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 B

Explanation

A. Schizophrenia. Schizophrenia is a severe psychiatric disorder characterized by delusions, hallucinations, and disorganized thinking. While somatic symptom disorder (SSD) involves excessive focus on physical symptoms, it is not commonly linked to schizophrenia, which primarily affects perception and cognition.
B. Major depressive disorder. Depression is a common comorbidity of somatic symptom disorder. Clients with SSD often experience persistent sadness, hopelessness, and fatigue due to their distress over physical symptoms, which can contribute to or exacerbate depression.
C. Borderline personality disorder. While borderline personality disorder (BPD) is associated with emotional dysregulation and unstable relationships, it is not the most common comorbidity of SSD. BPD can co-occur with SSD, but depression and anxiety disorders are more frequently seen.
D. Bipolar disorder. Bipolar disorder involves mood fluctuations between mania and depression, whereas SSD is primarily characterized by excessive health-related concerns. While both conditions can co-exist, depression is more commonly associated with SSD.

A. The importance of avoiding foods that contain tyramine when taking an antipsychotic B. The importance of routine red blood cell count laboratory work when taking an antipsychotic C. The importance of limiting fluid intake when taking an antipsychotic D. The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic

Correct Answer is D

Explanation

A. The importance of avoiding foods that contain tyramine when taking an antipsychotic. Tyramine restrictions apply to monoamine oxidase inhibitors (MAOIs), not antipsychotics like clozapine. MAOIs require dietary modifications to prevent hypertensive crises, but clozapine does not interact with tyramine-containing foods.
B. The importance of routine red blood cell count laboratory work when taking an antipsychotic. Clozapine requires regular white blood cell (WBC) and absolute neutrophil count (ANC) monitoring, not red blood cell counts, due to the risk of agranulocytosis, a potentially fatal condition that can lead to severe infections.
C. The importance of limiting fluid intake when taking an antipsychotic. Fluid restriction is not a standard recommendation for clozapine use. However, some antipsychotics can cause polydipsia (excessive thirst), which may lead to water intoxication, but fluid restriction is not a routine precaution.
D. The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic. Antipsychotic medications, including clozapine, require long-term adherence to prevent symptom relapse. Clients may feel better and stop taking their medication, increasing the risk of relapse into psychosis, so adherence education is crucial.

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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 reviewing the medical record of a client who has somatic symptom disorder. Which of the following would be a likely comorbidity of somatic symptom disorder?

Correct Answer is B

Explanation

A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?

Correct Answer is D

Explanation

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