out how to live with the loss of my partner."

"Cognitive behavioral therapy will help me make funeral and burial arrangements for my partner."

"Cognitive behavioral therapy will teach me about what happened during my partner's medical treatment."

"Cognitive behavioral therapy will help me answer all my questions about why my partner died."

Answer and Explanation

The Correct Answer is A

Answer: A

Rationale:

A. Cognitive Behavioral Therapy (CBT) is designed to help individuals manage grief by addressing and altering maladaptive thought patterns and behaviors related to their loss. This approach helps clients adapt to living with the loss and cope with their emotions.

B. Making funeral and burial arrangements is not within the scope of CBT; it focuses on managing emotional and cognitive responses to grief.

C. CBT does not focus on understanding specific events or details of a partner’s medical treatment but rather on the emotional and cognitive processing of grief.

D. CBT does not aim to answer questions about the reasons for a partner’s death but rather helps individuals cope with the emotional impact of the loss.

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Correct Answer is B

Explanation

Rationale:

A. Offering reassurance without addressing the client's immediate concerns may minimize the severity of the situation and delay necessary interventions.

B. Asking the client about the lethality of their plan is crucial for assessing the level of risk and determining the urgency of the intervention required. This information is essential for planning appropriate care and ensuring the client's safety.

C. Allowing the client to be alone is not appropriate when they have expressed suicidal intent, as this could increase the risk of self-harm.

D. Encouraging the client to focus on the positive aspects of life may be part of long-term therapy, but in the acute phase, the priority is to assess and address the immediate risk of suicide.

A. HIV infection B. Prion disease C. Traumatic brain injury D. Frontotemporal lobar

Correct Answer is D

Explanation

Rationale:

A. Dementia related to HIV infection typically involves more neurological symptoms and may include other systemic symptoms.

B. Prion disease (e.g., Creutzfeldt-Jakob disease) usually involves rapid progression and severe neurological decline rather than just sleep and appetite issues.

C. Traumatic brain injury can cause various cognitive issues but is not specific to a particular type of dementia with these symptoms.

D. Frontotemporal lobar dementia often presents with changes in behavior, personality, and difficulty with concentration and can include symptoms like lack of sleep and appetite changes.

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A nurse is teaching a client who was diagnosed with prolonged grief disorder about the importance of cognitive behavioral therapy (CBT), which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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