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 understanding precipitating factors is important, it is not the immediate priority when the client is actively experiencing hallucinations.
B. Distracting the client may not address the underlying cause of the hallucinations, which should be the priority.
C. Determining the content of the hallucinations can provide important information for assessment and intervention.
D. Dismissing the client's experience can be alienating and unhelpful.

A. Hallucinogen B. Hypnotic C. Opioid D. Sedative

Correct Answer is A

Explanation

A) Correct. Ecstasy, also known as MDMA (3,4methylenedioxymethamphetamine), belongs to the hallucinogen class of drugs. It produces altered perceptions and sensations.

B) Incorrect. Hypnotics are drugs that promote sleep.
C) Incorrect. Opioids are a class of drugs that include substances like heroin and prescription pain medications.

D) Incorrect. Sedatives are drugs that calm or soothe and can also induce sleep.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What intervention is a priority when the client is experiencing auditory hallucinations?

Correct Answer is C

Explanation

A client is admitted to the emergency department after using ecstasy. The nurse identifies this drug as belonging to what class?

Correct Answer is A

Explanation

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