Which type of therapy assists the clients to alter their irrational thinking?

Psychopharmacology

Desensitization

Changing Therapy

Cognitive Behavioral Therapy

Answer and Explanation

The Correct Answer is D

A. Psychopharmacology: Psychopharmacology involves the use of medications to treat mental health disorders. It does not focus on altering irrational thinking, which is more relevant to therapy techniques.

B. Desensitization: Desensitization, or systematic desensitization, is a technique used to reduce anxiety by gradually exposing the client to the anxiety-provoking stimulus. It is not specifically aimed at altering irrational thinking.

C. Changing Therapy: The term "Changing Therapy" is not a standard therapy technique. It is not a recognized method for altering irrational thinking.

D. Cognitive Behavioral Therapy (CBT): CBT is specifically designed to help clients identify and alter irrational or distorted thinking patterns. It focuses on changing maladaptive thought processes and behaviors.

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Correct Answer is A

Explanation

A. Risk for aspiration: The gag reflex is crucial for preventing aspiration. An absent gag reflex significantly increases the risk of food or fluids entering the airway, leading to aspiration pneumonia or choking.

B. Risk for falls: While risk for falls is a concern in stroke patients, the immediate risk related to the absence of the gag reflex is more directly associated with aspiration.

C. Risk for impaired skin integrity: Impaired skin integrity is important but is a secondary concern compared to the risk of aspiration due to the absence of the gag reflex.

D. Decreased intracranial adaptive capacity: This diagnosis relates to the brain's ability to adapt to changes. While important, it is less immediately relevant compared to the risk of aspiration from the loss of the gag reflex.

A. Generalized anxiety disorder B. Posttraumatic stress disorder C. Obsessive-compulsive disorder D. Social phobia

Correct Answer is B

Explanation

A. Generalized anxiety disorder: Generalized anxiety disorder involves persistent and excessive worry, but it does not typically present with the specific symptoms of nightmares and flashbacks related to trauma.

B. Posttraumatic stress disorder: PTSD is characterized by symptoms such as nightmares, flashbacks, and difficulty sleeping, especially following exposure to traumatic events. This fits the soldier’s presentation.

C. Obsessive-compulsive disorder: OCD involves recurrent, intrusive thoughts (obsessions) and/or repetitive behaviors (compulsions). The symptoms described do not align with OCD but rather with trauma-related symptoms.

D. Social phobia: Social phobia involves intense fear of social situations, not the trauma-related symptoms described. It is less relevant to the soldier’s experience of nightmares and flashbacks.

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Which type of therapy assists the clients to alter their irrational thinking?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a neurologic assessment on a client with a stroke and cannot elicit a gag reflex. This deficit is related to cranial nerve (CN) X, the vagus nerve. What will the nurse consider a priority nursing diagnosis?

Correct Answer is A

Explanation

A soldier has been back from Iraq for two weeks. He is being seen in the outpatient mental health clinic due to complaints of inability to sleep, nightmares, and flashbacks. The nurse would expect the client to be diagnosed with which of the following?

Correct Answer is B

Explanation

A client with alcoholism has just completed a residential treatment program. What can this client reasonably expect?

A client is brought to the emergency department with symptoms of a cerebrovascular accident (CVA). The nurse would anticipate which diagnostic evaluation to be completed prior to initiation of treatment?

A client has been diagnosed as having global aphasia. The nurse recognizes that the client will be unable to perform which action?

A 70-year-old woman is being treated at home for Parkinson's disease (PD), a health problem that she was diagnosed with 18 months ago. The nurse who is participating in the woman's care should be aware that her initial symptoms most likely consisted of:

The nurse is caring for a client who is being treated in the emergency department for a panic attack. Which of the following nursing interventions would be most appropriate?

The nurse is providing education via phone to a client who called stating that the newly prescribed imipramine (Tofranil) is not working as depression is still a problem. Which question is most important to ask first?

Carbamazepine has a boxed warning for which adverse effect?