The nurse is cotherapist of a group. The guidelines followed by the therapists include focusing on
changing dysfunctional behavior and thinking patterns, selecting from the unit population the clients
who can profit from the group, intervening
promptly, and being directive. This type of group therapy
can be identified as
a. behavioral therapy.
b. self-help.
c. psychoeducational.
d. cognitive-behavioral.
D
The characteristics described are those of cognitive-behavioral therapy in which clients learn to
reframe dysfunctional thoughts to provide more realistic appraisals. Option A: Behavioral therapy
focuses on changing behavior rather than thoughts or feelings. Option B: A self-help group is
composed of clients with similar problems and has no leaders. Option C: A description of
psychoeducational therapy would describe something being taught.
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A nurse reviews the medication list of a client with a 20-year history of diabetes mellitus. The client holds up the bottle of prescribed duloxetine (Cymbalta) and states, "My cousin has depression and is taking this drug. Do you think I'm depressed?"
How should the nurse respond? a. "Many people with long-term diabetes become depressed after a while." b. "It's for peripheral neuropathy. Do you have burning pain in your feet or hands?" c. "This antidepressant also has anti-inflammatory properties for diabetic pain." d. "No. Many medications can be used for several different disorders."
Which statement best reflects the nurse's therapeutic use of self with a patient who is refusing to take his or her ordered medications?
1. "Can you tell me what concerns you have about medications?" 2. "If you refuse your medications, you will just get sick again." 3. "Refusing your medications is your right, but it won't get you out of here." 4. "If you won't take your medication, I can't help you!"
A child with osteomyelitis asks the nurse, "What is a ‘sed' rate?" What is the best response for the nurse?
a. "It tells us how you are responding to the treatment." b. "It tells us what type of antibiotic you need." c. "It tells us whether we need to immobilize your extremity." d. "It tells us how your nerves and muscles are doing."
The nurse would stress in a discharge teaching plan for a client recovering from endocarditis that to avoid further complication, the client should
a. become actively involved in social and community activities. b. drink at least 1000 ml of fluid daily to ensure adequate hydration. c. initiate a comprehensive daily exercise program. d. notify the physician when invasive dental procedures are planned.