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

"Automatic thoughts are typically positive and based on fact'

“Automatic thoughts are often inﬂuenced by our childhood

“Automatic thoughts occur rapidly in a situation and without rational analysis.'

Answer and Explanation

The Correct Answer is C

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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Correct Answer is A

Explanation

Sublimation is a defense mechanism in which socially unacceptable impulses or drives are redirected into socially acceptable activities or behavior. For example, someone who has aggressive tendencies may channel those impulses into playing competitive sports, or someone who has sexual desires may channel those impulses into creative work like painting or writing.

Regression refers to a defense mechanism where an individual retreats to an earlier stage of development, such as acting like a child when under stress. Undoing is a defense mechanism in which an individual tries to undo or negate a previous action or thought, such as making up for a mistake by performing a good deed. Suppression is a defense mechanism where an individual consciously avoids thinking about or dealing with certain thoughts or emotions.

A. Have you thought about ways to locate other lonely people? B. You need to get involved in community activities. C. Loneliness can be a painful and difficult emotion. D. Let’s see if we have any common interests.

Correct Answer is C

Explanation

Option c demonstrates empathy and understanding toward the client's feelings, which is an essential component of a therapeutic relationship. It acknowledges the client's emotions, validates their experience, and provides support to the client. In contrast, options a and d suggest a solution or an activity to the client, which may not be what the client needs now.

Option b is directive and may make the client feel judged or inadequate.

Therefore, option c is the best response that demonstrates the existence of a therapeutic relationship between the client and the nurse.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the name of the defense mechanism when a client channel drives or impulses that are unacceptable into constructive activities?

Correct Answer is A

Explanation

The client expresses the loneliness she feels to the nurse. Which response by the nurse demonstrates the existence of a therapeutic relationship?

Correct Answer is C

Explanation

A nurse manager is providing staﬀ education about working with a client with a history of anger and aggression. Which of the following information should the nurse manager include in the teaching? (Select all that apply).

A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of manipulating?

A client states that she is returning to school next semester and has some concerns. Which of the following is the most therapeutic response by the nurse?

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The nurse demonstrates active listening by what action?

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