The primary reason a client should be included in their treatment plan, if possible, would be for which of the following purposes?

Confidentiality is a critical aspect of the nurse-patient relationship. However, there are specific circumstances where confidentiality must be breached to ensure the patient's safety and well-being. For instance, if a patient is expressing suicidal ideation or harm to others, the nurse has an ethical and legal obligation to report it to the treatment team to prevent harm. It is essential to explain this to the client to establish trust and clarify the limitations of confidentiality.

Option (a) is incorrect because not all information can remain confidential.

Option (b) is incorrect because not all information requires the client's approval to share.

Option (d) is incorrect because the nurse has the responsibility to disclose certain information to other healthcare professionals for the patient's benefit.

In cognitive behavior therapy (CBT), automatic thoughts refer to the rapid, subconscious thoughts that occur in response to a particular situation or event. These thoughts are automatic, meaning that they occur quickly and without conscious effort, and are often negative or distorted in nature. They are not necessarily based on fact or reality, and may be influenced by past experiences or beliefs. The goal of CBT is to identify and challenge these automatic thoughts, and replace them with more realistic and positive ones. Therefore, option c is the best explanation of automatic thoughts in the context of CBT. Options a and d are incorrect because automatic thoughts are not necessarily positive or indicative of psychiatric disorders. Option b is partially correct but does not fully capture the nature of automatic thoughts.