A client diagnosed with major depressive disorder is considering cognitive behavioral therapy. The client asks the nurse how this therapy would help alleviate depressive thoughts. What is the best response by the nurse?

"This therapy helps you learn to think more positively, and thereby reduce depressive thoughts and symptoms."

"In this therapy, you will explore past events and analyze how these events have affected your behavior and thoughts."

"This type of therapy focuses on how you use defense mechanisms to feel more comfortable and content."

"The purpose of this therapy is to determine how to get psychological needs met through interpersonal relationships."

Answer and Explanation

The Correct Answer is A

A. "This therapy helps you learn to think more positively, and thereby reduce depressive
thoughts and symptoms." Cognitive behavioral therapy (CBT) aims to identify and challenge negative thought patterns and replace them with more positive and realistic thinking, which can help alleviate symptoms of depression.

B. "In this therapy, you will explore past events and analyze how these events have affected your behavior and thoughts." This description is more characteristic of psychodynamic therapy, not cognitive behavioral therapy.

C. "This type of therapy focuses on how you use defense mechanisms to feel more comfortable and content." This description aligns more with psychodynamic therapy, not cognitive behavioral therapy.

D. "The purpose of this therapy is to determine how to get psychological needs met through
interpersonal relationships." This statement does not accurately describe cognitive behavioral
therapy, which primarily focuses on identifying and changing maladaptive thought patterns and behaviors.

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Correct Answer is C

Explanation

A. While providing reassurance is important, this response does not directly address the client's statement about future attempts.
B. This response may minimize the seriousness of the client's statement and is not the best way to address the situation.
C. This response directly addresses the client's statement, seeking clarification on her plans. It is important to assess the level of risk and ensure the client's safety.
D. While expressing empathy and highlighting the client's positive qualities can be helpful, it may not directly address the immediate concern of the client's statement about future attempts.

A. A decreased level of consciousness with intermittent periods of hypervigilance. B. A slow onset of confusion and agitation. C. A decrease in the client's output and vital signs. D. The symptoms have lasted longer than a month.

Correct Answer is A

Explanation

A. Delirium is characterized by a fluctuating level of consciousness, which can include periods of hypervigilance.
B. A slow onset of confusion and agitation is more characteristic of dementia rather than delirium.
C. A decrease in output and vital signs may indicate a different condition, but it is not specific to delirium.
D. Delirium is characterized by an acute onset and is typically short-lived, usually lasting days to weeks. Symptoms lasting longer than a month would suggest a different diagnosis.

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A client diagnosed with major depressive disorder is considering cognitive behavioral therapy. The client asks the nurse how this therapy would help alleviate depressive thoughts. What is the best response by the nurse?

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A client is hospitalized following a suicide attempt after breaking up with her significant other. The client says to the nurse, "When I get out of here, I'm going to try this again, and next time I'll get it right?" Which is the best response by the nurse?

Correct Answer is C

Explanation

A nurse suspects the client is experiencing delirium. Which of the following assessment findings would support the nurse's suspicion?

Correct Answer is A

Explanation

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