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A patient states, 'I'm starting cognitive behavioral therapy. What can I expect from the sessions?' Which responses by the nurse are appropriate?
- A. The therapist will be active and questioning.'
- B. You may be given homework assignments.'
- C. The therapist will ask you to describe your dreams.'
- D. The therapist will help you look at ideas and beliefs you have about yourself.'
- E. The goal is to increase your subjectivity about thoughts that govern your behavior.'
Correct Answer: A,B,D
Rationale: Cognitive therapists are active, assign homework, and help identify irrational thoughts. Dream analysis is psychoanalytic, and the goal is objectivity, not subjectivity.
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An advanced practice nurse determines that a group of patients would benefit from opportunities to practice appropriate social behaviors and learn about basic living skills. The nurse would arrange for what form of therapy?
- A. Milieu therapy
- B. Cognitive therapy
- C. Short-term dynamic therapy
- D. Systematic desensitization
Correct Answer: A
Rationale: Milieu therapy provides a safe environment for practicing social and living skills. The other therapies are individual-focused and do not address group social behavior.
What cognitive strategy should a nurse use to assist a very dependent patient achieve independence?
- A. Reveal dream content.
- B. Take prescribed medications.
- C. Examine thoughts about being autonomous.
- D. Role model ways to ask for help from others.
Correct Answer: C
Rationale: Cognitive therapy examines thoughts to change behavior. Dream content is psychoanalytic, medications are biological, and role modeling is not cognitive.
A nurse assesses that a patient is suspicious and frequently manipulates others. Using the Freudian theory, these traits are related to which psychosexual stage?
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: A
Rationale: According to Freud, suspiciousness and manipulation develop during the oral stage, when an infant learns to relate to the environment. Anal stage traits include orderliness or messiness, phallic stage traits include vanity or sexual identity issues, and genital stage traits involve mature relationships.
A basic level registered nurse works with patients in a community setting. Which groups should this nurse expect to lead?
- A. Symptom management
- B. Medication education
- C. Family therapy
- D. Psychotherapy
- E. Self-care
Correct Answer: A,B,E
Rationale: Basic level nurses lead psychoeducational groups like symptom management, medication education, and self-care. Family therapy and psychotherapy require advanced practice.
A person tells a nurse, 'I was the only survivor in a small plane crash, but three business associates died. I got anxious and depressed and saw a counselor three times a week for a month. We talked about my feelings related to being a survivor, and now I am at peace with the situation.' Which type of therapy was used?
- A. Milieu therapy
- B. Psychoanalysis
- C. Behavior modification
- D. Interpersonal therapy
Correct Answer: D
Rationale: Interpersonal therapy helps process loss and guilt, restoring functioning. Milieu is environmental, psychoanalysis is long-term, and behavior modification changes specific behaviors.