When using cognitive behavioral theory with an anxious, withdrawn patient, interventions should focus on which of the following?

Administering medications to reduce anxiety

Challenging negative thought patterns

Encouraging group therapy participation

Teaching relaxation techniques

Answer and Explanation

The Correct Answer is B

Choice A reason: Administering medications addresses symptoms pharmacologically but is not a core cognitive behavioral therapy (CBT) intervention. CBT focuses on modifying thoughts and behaviors, not drug therapy, making this choice incorrect for the specified theoretical approach.

Choice B reason: CBT targets negative thought patterns to modify maladaptive behaviors and emotions, central to treating anxiety. Challenging distorted cognitions helps the patient reframe perceptions, reducing withdrawal, aligning with CBT principles, making this the correct choice.

Choice C reason: Group therapy encourages social interaction but is not a primary CBT intervention. CBT focuses on individual cognitive restructuring, not group dynamics, making this choice less relevant for the specified theoretical approach to anxiety treatment.

Choice D reason: Relaxation techniques are adjunctive in CBT but not the primary focus. Challenging negative thoughts is the core intervention, directly addressing cognitive distortions driving anxiety, making relaxation a secondary approach and this choice incorrect.

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Correct Answer is A

Explanation

Choice A reason: In Peplau’s orientation phase, the nurse establishes trust, fosters collaboration, and sets boundaries to build a therapeutic relationship. This foundation is critical for patients with psychiatric disorders, ensuring a safe space for engagement, making this the correct choice.

Choice B reason: Medication adherence is a clinical intervention addressed later, in the working phase, not orientation. The initial phase focuses on relationship-building, not specific treatments, making this choice incorrect for the orientation phase’s goals.

Choice C reason: Coping skill development occurs in the working phase, after trust is established. Orientation prioritizes relationship foundations like trust and boundaries, not skill-building, making this choice incorrect for the initial nurse-patient interaction phase.

Choice D reason: Long-term goals are addressed in the working or termination phases, not orientation, which focuses on establishing trust and rapport. Setting goals prematurely may hinder relationship-building, making this choice incorrect for the orientation phase.

A. There are people with problems much worse than yours B. What do you think you could do to feel better? C. I understand how you’re feeling; let’s talk more about it D. Why don’t you just try to forget about it?

Correct Answer is B

Explanation

Choice A reason: Comparing the patient’s problems to others minimizes their experience, a non-therapeutic technique. It dismisses feelings, hindering trust and open communication, contrary to psychiatric nursing principles that emphasize validation, making this choice incorrect.

Choice B reason: Asking the patient to suggest solutions encourages self-reflection and empowerment, a therapeutic technique. It fosters autonomy and problem-solving, aligning with patient-centered care in mental health nursing, making this a correct choice for therapeutic communication.

Choice C reason: Expressing understanding and inviting further discussion validates the patient’s feelings, fostering trust. This empathetic, open-ended approach is a hallmark of therapeutic communication in psychiatric care, promoting a safe space for exploration, making this a correct choice.

Choice D reason: Suggesting the patient forget their problems is dismissive and non-therapeutic. It invalidates feelings and discourages exploration, contrary to psychiatric nursing goals of fostering insight and trust, making this choice incorrect for therapeutic communication.

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When using cognitive behavioral theory with an anxious, withdrawn patient, interventions should focus on which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Hildegard Peplau came up with the phases of the nurse-patient relationship. What does the nurse address during the orientation phase with a patient diagnosed with a psychiatric disorder?

Correct Answer is A

Explanation

Which comments by a nurse demonstrate the use of therapeutic communication techniques? (Select all that apply)

Correct Answer is B

Explanation

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Which of the following are examples of a nurse using non-therapeutic communication techniques? (Select all that apply)

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A nurse instructs a patient taking a monoamine oxidase inhibitor (MAOI) drug to avoid certain foods and drugs because of the risk of which condition?