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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Review treatment goals that have been accomplished. In the termination phase of the nurse-client relationship, it is essential to evaluate and review the progress made towards the treatment goals. This helps reinforce the client's achievements and prepares them for future independence.
B. Introduce the concept of discharge planning. While discharge planning is important, it is typically discussed earlier in the nursing process rather than during the termination phase. By this point, the client should already be aware of their discharge plans.
C. Gather data about the client's home situation. This action is more appropriate during the initial assessment phase or when planning care, rather than during termination. The focus should be on reflecting on progress and preparing for discharge.
D. Provide personal contact information to the client for use in case of emergency. This is not appropriate in the termination phase, as it can blur professional boundaries and may not adhere to nursing ethical standards. Instead, referrals to appropriate resources should be provided.
Correct Answer is ["A","D","E"]
Explanation
A. Hallucinations. Hallucinations, particularly auditory hallucinations, are one of the core symptoms of schizophrenia. They involve perceiving things that are not present, such as hearing voices.
B. Inability to initiate activities. While this may be a feature of schizophrenia, it is not one of the primary diagnostic criteria. This symptom may be related to negative symptoms but is not specifically required for diagnosis.
C. Antisocial personality. Antisocial personality disorder is a separate diagnosis and not a symptom of schizophrenia. The presence of antisocial personality traits does not fulfill the criteria for schizophrenia.
D. Lack of emotional expression. This symptom, often referred to as flat affect, is considered a negative symptom of schizophrenia and can contribute to the diagnosis, as it indicates diminished emotional responsiveness.
E. Disorganized behavior. Disorganized behavior, including disorganized speech and erratic actions, is a key symptom of schizophrenia and is part of the diagnostic criteria.
F. Impaired interpersonal relationships. While impaired relationships may result from the symptoms of schizophrenia, this is not a specific criterion for diagnosis. The focus is on the presence of specific symptoms such as hallucinations, disorganized behavior, and negative symptoms like lack of emotional expression.
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