Which of the following should a nurse utilize to assist in preventing liability from occurring? (Select all that apply.)

Communicate eﬀectively

Document only what is needed to understand the client's situation

Practice within own scope of practice

Advocate and assist clients with their needs including emotional needs

Maintain competencies and education.

Answer and Explanation

Correct Answer : A,C,D,E

Eﬀective communication can help to prevent misunderstandings and ensure that the client receives appropriate care.

Practicing within one’s scope of practice ensures that the nurse is providing care that is within their level of expertise and training.

Advocating for and assisting clients with their needs can help to ensure that they receive the care and support they need.

Maintaining competencies and education ensures that the nurse is up-to-date on best practices and able to provide high-quality care.

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Correct Answer is C

Explanation

The client is exhibiting the defence mechanism of rationalization, which involves justifying or explaining one’s behavior or feelings in a seemingly logical manner to avoid the true explanation. In this case, the client is rationalizing their decision to drink while taking medication by blaming the nurse for not providing enough information, rather than taking responsibility for their own actions.

A. "Automatic thoughts are typically positive and based on fact' B. “Automatic thoughts are often inﬂuenced by our childhood C. “Automatic thoughts occur rapidly in a situation and without rational analysis.'

Correct Answer is C

Explanation

In cognitive behavior therapy (CBT), automatic thoughts refer to the rapid, subconscious thoughts that occur in response to a particular situation or event. These thoughts are automatic, meaning that they occur quickly and without conscious eﬀort, and are often negative or distorted in nature. They are not necessarily based on fact or reality, and may be inﬂuenced by past experiences or beliefs. The goal of CBT is to identify and challenge these automatic thoughts, and replace them with more realistic and positive ones. Therefore, option c is the best explanation of automatic thoughts in the context of CBT. Options a and d are incorrect because automatic thoughts are not necessarily positive or indicative of psychiatric disorders. Option b is partially correct but does not fully capture the nature of automatic thoughts.

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Which of the following should a nurse utilize to assist in preventing liability from occurring? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A client receiving cognitive behavior therapy (CBT) is introduced to the concepts guiding the therapy. Which statement best explains automatic thoughts?

Correct Answer is C

Explanation

The nurse places a client In the seclusion room until he admits responsibility for the fight In the day room. The nurse's action could be viewed as which of the following?

To address the client’s cultural needs, which of the following nursing actions would be most appropriate?

Which of the following is an example of an Intentional Tort?

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A nurse is caring for a client admitted to a mental health facility who asks. “Can I refuse the Electroconvulsive Therapy (ECT) treatment scheduled for tomorrow?” Which is the appropriate answer for the nurse?