A nurse is caring for a client who is receiving cognitive behavioral therapy. The client tells the nurse, "Nothing good ever came from my marriage." To best support cognitive reframing, which of the following responses should the nurse offer?
"What were the bad things that came from your marriage?"
"What did you learn from your marriage to help you in the future?"
"Did you have any romantic relationships prior to your marriage?"
"Only you can understand how your marriage has negatively affected you."
The Correct Answer is B
Choice A reason: Focusing on the bad things does not support cognitive reframing, which aims to find positive aspects or learning experiences.
Choice B reason: The correct answer is b) because cognitive reframing involves looking at situations from a different perspective, focusing on what can be learned and how it can be used positively in the future.
Choice C reason: Asking about prior relationships does not address the client's statement about the marriage.
Choice D reason: Stating that only the client can understand the impact does not support cognitive reframing.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: Remaining with the client while family members visit is appropriate for ensuring safety.
Choice B reason: Asking for assistance during lunch is appropriate to maintain continuous observation.
Choice C reason: The correct answer is c) because leaving the client alone to ambulate the roommate indicates that the LPN is not maintaining constant observation, which is crucial for suicide precautions.
Choice D reason: Accompanying the client to therapy ensures continuous observation and is appropriate.
Correct Answer is D
Explanation
Choice A reason: Providing a show of force is not therapeutic and does not align with the purpose of a therapeutic milieu.
Choice B reason: Fostering social relationships is important but is not the primary purpose.
Choice C reason: Synergizing with an autocratic leadership style is not the goal of a therapeutic milieu.
Choice D reason: The correct answer is d) because the primary purpose of managing the milieu on a psychiatric unit is to create an environment that supports clients in meeting their treatment goals.
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