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 ["15"]

Explanation

The nurse would administer 15 mL of lithium syrup per dose. This is calculated by first determining the amount of lithium in each mL of syrup: 600 mg / 5 mL = 120 mg/mL. Then, the desired dose of 1800 mg is divided by the concentration of lithium in each mL of syrup: 1800 mg / (120 mg/mL) = 15 mL.

A. The client will make statements that he feels less depressed by the end of the first day of admission. B. The client will express and demonstrate increases in energy by the third day of admission. C. The client will reduce self-rating on the depression scale by 10% by the second day of admission. D. The client will demonstrate increased interaction with other clients by discharge.

Correct Answer is C

Explanation

Explanation: SMART is an acronym for Specific, Measurable, Achievable, Relevant, and Time-bound. A SMART goal should be specific, clear, well-defined, measurable, attainable or achievable, relevant, and time-bound.

Option (a) is not specific, measurable, or achievable. It does not provide a clear target or timeline for the client's improvement, and it may not be attainable for some clients to feel less depressed after only one day of admission.

Option (b) is specific and measurable, but it may not be achievable or relevant for all clients. Increases in energy are not always a direct indicator of improved depressive symptoms.

Option (c) is specific, measurable, achievable, and relevant. A 10% reduction in the self-rating of the depression scale is a clear and well-defined goal that can be easily measured. It is also achievable and relevant as it directly addresses the client's depressive symptoms.

Option (d) is specific, measurable, achievable, and relevant. However, it is not time-bound, which means there is no clear timeline for the client's improvement. It is also not as direct or measurable as option (c).

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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

A nurse is preparing to administer lithium syrup 1800 mg PO bd Available is lithium syrup 600 mg/5 mL How many mL would the nurse administer per dose? (Write the number only, do not include the label Record the answer as a whole number Use a leading zero if it applies Do not use a trailing zero)

Correct Answer is ["15"]

Explanation

During an interdisciplinary treatment team meeting, a short-term outcome is established for a client with depressive symptoms. Which SMART goal is most appropriate?

Correct Answer is C

Explanation

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