The nurse is monitoring a self-help group session when a client notifies his peers that he recently relapsed with heroin. A fellow member of the group replies, "I have relapsed more times than I can count, but I have been sober for over 7 years now." The nurse should recognize that this demonstrates which curative group factors?

Choice A reason:
This statement may come across as dismissive of the potential benefits of medication, which can be an important part of treatment for some individuals. It's essential to consider and respect each client's unique treatment needs, including medication.

Choice B reason:
Pointing out physical manifestations of stress in a confrontational way may make the client feel self-conscious or defensive. It's important to address such observations with sensitivity and in the context of exploring feelings.

Choice C reason:
Inviting the client to discuss their concerns about returning to work opens up a dialogue about their fears and challenges. It's a supportive approach that encourages expression and exploration of feelings.

Choice D reason:
While resolving conflicts is important, this directive statement may feel overwhelming to a client who is already dealing with a new cancer diagnosis. It's better to offer support and guidance in navigating interpersonal issues.

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.