The lead nurse is orienting a new nurse in a mental health unit about the roles of the nurse in Cognitive Behavioral Therapy (CBT). Which statement made by the new nurse demonstrates an understanding of the role of the nurse in CBT? (Select all that apply.)
Assessing the client's readiness for therapy.
Implementing therapeutic techniques that involve the client's family only.
Educating the client to identify and challenge negative thoughts.
Evaluating to determine the effectiveness of the actions.
Collaborating with the client to set achievable goals.
Correct Answer : A,C,D,E
Choice A Reason:
Assessing the client's readiness for therapy is a crucial role of the nurse in CBT. It involves determining whether the client is willing and able to participate in therapy, understands the CBT process, and is motivated to engage in the cognitive and behavioral changes that CBT requires. This assessment helps ensure that the therapy is client-centered and tailored to the individual's specific needs and readiness level.
Choice B Reason:
While involving the client's family can be beneficial in therapy, implementing therapeutic techniques that involve only the client's family does not align with the primary goals of CBT. CBT focuses on the individual's patterns of thinking and behavior, and while family support can be part of the process, the nurse's role is not limited to family involvement alone.
Choice C Reason:
Educating the client to identify and challenge negative thoughts is a fundamental aspect of CBT. The nurse helps the client recognize their automatic negative thoughts, understand the impact these thoughts have on their emotions and behavior, and learn to challenge and reframe these thoughts in a more positive and realistic way.
Choice D Reason:
Evaluating to determine the effectiveness of the actions is part of the nurse's role in CBT. This involves monitoring the client's progress, assessing the outcomes of the interventions, and making necessary adjustments to the treatment plan. Evaluation is an ongoing process that ensures the therapy is effective and meets the client's needs.
Choice E Reason:
Collaborating with the client to set achievable goals is essential in CBT. The nurse works with the client to establish clear, measurable, and attainable goals that guide the therapy process. These goals provide direction and motivation, and they help the client focus on making specific changes that will improve their mental health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Providing reading material about the surgery can be informative, but it may not be the best approach for someone who is already very nervous. It could potentially increase anxiety if the information is overwhelming or if the client misinterprets the material.
Choice B reason:
Suggesting a walk could serve as a distraction and help to calm the client's nerves. However, it might not address the underlying anxiety about the surgery itself. It's a temporary measure that doesn't offer emotional support or address the client's immediate concerns.
Choice C reason:
Referring the client to the pastoral care team could be beneficial if the client is seeking spiritual support or comfort. However, this should be based on the client's personal preferences and beliefs, and it may not be the most direct way to address the client's stated nervousness.
Choice D reason:
Engaging the client in a conversation about their feelings provides an opportunity for emotional support and can help the nurse understand the client's specific fears. This approach can lead to a more personalized care plan to alleviate anxiety.
Correct Answer is C
Explanation
Choice A Reason:
An interprofessional team can lead to a decrease in the number of referrals needed for the client because multiple health care providers from different specialties are working collaboratively. This team approach can address various aspects of a client's care simultaneously, reducing the need for external consultations.
Choice B Reason:
While an interprofessional team may streamline care, it does not necessarily decrease the number of visits to the client by staff. Each professional has a role that requires direct interaction with the client, and the frequency of these visits depends on the client's needs and the care plan.
Choice C Reason:
Efficiency in client care services is a key benefit of an interprofessional team. By working together, team members can coordinate care, share information quickly, and make decisions more effectively, leading to better client outcomes and a more efficient use of resources.
Choice D Reason:
An increase in length of stay is not a benefit of an interprofessional team. In fact, effective interprofessional collaboration can lead to a decrease in length of stay by optimizing care, preventing complications, and facilitating timely interventions.
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