Question 1

A nursing instructor is teaching about dichotomous thinking.Which student statement indicates learning has occurred?&#10;A)&#34;Dichotomous thinking is when an individual views a situation as being good or bad or black or white.&#34;&#10;B)&#34;Dichotomous thinking is when an individual takes complete responsibility for situations without considering other circumstances.&#34;&#10;C)&#34;Dichotomous thinking is when an individual exaggerates the negative significance of an event.&#34;&#10;D)&#34;Dichotomous thinking is when an individual undervalues the positive significance of an event.&#34;

Accepted Answer

Option A correctly defines dichotomous thinking by stating that an individual views situations in terms of extremes, such as good/bad or black/white. Options B, C, and D all describe different cognitive distortions, but not dichotomous thinking specifically.

Question 2

Which statement does the nurse recognize exemplifies the level of cognitive function of a client experiencing mild anxiety?&#10;A)&#34;Right now I feel as sharp as a tack.&#34;&#10;B)&#34;I'm having a tough time focusing.&#34;&#10;C)&#34;Sometimes I feel like I'm having an out-of-body experience.&#34;&#10;D)&#34;All I seem to focus on is my anger.&#34;

Accepted Answer

Mild anxiety can actually heighten awareness and sharpen senses, leading to the feeling of being very alert or "sharp as a tack." This contrasts with more severe levels of anxiety, which typically impair cognitive functions and focus.

Question 3

A client recovering from alcohol toxicity is using minimization.Which statement reflects this cognitive distortion?&#10;A)&#34;I can't give up alcohol right now because I just gave up smoking.&#34;&#10;B)&#34;I just read that red wine has health benefits.&#34;&#10;C)&#34;I may have a minor problem,but I can handle it.&#34;&#10;D)&#34;I don't drink as much as my wife and nobody thinks she has a problem.&#34;

Accepted Answer

The statement "I may have a minor problem, but I can handle it" reflects minimization, which is a cognitive distortion where the individual downplays the severity of their problem. The other options do not necessarily reflect minimization, as they could be considered justifications or rationalizations for continued alcohol use.

Question 4

A nursing instructor is teaching about the didactic aspects of cognitive therapy.Which student statement indicates a deficit in meeting the learning objectives of this content?&#10;A)&#34;The therapist provides information about the process of cognitive therapy.&#34;&#10;B)&#34;The therapist uses guided imagery to elicit automatic thoughts.&#34;&#10;C)&#34;The therapist provides information about how cognitive therapy works.&#34;&#10;D)&#34;The therapist uses reading assignments to reinforce learning.&#34;

Accepted Answer

The use of guided imagery to elicit automatic thoughts is not a didactic aspect of cognitive therapy, but rather a technique used within the therapy itself. The other choices all reflect didactic aspects of cognitive therapy, such as providing information and using reading assignments to reinforce learning.

Question 5

A nursing assistant failed a prerequisite course toward admission to nursing school and states,"I will always be only a nursing assistant and never an RN." The nursing advisor understands this is an example of which automatic thought?

A)Arbitrary inference
B)Overgeneralization
C)Dichotomous thinking
D)Personalization

Accepted Answer

Overgeneralization occurs when an individual makes a broad conclusion based on a single or limited event. In this case, the nursing assistant is overgeneralizing their failure in one course to their overall potential in the nursing profession.

Question 6

Which statement demonstrates the cognitive approach the nurse is using when teaching a client about panic disorder?&#10;A)&#34;You might want to stay in the house when you notice the symptoms beginning.&#34;&#10;B)&#34;Medications such as lorazepam (Ativan)should be taken when symptoms start.&#34;&#10;C)&#34;Remind yourself that symptoms of a panic attack are time limited and will end.&#34;&#10;D)&#34;Keep a journal to note feelings surrounding the panic attacks.&#34;

Accepted Answer

This statement demonstrates the cognitive approach by offering a thought-based strategy for managing panic disorder symptoms. By reminding oneself that symptoms are time-limited and will end, the client can focus on a more rational and positive thought pattern, which can help reduce anxiety and prevent the exacerbation of symptoms. Choices A, B, and D offer behavior-based strategies or medication-based interventions, which are not aligned with the cognitive approach to treatment.

Question 7

A client admitted to a Veterans Administration hospital with a diagnosis of Major Depressive Disorder tells the nurse,"I failed my battalion by giving the wrong order.Fortunately,no one was injured." Which nursing diagnosis will the nurse assign this client?

A)Chronic low self-esteem
B)Risk for self-directed violence
C)Powerlessness
D)Situational low self-esteem

Accepted Answer

The client's statement reflects a specific incident that has led to feelings of failure and inadequacy, indicating situational low self-esteem rather than a chronic or generalized issue.

Question 8

A successful business executive continually thinks her job accomplishments are not adequate.The nurse recognizes the client's thinking reflects which cognitive error?&#10;A)Minimization&#10;B)Dichotomous thinking&#10;C)Arbitrary inference&#10;D)Personalization

Accepted Answer

Minimization is a cognitive error in which a person downplays their positive accomplishments or qualities and magnifies their negative ones. In this scenario, the business executive is continually thinking that her job accomplishments are not adequate, which reflects minimization.

Question 9

A welder has been selected as employee of the year.The welder wants to ask for a promotion but is hampered by poor self-esteem.Which is the best technique for the employee health nurse to use to help the employee request the promotion?

A)Socratic questioning
B)Activity scheduling
C)Distraction
D)Cognitive rehearsal

Accepted Answer

Cognitive rehearsal involves practicing and visualizing successful performance in a situation, which can help overcome self-doubt and boost self-esteem. This technique would be the most appropriate to help the welder feel more confident in requesting a promotion.

Question 10

A client states,&#34;I keep having horrible nightmares about the car accident that killed my daughter.I shouldn't have taken her with me to the store.&#34; Using a cognitive approach,which nursing reply is most therapeutic?&#10;A)&#34;Are other issues from your past affecting your ability to move on?&#34;&#10;B)&#34;Describe your current feelings about your loss.&#34;&#10;C)&#34;Let's talk about something that will help you move on.&#34;&#10;D)&#34;Can anyone predict when a car accident will happen?&#34;

Accepted Answer

This response challenges the client's irrational belief that they could have predicted or prevented the accident, which aligns with cognitive therapy's focus on identifying and correcting distorted thinking patterns.

Question 11

A psychiatric nurse is counseling a client who has thought patterns consisting of rapid responses to a situation without rational analysis.Which assessment data will the nurse document?&#10;A)&#34;Thought patterns are triggered by specific stressful stimuli.&#34;&#10;B)&#34;Thought patterns contain the client's fundamental beliefs and assumptions.&#34;&#10;C)&#34;Thought patterns are flexible and based on personal experience.&#34;&#10;D)&#34;Thought patterns include a predominance of automatic thoughts.&#34;

Accepted Answer

The answer of A psychiatric nurse is counseling a client...

Question 12

Using a cognitive approach,which intervention would the nurse choose to assist clients to manage anger without the use of violence?&#10;A)Assist the client to identify thoughts that trigger anger and substitute reality-based thinking.&#10;B)Provide consequences,such as removal from group therapy,in response to angry outbursts.&#10;C)Administer antipsychotic medications and use limit setting such as a room restriction.&#10;D)Administer antianxiety medication and encourage participation in a group on medication actions.

Accepted Answer

The answer of Using a cognitive approach,which intervention would the...

Question 13

An advanced practice nurse (APN)is counseling a client diagnosed with Generalized Anxiety Disorder.The nurse plans to use activity scheduling to address this client's concerns.What is the purpose of this nursing intervention?

A)To identify important areas needing concentration during therapy
B)To increase self-esteem and decrease feelings of helplessness
C)To modify maladaptive behaviors using role-play
D)To divert away from intrusive thoughts and depressive ruminations

Accepted Answer

The answer of An advanced practice nurse (APN)is counseling a...

Question 14

The director of nursing (DON)sets up a meeting with the newly appointed nurse manager who has been doing an excellent job.The DON anticipates that the nurse manager plans to resign.Which is the best description of the nurse manager's cognitive error?

A)Thinking from an all-or-nothing perspective
B)Always thinking the worst will occur without considering positive outcomes
C)Viewing only selected negative evidence while editing out positive aspects
D)Undervaluing the positive significance of an event

Accepted Answer

The answer of The director of nursing (DON)sets up a...

Question 15

A high-school basketball player sustains a serious knee injury and states to the school nurse,"I will never get to college if I don't receive a basketball scholarship." Which nursing reply would assist the student to see a broader range of possibilities?

A)"Let's look at the alternatives for funding your college education."
B)"I know you are feeling helpless now,but you are looking at this from only one perspective."
C)"Can your family afford knee surgery?"
D)"You now need to prioritize your academics and not focus on basketball."

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Accepted Answer

The answer of A high-school basketball player sustains a serious...

Question 16

A nursing student evaluates her group project partner as irresponsible because of minimal participation in planning.When told of this situation,the nursing instructor plans to use the cognitive technique of examining the evidence.Which response by the nursing instructor exemplifies this technique?

A)"Let's look at the potential reasons why your partner has not participated."
B)"How would you define irresponsibility?"
C)"Has it occurred to you that your partner may be working on the project at home?"
D)"Are you telling me that you feel totally responsible for this project?"

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Accepted Answer

The answer of A nursing student evaluates her group project...

Question 17

A labor and delivery nurse listens to a new mother relate thoughts regarding her healthy,8-pound baby girl.Which statement by the mother indicates to the nurse the use of the cognitive error,selective abstraction?

A)"My baby is refusing to nurse,and I know it's because she hates me."
B)"My baby needs to be under the 'bilirubin lights,' but I resent her time away from me."
C)"My baby is wonderful,but I'm depressed because I wanted twins."
D)"My baby has an elevated bilirubin,and I know it will get worse and she will die."

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Accepted Answer

The answer of A labor and delivery nurse listens to...

Question 18

A nursing student states,&#34;The instructor gave me a failing grade on my research paper.I know it's because the instructor doesn't like me.&#34; Which cognitive error does the nurse recognize in this student's statement?&#10;A)Dichotomous thinking&#10;B)Catastrophic thinking&#10;C)Magnification&#10;D)Overgeneralization

Accepted Answer

The answer of A nursing student states,&#34;The instructor gave me...

Question 19

When a client's husband comes home late from work,the wife immediately fears infidelity.The APN encourages the wife to consider other explanations for her husband's tardiness.Which technique is the APN using?

A)Examination of the evidence
B)Decatastrophizing
C)Generating alternatives
D)Reattribution

Accepted Answer

The answer of When a client's husband comes home late...

Question 20

An advanced practice nurse recommends that a client participate in cognitive therapy.The client asks,&#34;What's cognitive therapy and how can it help me?&#34; Which is the nurse's best reply?&#10;A)&#34;It is a system of techniques in which you use positive thinking to improve your mood.&#34;&#10;B)&#34;It is a long-term interpersonal approach that emphasizes the role of early childhood experiences.&#34;&#10;C)&#34;It is an interpersonal treatment approach that specifically targets magical thinking.&#34;&#10;D)&#34;It is a type of psychotherapy that focuses treatment on the modification of distorted thinking and maladaptive behaviors.&#34;

Accepted Answer

The answer of An advanced practice nurse recommends that a...

Question 21

A nurse practitioner uses cognitive therapy with depressed clients.The nurse asks clients to keep a daily record of dysfunctional thoughts (DRDT).Which of the following are appropriate nursing replies to a client asking about the purpose of this exercise? Select all that apply.

A)"The purpose of this exercise is to identify automatic thoughts."
B)"The purpose of this exercise is to identify rational alternatives."
C)"The purpose of this exercise is to modify cognitive errors."
D)"The purpose of this exercise is to eliminate irrational beliefs."
E)"The purpose of this exercise is to monitor thoughts related to self-esteem."

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The answer of A nurse practitioner uses cognitive therapy with...

Question 22

A client is experiencing auditory hallucinations.Using a cognitive strategy,the nurse would encourage the client to do which of the following?&#10;A)&#34;Try singing 'Happy Birthday' until the voices are gone.&#34;&#10;B)&#34;Document what the voices are saying to note cause and effect.&#34;&#10;C)&#34;Try listening to music using headphones for distraction.&#34;&#10;D)&#34;Remind yourself that the voices are symptoms of your disease.&#34;

Accepted Answer

The answer of A client is experiencing auditory hallucinations.Using a...

Question 23

Which of the following client statements indicate teaching about benzodiazepines has been successful? Select all that apply.&#10;A)&#34;I can't drink alcohol when taking lorazepam (Ativan).&#34;&#10;B)&#34;If I abruptly stop taking buspirone (BuSpar),I may have a seizure.&#34;&#10;C)&#34;Valium can make me drowsy,so I shouldn't drive for a while.&#34;&#10;D)&#34;My new diet cannot include aged cheese or pickled herring.&#34;&#10;E)&#34;When the fluoxetine (Prozac)begins working,I can stop the alprazolam (Xanax).&#34;

Accepted Answer

The answer of Which of the following client statements indicate...

Question 24

A client diagnosed with Borderline Personality Disorder states,&#34;Get out of here.No one cares about me or my situation!&#34; Which nursing reply is an example of a cognitive intervention?&#10;A)&#34;You have an antianxiety medication ordered.It may make you feel better.&#34;&#10;B)&#34;It sounds like you are feeling really frustrated.&#34;&#10;C)&#34;Can you explain further your thinking about your situation?&#34;&#10;D)&#34;No one cares about you?&#34;

Accepted Answer

The answer of A client diagnosed with Borderline Personality Disorder...

Question 25

A nursing instructor is lecturing about cognitive therapy.Which of the following are objectives of implementation of this therapy? Select all that apply.&#10;A)To modify automatic thoughts to promote minimization of negative cognitions&#10;B)To apply a variety of methods to create change in an individual's thinking&#10;C)To apply cognitive principles to change an individual's basic schema&#10;D)To modify belief systems to bring about emotional change&#10;E)To modify belief systems to bring about behavioral change

Accepted Answer

The answer of A nursing instructor is lecturing about cognitive...

Deck 19: Cognitive Therapy