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 B
Explanation
Choice A reason:
Negative Operant Conditioning involves the removal of an unpleasant stimulus to increase the likelihood of a behavior being repeated. In this scenario, the nurse is not removing an unpleasant stimulus but is instead taking over a task to prevent conflict, which does not align with the principles of negative operant conditioning.
Choice B reason:
Positive Role Modeling is demonstrated when an individual exhibits behavior that is beneficial and can be emulated by others. By taking the tray to avoid conflict, the nurse is showing understanding and flexibility, qualities that are positive and can be modeled in a healthcare setting.
Choice C reason:
Aggressiveness is characterized by hostile or forceful behavior or attitudes. The nurse's action of taking the tray to the kitchen is not aggressive; it is a non-confrontational approach to managing the situation.
Choice D reason:
Assertiveness involves standing up for one's own rights in a direct, honest way, while also respecting the rights of others. The nurse's behavior is not assertive, as they are not addressing the client's refusal directly but are instead choosing to complete the task themselves to avoid confrontation.
Correct Answer is D
Explanation
Choice A Reason:
An adventitious crisis is not applicable here. This type of crisis is usually a result of a natural or man-made disaster, war, or major accident, which is not the case with the client's situation.
Choice B Reason:
Maturational crises are associated with life transitions or developmental stages, such as retirement or menopause. While the client is older, the crisis is not due to a normal life transition but rather an unexpected event.
Choice C Reason:
Developmental crises occur as a person moves through the stages of life. The client's crisis does not stem from a developmental issue but from an external event that has disrupted their life.
Choice D Reason:
Situational crises arise from external sources that an individual may face throughout life, such as the death of a loved one, loss of a job, or severe illness. The client's inability to cope with the sudden death of their spouse is a situational crisis.
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