A single parent is experiencing feelings of inadequacy related to work and family since one teenaged child ran away 2 weeks ago. The parent seeks the help of a therapist specializing in cognitive therapy. The psychotherapist who uses cognitive therapy will treat the client by:
Select one:
helping the patient how to identify and change faulty thinking
negatively reinforcing an undesirable behavior every day to avoid-it
focusing on conscious mental processes
always discussing Freud ego stages
The Correct Answer is A
Cognitive therapy is a type of psychotherapy that focuses on identifying and changing negative thought patterns and beliefs that contribute to psychological distress. In this case, the single parent is experiencing feelings of inadequacy related to work and family since one teenaged child ran away 2 weeks ago. The cognitive therapist would work with the client to identify any negative or distorted thoughts they may be having about themselves, their situation, and their ability to cope.
Through cognitive therapy, the therapist would help the client learn how to challenge and change their negative thoughts and beliefs, replacing them with more realistic and positive ones. The goal of cognitive therapy is to help the client develop new coping skills and ways of thinking that will enable them to better manage their emotions and improve their overall well-being.
Option b, negatively reinforcing an undesirable behavior every day to avoid it, is not a component of cognitive therapy. This approach is more aligned with behavioral therapy, which focuses on modifying behaviors through reinforcement and punishment.
Option c, focusing on conscious mental processes, is partially correct, as cognitive therapy does focus on conscious mental processes. However, this alone does not fully capture the essence of cognitive therapy.
Option d, always discussing Freud ego stages, is not relevant to cognitive therapy, as it is a psychoanalytic approach developed by Freud that focuses on the unconscious mind and early childhood experiences.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This response acknowledges the client's concerns and invites further discussion about their experience. The nurse can use this information to assess the severity and duration of the client's symptoms, as well as any potential triggers or stressors that may be contributing to their anxiety and inability to concentrate.
Option a "Have you talked to your friends about this yet?" may not be an appropriate response, as the client may need more professional support than what their friends can provide.
Option b "I have problems too, everybody has problems" may be dismissive of the client's concerns and may not help them feel heard or understood.
Option d "Have you talked to your parents about this yet?" may not be an appropriate response, as the client may not feel comfortable discussing their concerns with their parents or may need more professional support than what their parents can provide.
Option e "Why do you think you are so anxious?" may be seen as confrontational and may not help the client feel heard or understood.
Option f "It sounds like you're having a difficult time" acknowledges the client's concerns but does not invite further discussion or provide an opportunity for the nurse to gather more information.

Correct Answer is C
Explanation
Manipulative behavior is not acceptable in any situation, and it is important for the nurse to set clear boundaries and expectations with the client. Allowing manipulation can enable the client's behavior and reinforce it. Avoiding discussing past or present manipulative behaviors with the client may not effectively address the issue and could potentially worsen the behavior. Bargaining with the client can also reinforce manipulative behavior.
Therefore, instituting consequences for manipulative behavior is the most appropriate intervention to include in the plan of care. This could involve setting clear limits on what is acceptable behavior and consistently enforcing consequences when those limits are exceeded. The consequences should be communicated clearly to the client, and the nurse should work with the client to identify more appropriate ways to communicate their needs and concerns.

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