Exam 19: Cognitive Therapy

A client admitted to a Veterans Administration (VA)hospital with a diagnosis of major depressive disorder tells the nurse,"I failed my battalion by giving the wrong order.Fortunately,no one was injured." Which nursing diagnosis should the nurse assign to this client?

When a client's husband comes home late from work,the wife immediately fears infidelity.The advanced practice nurse therapist encourages the wife to consider other explanations for her husband's tardiness.What technique is the nurse using?

An advanced practice nurse recommends that a client participate in cognitive therapy.The client asks,"What's cognitive therapy and how can it help me?" Which is the nurse's most appropriate reply?

When using a cognitive approach,a nurse would include which point in teaching a client about panic disorder?

A client recovering from alcohol toxicity is using minimization.Which statement reflects this cognitive distortion?

A nursing instructor is teaching about dichotomous thinking.Which student statement indicates that learning has occurred?

A nursing instructor is teaching about the didactic aspects of cognitive therapy.Which student statement indicates a deficit in meeting the learning objectives of this content?

Which of the following client statements would indicate that teaching about benzodiazepines has been successful? Select all that apply.

A nursing instructor is lecturing about cognitive therapy.Which of the following are objectives when implementing this therapy? Select all that apply.

Using a cognitive approach,a nurse would choose which intervention for assisting clients to manage their anger without the use of violence?

A client is experiencing auditory hallucinations.Using a cognitive strategy,the nurse would encourage the client to do which of these?

A psychiatric nurse is counseling a client who has thought patterns consisting of rapid responses to a situation without rational analysis.What assessment data will the nurse document on this client?

A high school basketball player sustains a serious knee injury and states to the school nurse,"I will never get to college if I don't receive a basketball scholarship." Which nursing reply would assist the student to see a broader range of possibilities?

A successful business executive continually thinks that job accomplishments are not adequate.A nurse recognizes that the client's thinking is reflective of which cognitive error?

A client diagnosed with borderline personality disorder states,"Get out of here.No one cares about me or my situation!" Which nursing reply is an example of a cognitive intervention?

A nursing student evaluates her group project partner as irresponsible because of minimal participation in planning.When told of this situation,the nursing instructor plans to use the cognitive technique of "examining the evidence." Which response exemplifies this technique?

An advanced practice nurse is counseling a client diagnosed with generalized anxiety disorder.The nurse plans to use activity scheduling to address this client's concerns.What is the purpose of this nursing intervention?

A nurse practitioner uses cognitive therapy with depressed clients.The nurse asks clients to keep a daily record of dysfunctional thoughts.Which of the following are appropriate nursing replies to a client questioning the purpose of this exercise? Select all that apply.

Which client statement would exemplify the level of cognitive function that you would expect to see in mild anxiety?

A nursing assistant has failed a prerequisite course toward admission to nursing school and states,"I will always be only a nursing assistant and never an RN." Her nursing advisor understands this is an example of which automatic thought?