A nurse is identifying factors that contribute to success or failure of a plan of care for a client with anxiety disorder who is undergoing cognitive behavioral therapy (CBT). Which of the following factors should the nurse consider? (Select all that apply.).
The client's readiness and motivation to change.
The availability and accessibility of CBT services.
The cost and duration of CBT sessions.
The compatibility and rapport between the client and therapist.
The evidence base and efficacy of CBT for anxiety disorders
Correct Answer : A,B,D,E
Choice A reason:
The client's readiness and motivation to change are crucial factors for the success of CBT, as it requires active participation and homework assignments from the client. CBT is based on the premise that changing maladaptive thoughts and behaviors can improve emotional well-being. Therefore, the client needs to be willing and able to engage in this process and apply the learned skills to their daily life.
Choice B reason:
The availability and accessibility of CBT services are also important factors for the success of CBT, as they determine how often and how easily the client can receive the therapy. CBT is typically delivered in a time-limited and structured manner, with sessions ranging from 8 to 20 weeks. The client needs to have regular access to a qualified CBT therapist who can provide consistent and evidence-based treatment.
Choice C reason:
The cost and duration of CBT sessions are not relevant factors for the success of CBT, as they do not directly affect the quality or effectiveness of the therapy. CBT is generally considered to be a cost-effective and efficient intervention for anxiety disorders, as it can produce lasting benefits in a relatively short period of time. The cost and duration of CBT sessions may affect the client's preference or adherence to the therapy, but they are not essential for its outcome.
Choice D reason:
The compatibility and rapport between the client and therapist are vital factors for the success of CBT, as they influence the therapeutic alliance and the client's trust in the therapist. CBT is a collaborative and goal-oriented therapy that requires a strong working relationship between the client and therapist. The client needs to feel comfortable and supported by the therapist, who can provide empathy, feedback, guidance, and encouragement.
Choice E reason:
The evidence base and efficacy of CBT for anxiety disorders are significant factors for the success of CBT, as they demonstrate the validity and reliability of the therapy. CBT is one of the most researched and empirically supported psychological interventions for anxiety disorders, with numerous studies showing its superiority over other treatments or placebo. The client can benefit from knowing that CBT is based on sound scientific principles and proven techniques.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason:
Comparing data with normal values and standards is an important action for the nurse to take during the assessment phase of the nursing process. This helps the nurse to identify any deviations from normal and potential problems that need further investigation or intervention.
Choice B reason:
Organizing data into clusters that have similar underlying causes is another action that the nurse should take during the assessment phase. This helps the nurse to recognize patterns and relationships among the data and to formulate nursing diagnoses.
Choice C reason:
Validating data by using multiple sources of information is also an action that the nurse should take during the assessment phase. This helps the nurse to ensure that the data are accurate, complete, and factual, and to avoid making assumptions or errors.
Choice D reason:
Documenting data using standardized terminology and abbreviations is not an action that the nurse should take during the assessment phase of the nursing process. Although documentation is an essential part of nursing practice, it is not specific to the assessment phase. Moreover, standardized terminology and abbreviations are not always appropriate or clear for documenting data.
Choice E reason:
Prioritizing data according to urgency and importance is another action that the nurse should take during the assessment phase of the nursing process. This helps the nurse to focus on the most relevant and significant data and to plan for further assessment or intervention based on the patient's needs and priorities.
Correct Answer is B
Explanation
Choice A reason:
This statement is not objective data because it is based on what the client states, not what the nurse observes or measures. This is an example of subjective data, which is information that depends on personal feelings.
Choice B reason:
This statement is objective data because it is based on what the nurse observes or measures using a thermometer and a pulse oximeter. This is an example of objective data, which is information that is factual and can be verified.
Choice C reason:
This statement is not objective data because it is based on the nurse's interpretation of the client's appearance and behavior, not on direct observation or measurement. This is an example of subjective data, which is information that represents the patient's perceptions, feelings, or concerns.
Choice D reason:
This statement is not objective data because it is based on what the client reports, not what the nurse observes or measures. This is an example of subjective data, which is information that the patient tells the nurse that cannot be measured or observed.
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