Question 1

A psychotherapist works with an anxious, dependent patient. Which strategy is most consistent with psychoanalytic psychotherapy?

Accepted Answer

Focusing on the patient's feelings developed toward the therapist is consistent with psychoanalytic psychotherapy, as it allows for exploration of transference and countertransference issues that may be contributing to the patient's anxiety and dependence on the therapist. Identifying strengths and assets (A) may be helpful in other therapeutic approaches, but it is not a core focus of psychoanalytic therapy. Praising the patient (B) may be seen as reinforcing dependent behavior, and providing psychoeducation and emphasizing medication adherence (D) is not a primary focus of psychoanalytic therapy.

Question 2

Which activities represent the art of nursing?

Accepted Answer

The answer of Which activities represent the art of nursing?
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Question 3

A patient says, "All my life I've been surrounded by stupidity. Everything I buy breaks because the entire American workforce is incompetent." Which of the following is this patient experiencing?

Accepted Answer

The patient's statement reflects a cognitive distortion, which is an irrational thought pattern that can lead to negative perceptions and emotions. In this case, the patient is overgeneralizing and blaming external factors for their dissatisfaction.

Question 4

A patient states, "I'm starting cognitive-behavioural therapy. What can I expect from the sessions?" Which responses by the nurse would be appropriate?

Accepted Answer

The answer of A patient states, "I'm starting cognitive-behavioural therapy....

Question 5

A nurse and patient discuss a problem the patient has kept secret for many years. Afterward, the patient says, "I feel so relieved that I finally told somebody." Which term best describes the patient's feeling?

Accepted Answer

Catharsis refers to the release of emotional tension or feelings through the sharing of one's experiences or problems with another person. The patient's statement indicates a sense of relief and release after finally disclosing a long-held secret, which would be consistent with the concept of catharsis.

Question 6

A patient repeatedly stated, "I'm stupid." Which statement by that patient would show progress resulting from cognitive behavioural therapy?

Accepted Answer

Cognitive behavioral therapy aims to change negative thought patterns. The statement "Sometimes I do stupid things" shows progress because it acknowledges specific actions rather than labeling the entire self as "stupid," indicating a shift towards more balanced thinking.

Question 7

A patient says to the nurse, "My father has been dead for over 10 years, but talking to you is almost as comforting as the talks he and I had when I was a child." Which term applies to the patient's comment?

Accepted Answer

The patient's comment suggests that they are transferring feelings and emotions they associate with their father onto the nurse. This is an example of transference, which is a common occurrence in therapy or counseling sessions. The patient may see aspects of their father in the nurse, and may find comfort in talking to someone who reminds them of their father.

Question 8

Which technique is most applicable to aversion therapy?

Accepted Answer

Aversion therapy is a type of behavioral therapy that aims to reduce or eliminate unwanted behavior by associating it with an unpleasant stimulus, such as punishment. Thus, punishment is the most applicable technique for aversion therapy.

Question 9

A patient says, "I always feel good when I wear a size 2 petite." Which type of cognitive distortion is evident?

Accepted Answer

The patient's statement suggests an overgeneralization, as they believe that their self-worth and overall happiness are reliant on wearing a specific size.

Question 10

Which comments by an elderly person best indicate successful completion of the developmental task?

Accepted Answer

These comments reflect a sense of fulfillment and acceptance of life experiences, indicating successful completion of Erikson's developmental task of integrity versus despair in later life.

Question 11

A patient is fearful of riding on elevators. The therapist first rides an escalator with the patient. The therapist and patient then stand in an elevator with the door open for five minutes and later with the elevator door closed for five minutes. Which technique has the therapist used?

Accepted Answer

The therapist has used the technique of systematic desensitization by gradually exposing the patient to the feared situation (riding on elevators) first through an escalator and then by gradually increasing exposure to the elevator with the door open and closed. Classic psychoanalytic therapy involves exploring past experiences and unconscious conflicts, rational emotive therapy involves challenging irrational beliefs, and biofeedback involves using technology to measure and control bodily functions.

Question 12

A college student received an invitation to attend the wedding of a close friend who lives across the country. The student is afraid of flying. Which type of therapy would be most helpful for this patient?

Accepted Answer

Systematic desensitization is a type of therapy used to treat specific phobias such as a fear of flying. It involves gradually exposing the patient to the feared stimulus (e.g. planes) in a controlled environment while using relaxation techniques. This helps the patient to become desensitized to the fear and ultimately reduce or eliminate the phobia.

Question 13

Which patient is the best candidate for brief psychodynamic therapy?

Accepted Answer

Brief psychodynamic therapy is best suited for patients who have specific, identifiable issues that can be addressed in a relatively short amount of time. Patients who do not have severe or chronic mental health issues are the best candidates. An accountant with a successful career who was involved in a short extramarital affair has a specific issue that can be addressed through brief psychodynamic therapy. The other patients described have more complex issues that require longer-term or specialized treatment.

Question 14

Which comments by an adult best indicate self-actualization?

Accepted Answer

The answer of Which comments by an adult best indicate...

Question 15

Which comment best indicates a patient is self-actualized?

Accepted Answer

Self-actualization involves appreciating simple pleasures and being in tune with one's environment, as indicated by the enjoyment of walking on the beach and listening to the waves.

Question 16

Which approach would be best to provide therapy in which peers as well as staff have a voice in determining patients' privileges and psychoeducational topics?

Accepted Answer

Milieu therapy involves a therapeutic community where patients, peers, and staff collaborate in decision-making processes, including determining privileges and psychoeducational topics.

Question 17

A person says, "I was the only survivor in a small plane crash. Three business associates died. I got depressed and saw a counsellor twice a week for 4 weeks. We talked about my feelings related to being a survivor, and I'm better now." Which type of therapy was used?

Accepted Answer

Interpersonal psychotherapy focuses on improving interpersonal relationships and communication, which aligns with discussing feelings related to being a survivor.

Quiz 4: Relevant Theories and Therapies for Nursing Practice