When utilizing cognitive restructuring for a client with obsessive-compulsive disorder (OCD), the nurse teaches the client to monitor automatic thoughts and recognize the connection between thoughts, emotional response, and behavior
The goal would be for the client to:
A) Decrease their compulsive actions by 50%.
B) Analyze their thoughts as incongruent with reality.
C) Improve their sleeping patterns.
D) Build time in their daily schedule to perform the compulsion without interruption.
Ans: B
With cognitive restructuring, the client is taught to monitor automatic thoughts and then to recognize the connection between the thoughts, emotional response, and behaviors. The distorted thoughts are examined and tested by for-or-against evidence presented by the therapist, which helps the individual to realistically assess the likelihood that the feared event will happen if the compulsive behavior is not performed. The person begins to analyze his or her thoughts as incongruent with reality. For example, even if the alarm clock is not checked 30 times before going to bed, it will still go off in the morning, and the person will not be disciplined for tardiness at work. Maybe it needs to be checked only once or twice. There is no research to support that the actions will decrease 50%. Relaxation techniques assist with improving sleep pattern.
You might also like to view...
A nurse is conducting a presentation for a group of middle-aged women about menopause and the changes that occur to the female genitourinary system. Which of the following would the nurse include in the discussion? Select all that apply
A) Lengthening of the vaginal wall B) Slowed rate of lubrication during sexual arousal C) Decreased risk of yeast infection from pH changes D) Weakening of the pelvic floor muscles E) Thinning of the vaginal walls
An employee is able to receive health insurance from a former employer after changing jobs because of the:
a. Health Insurance Portability and Accountability Act (HIPAA) b. Omnibus Budget Reconciliation Act c. Balanced Budget Act of 1997 d. Social Security Act
The school nurse decides to implement a health promotion program for the parents of the school-age children. Which of the following topics would be most important for the nurse to include?
a. Eating a nutritious diet b. Exercising and sleeping well c. Promoting creative play d. Performing a safety check in the home
The nurse suspects that a home care client is experiencing the tension-building phase within the cycle of violence. What observations caused the nurse to make this clinical determination? Select all that apply
1. Spouse ignoring the client 2. Spouse yelling at the client 3. Client asking the nurse to leave 4. Client apologizing to the spouse 5. Spouse throwing items at the client