When using cognitive behavioral theory with an anxious, withdrawn patient, interventions should focus on which of the following?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: Arranging social services addresses the patient’s eviction, a social determinant of health impacting mental stability. This holistic approach supports recovery by ensuring housing stability, aligning with psychiatric nursing’s focus on comprehensive care, making this the correct choice.

Choice B reason: Contacting the landlord directly exceeds the nurse’s role and may violate privacy. It does not address the patient’s immediate housing needs or mental health, making it less appropriate than coordinating with social services for professional support.

Choice C reason: Questioning the medication reaction’s validity is inappropriate without evidence and distracts from addressing the eviction. It undermines trust and does not support discharge planning, making this choice irrelevant to the patient’s current needs.

Choice D reason: Delaying discharge without clinical justification risks unnecessary hospitalization. The eviction requires social support, not prolonged admission, as mental status improvement is not specified as a concern, making this choice incorrect.

A. Encourage the patient to argue with the voices to challenge their validity B. Teach the patient distraction techniques, such as listening to music C. Administer an additional dose of antipsychotic medication without consulting the prescriber D. Advise the patient to ignore the hallucinations and focus on daily tasks

Correct Answer is B

Explanation

Choice A reason: Encouraging the patient to argue with auditory hallucinations can escalate distress and reinforce engagement with the voices, which is non-therapeutic in schizophrenia management. Evidence-based practice emphasizes reducing focus on hallucinations through coping strategies, not confrontation, making this choice incorrect.

Choice B reason: Teaching distraction techniques, like listening to music, is an evidence-based non-pharmacological intervention for managing auditory hallucinations. It helps shift attention away from the voices, reducing their intensity and promoting coping, aligning with psychiatric nursing principles, making this the correct choice.

Choice C reason: Administering an additional dose of antipsychotic medication without prescriber consultation violates nursing scope of practice and safety protocols. It risks toxicity and side effects, such as extrapyramidal symptoms, making this choice unsafe and incorrect for managing hallucinations.

Choice D reason: Advising the patient to ignore hallucinations is oversimplified and often ineffective, as it dismisses the distress caused by symptoms. This approach lacks therapeutic support and does not provide practical coping strategies, making it less appropriate than teaching distraction techniques.

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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

A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the nurse learned the patient received a notice of eviction immediately prior to admission. Select the nurse’s most appropriate action.

Correct Answer is A

Explanation

A nurse is working with a patient diagnosed with schizophrenia who is experiencing auditory hallucinations. Which intervention best supports the patient in managing these symptoms?

Correct Answer is B

Explanation

A nurse is caring for a patient with a mental health disorder. Which approach best supports therapeutic care?

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What is an important nursing consideration for patients taking a nonbenzodiazepine such as zolpidem?

Which assessment finding most clearly indicates that a patient may be experiencing a mental illness?

An adolescent hospitalized after a physical outburst tells the nurse, "I’m going to kill my father, but you can’t tell anyone." Select the nurse’s best response.

What must the nurse obtain from the patient in order for medical information to be released to another health care facility or third party regarding a patient diagnosed with a mental illness?