The nurse is working with a patient with an anxiety disorder whose treatment includes cognitive behavioral therapy
Which statement by the patient gives the nurse reason to assume that the patient has an understanding of the basis of this type of therapy?
a. "My abusive childhood has resulted in my overreaction to stress."
b. "My delusional thoughts of extreme anxiety are what cause my panic attacks."
c. "My brain chemistry causes me to overreact to common stress by getting so anx-ious."
d. "I've learned to react to my daily stress by having anxious thoughts and panic at-tacks."
ANS: D
The success of this approach centers on the patient's understanding that the symptoms are a learned response to thoughts or feelings about behaviors that occur in daily life. Cognitive therapy helps patients identify target symptoms and change the cognitions associated with them. This is a psychodynamic model explanation. Anxiety disorders have no relationship to delusions. Brain chemistry is not a usual cause of anxiety but rather can be altered by anxiety.
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