A nurse manager is providing staﬀ education about working with a client with a history of anger and aggression. Which of the following information should the nurse manager include in the teaching? (Select all that apply).

Avoid wearing necklaces during client care.

Know the layout of the facility.

Stand directly in front of the client while talking.

Bring security with you for all interactions.

Provide Immediate verbal feedback for escalating behavior.

Answer and Explanation

Correct Answer : A,B,E

These are all important measures to take when working with a client with a history of anger and aggression. Avoiding wearing necklaces can help prevent injury in case of an aggressive outburst. Knowing the layout of the facility can help staﬀ quickly and safely respond to any incidents. Providing immediate verbal feedback for escalating behavior can help de-escalate the situation and prevent further aggression

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Correct Answer is C

Explanation

The client is exhibiting the defence mechanism of rationalization, which involves justifying or explaining one’s behavior or feelings in a seemingly logical manner to avoid the true explanation. In this case, the client is rationalizing their decision to drink while taking medication by blaming the nurse for not providing enough information, rather than taking responsibility for their own actions.

A. "Automatic thoughts are typically positive and based on fact' B. “Automatic thoughts are often inﬂuenced by our childhood C. “Automatic thoughts occur rapidly in a situation and without rational analysis.'

Correct Answer is C

Explanation

In cognitive behavior therapy (CBT), automatic thoughts refer to the rapid, subconscious thoughts that occur in response to a particular situation or event. These thoughts are automatic, meaning that they occur quickly and without conscious eﬀort, and are often negative or distorted in nature. They are not necessarily based on fact or reality, and may be inﬂuenced by past experiences or beliefs. The goal of CBT is to identify and challenge these automatic thoughts, and replace them with more realistic and positive ones. Therefore, option c is the best explanation of automatic thoughts in the context of CBT. Options a and d are incorrect because automatic thoughts are not necessarily positive or indicative of psychiatric disorders. Option b is partially correct but does not fully capture the nature of automatic thoughts.

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A nurse manager is providing staﬀ education about working with a client with a history of anger and aggression. Which of the following information should the nurse manager include in the teaching? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A client receiving cognitive behavior therapy (CBT) is introduced to the concepts guiding the therapy. Which statement best explains automatic thoughts?

Correct Answer is C

Explanation

The client expresses the loneliness she feels to the nurse. Which response by the nurse demonstrates the existence of a therapeutic relationship?

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