The nurse provides care for a client with anorexia nervosa. The nurse knows which statements aretrue regarding anorexia nervosa?

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.

Therapeutic communication involves actively listening to the client, demonstrating empathy, and using open-ended questions to encourage the client to express their thoughts and feelings.

Reflecting (option a) and listening attentively (option b) are both examples of effective therapeutic communication techniques as they demonstrate active listening and empathy.

However, offering advice (option c) is a barrier to therapeutic communication because it implies that the nurse knows what is best for the client and can solve their problems for them.

This can create a power dynamic in the nurse-client relationship and may discourage the client from expressing their true thoughts and feelings. Giving information (option d) can be an important aspect of therapeutic communication, but it should be done in a way that respects the client's autonomy and involves collaboration rather than giving directives.