A patient states, "I'm starting cognitive behavioral therapy. What can I expect from the sessions? Which responses by the nurse are appropriate? (Select all that apply.)

The goal is to increase your subjectivity about thoughts that govern your behavior."

"The therapist will help you look at ideas and beliefs you have about yourself."

"You may be given homework assignments."

The therapist will be active and questioning."

Answer and Explanation

Correct Answer : B,C

A.   The term "subjectivity" might not be the most suitable word here and might not accurately represent cognitive-behavioral therapy's goals.
B.   Cognitive-behavioral therapy involves exploring and challenging beliefs and perceptions about oneself, making this an appropriate response.
C.   Homework assignments are often part of cognitive-behavioral therapy to practice skills or implement strategies outside of therapy sessions.
D.   The statement is true regarding the therapist's active role but might not encompass the entire essence of cognitive-behavioral therapy.

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Correct Answer is C

Explanation

A. While staying alone can be concerning, it might not be the strongest indicator of an impending suicide attempt in this scenario.
B. Excessive crying is a potential sign of distress but might not directly point towards an impending suicide attempt.
C. Giving away prized possessions or making significant gifts is often considered a strong indicator of an impending suicide attempt, indicating a sense of "getting affairs in order."
D. Attempting to communicate with family might suggest seeking support rather than indicating an impending suicide attempt.

A. Sit with the client and offer simple, direct information. B. Have the client attend group therapy immediately. C. Take the client on a tour of the unit and introduce him to all the staff members on duty. D. Explain the unit policies to the client and answer any questions he might have.

Correct Answer is A

Explanation

A. For a client with severe depression, a calm and direct approach is beneficial. Sitting with the client and offering simple, clear information can help establish trust and rapport.
B. Attending group therapy immediately might overwhelm the client, especially if they are newly admitted and experiencing severe depression.
C. Taking the client on a tour and introducing all staff members might be overwhelming or excessive for someone with severe depression.
D. While explaining unit policies is important, a direct informational approach might be more effective initially given the severity of the client's condition.

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A patient states, "I'm starting cognitive behavioral therapy. What can I expect from the sessions? Which responses by the nurse are appropriate? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After failing two tests, a college student cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate. Which behavior provides the strongest clue of an impending suicide attempt?

Correct Answer is C

Explanation

A nurse is planning a unit orientation for a newly admitted client who has severe depression. Which of the following should be the nurse's approach?

Correct Answer is A

Explanation

When considering an individual's risk for suicide, which client will the nurse consider the priority?

A nurse caring for a patient prescribed a selective serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to what outcome?

A client has made a successful suicide attempt while hospitalized on a unit that specializes in the treatment of depression. When considering both milieu control and crisis management, which intervention will the nursing staff implement?

A nurse interacts with a newly hospitalized patient. Which nursing statement reflects the communication technique of "offering self"?

A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?

Which statement provides the best rationale for why a nurse should closely monitor a severely depressed patient during antidepressant medication therapy?