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 ["A","B","C"]

Explanation

A. This precaution helps eliminate potential means for self-harm.
B. Regular checks and verbal contact are essential to monitor the patient's safety and provide support.
C. Removing objects that could be used for self-harm is a key part of suicide precautions.
D. While this is an intensive level of observation, it might not be feasible at all times due to staffing limitations, making this choice less practical than the others.

A. "Your provider is required to notify your employer of your admission." B. "You will still need to give informed consent for treatments after admission." C. "You cannot leave the facility until your provider completes a discharge summary." D. "You will give up your right to refuse antidepressant medications upon admission."

Correct Answer is B

Explanation

A. This statement is not necessarily accurate and could cause undue concern. Providers are not typically required to notify employers of a patient's admission to a mental health facility due to confidentiality regulations.
B. Informed consent for treatments, interventions, or medications is an ongoing process, and the client maintains this right even after admission to the facility. It's crucial to ensure the client
understands this.
C. While there are restrictions on leaving against medical advice (AMA) in some situations, the statement is too absolute. The client's ability to leave might depend on specific circumstances.
D. This statement is not entirely true. Even in an inpatient setting, patients generally have the right to refuse medications, although there might be discussions about treatment plans.

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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

A patient with suicidal impulses is on the highest level of suicide precautions. Which measures should the nurse incorporate into the patient's plan of care? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?

A nurse is teaching a newly licensed nurse about appropriate actions to take when a client threatens to harm a specific individual. Which of the following statements by the newly licensed nurse indicates understanding?

A nurse is providing teaching for a client who has a recent diagnosis of depression. Which of the following should the nurse identify as a primary risk factor for this disorder?

An individual has been diagnosed with a dissociative disorder. Which comorbid psychiatric disorders are most likely to accompany this type of mental illness? (Select all that apply.)

A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Which of the following statements should the manager include in the discussion?

What is the primary difference between somatic system disorders and dissociative disorders?

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse will facilitate communication? (Select all that apply.)

A nurse is caring for a client 3 days after admission for treatment of depression. The client leaves her current activity, approaches the nurse and states, "There's no reason to go on living. I just want to end it all." Which of the following actions should the nurse take?