A nurse is reinforcing teaching with a client who has an eating disorder about mindfulness and distress tolerance skills. This is an example of which of the following treatment modalities?

Dialectical behavior therapy

Interpersonal therapy

Humanistic therapy

Cognitive therapy

Answer and Explanation

The Correct Answer is A

A. Dialectical behavior therapy. Dialectical behavior therapy (DBT) focuses on mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. It is particularly effective for individuals with eating disorders, borderline personality disorder, and self-destructive behaviors, helping clients cope with distress without engaging in harmful behaviors.
B. Interpersonal therapy. Interpersonal therapy (IPT) primarily addresses relationship issues and social functioning rather than specific coping strategies like mindfulness or distress tolerance. While helpful for depression and some eating disorders, it does not emphasize the skills being taught in this scenario.
C. Humanistic therapy. Humanistic therapy focuses on self-actualization, personal growth, and self-exploration rather than structured skills training. It is centered on the client’s perspective and emotional experience rather than behavioral coping techniques.
D. Cognitive therapy. Cognitive therapy targets maladaptive thought patterns by helping clients identify and reframe distorted thinking. While useful in treating eating disorders, it does not specifically focus on mindfulness or distress tolerance skills, which are key components of DBT.

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Correct Answer is C

Explanation

A. Incoherent speech. Incoherent speech is more characteristic of acute episodes of schizophrenia rather than the prodromal phase. During the prodromal phase, symptoms are typically less severe and may not include full-blown disorganized thinking.
B. Severe delusions. Severe delusions are indicative of an active psychotic phase of schizophrenia. The prodromal phase generally involves milder symptoms that precede the onset of more severe psychotic episodes.
C. Withdrawn behavior. The prodromal phase of schizophrenia is often marked by subtle changes in behavior, including social withdrawal, decline in self-care, and changes in functioning. Withdrawn behavior is a common manifestation during this phase, signaling the beginning of deterioration before the onset of more intense symptoms.
D. Frequent hallucinations. Hallucinations are more commonly seen during the active phase of schizophrenia rather than the prodromal phase. In this early stage, clients may experience less intense symptoms and may not exhibit frequent or vivid hallucinations.

A. A history of self-injurious behavior B. A history of schizophrenia C. Borderline personality disorder D. History of trauma during the developmental years

Correct Answer is D

Explanation

A. A history of self-injurious behavior. While self-injurious behavior can be associated with various mental health conditions, it is not specifically identified as a risk factor for dissociative identity disorder (DID).
B. A history of schizophrenia. Schizophrenia is a distinct mental health disorder characterized by psychotic symptoms, and while individuals with schizophrenia may experience dissociation, it is not considered a direct risk factor for DID.
C. Borderline personality disorder. While there is some overlap between symptoms of borderline personality disorder and dissociative symptoms, having borderline personality disorder itself is not a primary risk factor for developing DID.
D. History of trauma during the developmental years. A significant risk factor for dissociative identity disorder is a history of severe trauma or abuse during childhood, particularly chronic emotional, physical, or sexual abuse. This trauma can disrupt normal psychological development and contribute to the fragmentation of identity characteristic of DID.

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A nurse is reinforcing teaching with a client who has an eating disorder about mindfulness and distress tolerance skills. This is an example of which of the following treatment modalities?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia. Which of the following findings indicates that the client is in the prodromal phase?

Correct Answer is C

Explanation

A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?

Correct Answer is D

Explanation

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A nurse is reinforcing teaching with a client who has an eating disorder about mindfulness and distress tolerance skills. This is an example of which of the following treatment modalities?