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Treatment for GAD involves Cognitive restructuring. This involves:
- A. Challenging and replacement of dysfunctional beliefs about the advantages of worrying.
- B. Generate thoughts that are more accurate.
- C. Challenge the biases that GAD sufferers hold about how frequently bad events might happen.
- D. All of the above.
Correct Answer: D
Rationale: Cognitive restructuring in GAD (Option D) includes challenging worry benefits (A), promoting accurate thoughts (B), and addressing probability biases (C), per CBT principles.
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One of the female patients on the mental health unit starts to have delusions of persecution and is hearing voices. Prior to this admission, she attempted several times to poison her boyfriend after the voices told her to do so. During your initial rounds, you enter her room and ask her how she is doing. The patient states, shes a bad person. Your patient is exhibiting:
- A. Transference.
- B. Aggression.
- C. Dissociation.
- D. Denial.
Correct Answer: C
Rationale: The patient may be referring to herself in third person due to unacceptable feelings she is experiencing, so she disassociates from the emotion.
Which behavior shows that a nurse values autonomy?
- A. Setting limits on a patient's romantic overtures toward the nurse.
- B. Suggesting one-on-one supervision for a patient who is suicidal.
- C. Informing a patient that the spouse will not be in during visiting hours.
- D. Helping the patient weigh the consequences of their behaviors and decisions.
Correct Answer: D
Rationale: Helping the patient weigh the consequences of their actions supports their autonomy by involving them in the decision-making process.
According to Maslow's hierarchy of needs, the most basic needs category for nurses to address is:
- A. Physiological
- B. Safety
- C. Love and belonging
- D. Self-actualization
Correct Answer: A
Rationale: Physiological needs, such as food, water, and shelter, are the most basic and must be met before addressing higher-level needs.
During the first interview with a parent whose child died in a car accident, the nurse feels empathic and reaches out to take the patient’s hand. Select the correct analysis of the nurse’s behavior.
- A. It shows empathy and compassion. It will encourage the patient to continue to express feelings.
- B. The gesture is premature. The patient’s cultural and individual interpretation of touch is unknown.
- C. The patient will perceive the gesture as intrusive and overstepping boundaries.
- D. The action is inappropriate. Psychiatric patients should not be touched.
Correct Answer: B
Rationale: Touch requires cultural and individual assessment, as in Option B, to avoid misinterpretation. Options A, C, and D assume outcomes or overgeneralize without evidence.
A nurse is discussing relapse potential with a group of clients and their families. The nurse should include which of the following statements about relapse prevention?
- A. Relapses should be expected and be looked at as an opportunity.
- B. Relapses signal failure of the abstinence plan, and the plan must be changed.
- C. Relapses may indicate that the client has very little willpower.
- D. Relapses are rare and unlikely to occur.
Correct Answer: A
Rationale: Relapses should be expected and viewed as an opportunity to learn and grow in the recovery process. This perspective helps clients and families understand that relapse is a part of the journey and not a sign of failure.