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. Exaggerated response to stimuli B. Significant change in weight C. Hyperexcitability D. Attention seeking behavior

Correct Answer is B

Explanation

A. Clients with major depressive disorder often exhibit decreased response to stimuli rather than an exaggerated response.
B. Weight changes, either a significant gain or loss, are common in individuals with major depressive disorder due to changes in appetite.
C. Hyperexcitability is not typically associated with major depressive disorder. Instead, individuals with depression often exhibit decreased energy and enthusiasm.
D. While seeking attention can manifest in some individuals with mental health conditions, it's not a defining characteristic of major depressive disorder.

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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 caring for a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?

Correct Answer is B

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?

A nurse teaching a patient about a tyramine-restricted diet would approve which meal?

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.)

When assessing for the subjective symptoms of posttraumatic stress disorder (PTSD), which question will the nurse ask a client hospitalized for severe anxiety related to a sexual assault by a family member as a teenager?

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

A nurse is caring for a client following a suicide attempt. The client has a history ofdepression, substance abuse, and anorexia nervosa. Which of the following actions is the nurse's priority?

A nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to shout angrily at the clients around her. Which of the following actions should the nurse take first?