Question 1

When describing cognitive behavioral therapy,it would be stressed that nursing is responsible for: (Select all that apply.)

Accepted Answer

A)  providing direct patient care. 
B)  assisting in actual psychotherapy sessions. 
C)  participating in planning the treatment program. 
D)  teaching family members how to use cognitive behavioral techniques. 
E)  reinforcing the expectations of the planned interventions of the treatment plan. 
A)  providing direct patient care. 
B)  assisting in actual psychotherapy sessions. 
C)  participating in planning the treatment program. 
D)  teaching family members how to use cognitive behavioral techniques. 
E)  reinforcing the expectations of the planned interventions of the treatment plan.

Question 2

A patient says,"When I lost weight,everyone was so nice to me.Now that I've regained the weight,people don't want anything to do with me.They think I'm just a fat pig." The nurse's initial response should be:

Accepted Answer

A)  "It sounds as if your interpersonal relationships improved when you lost weight and now that you have regained the weight, you feel people don't want to be with you." 
B)  "Yes, there is a stigma about obesity. People are judged harshly for their weight." 
C)  "So, if you lose all the weight again do you think your relationships will improve?" 
D)  "Do you really believe that your friends think that you are a 'fat pig'?" 
A)  "It sounds as if your interpersonal relationships improved when you lost weight and now that you have regained the weight, you feel people don't want to be with you." 
B)  "Yes, there is a stigma about obesity. People are judged harshly for their weight." 
C)  "So, if you lose all the weight again do you think your relationships will improve?" 
D)  "Do you really believe that your friends think that you are a 'fat pig'?"

Question 3

The most appropriate nursing intervention for a patient in the third stage of change is:

Accepted Answer

A)  helping the patient see the benefit of changing the problematic behavior. 
B)  assisting the patient with the development of realistic treatment goals. 
C)  developing relapse prevention plans in anticipation of potential failures. 
D)  providing nurse-patient interactions that discuss change in a relaxed environment. 
A)  helping the patient see the benefit of changing the problematic behavior. 
B)  assisting the patient with the development of realistic treatment goals. 
C)  developing relapse prevention plans in anticipation of potential failures. 
D)  providing nurse-patient interactions that discuss change in a relaxed environment.

Question 4

A patient says,"I've been sick a lot this last year but I'm still the biggest seller.I think my boss wants me to leave because a big change in our health insurance plan was implemented last week." The nurse responds:

Accepted Answer

A)  "So you've been sick but you're the best seller. That makes you a valued employee." 
B)  "It's hard to get up one day and find that you're the oldest person in any group. It's only natural that you'd be sicker than everyone else." 
C)  "You're still the best seller. It's important not to be suspicious of what is probably only a necessary change in health insurance coverage." 
D)  "So you think that while you're still the best seller the fact you've been sick a lot this year is a problem? You feel that your employer's change in health insurance indicates they want you to leave?" 
A)  "So you've been sick but you're the best seller. That makes you a valued employee." 
B)  "It's hard to get up one day and find that you're the oldest person in any group. It's only natural that you'd be sicker than everyone else." 
C)  "You're still the best seller. It's important not to be suspicious of what is probably only a necessary change in health insurance coverage." 
D)  "So you think that while you're still the best seller the fact you've been sick a lot this year is a problem? You feel that your employer's change in health insurance indicates they want you to leave?"

Question 5

Which behavior would a nurse focus upon when using a token economy as a method of positive reinforcement?

Accepted Answer

A)  Altering cognitive perceptions 
B)  Reinforcing cognitive congruence 
C)  Performing assigned tasks in a cooperative manner 
D)  Pairing desired behaviors with undesired behaviors 
A)  Altering cognitive perceptions 
B)  Reinforcing cognitive congruence 
C)  Performing assigned tasks in a cooperative manner 
D)  Pairing desired behaviors with undesired behaviors

Question 6

A patient tearfully says to a nurse,"I don't want to go on living now that my spouse has left me for someone else after 20 years.Our children are grown and don't need me.I just want to die." Which response is the most therapeutic?

Accepted Answer

A)  "You're young, and you will manage well. I know several people your age who've actually done better after divorcing their spouses." 
B)  "It always seems bleak when we lose someone we've loved. Don't worry, it will work out-we just need to think this through." 
C)  "So your spouse is off having a midlife crisis and you are here thinking of killing yourself. Let's focus on how to make you feel better." 
D)  "I am very concerned about you wanting to die because your spouse left. Rather than trying to solve all the problems immediately let's focus on your feelings of hopelessness right now." 
A)  "You're young, and you will manage well. I know several people your age who've actually done better after divorcing their spouses." 
B)  "It always seems bleak when we lose someone we've loved. Don't worry, it will work out-we just need to think this through." 
C)  "So your spouse is off having a midlife crisis and you are here thinking of killing yourself. Let's focus on how to make you feel better." 
D)  "I am very concerned about you wanting to die because your spouse left. Rather than trying to solve all the problems immediately let's focus on your feelings of hopelessness right now."

Question 7

A nurse determines that a patient with a fear of insects has mastered the first step in a systematic desensitization process when the patient is able to:

Accepted Answer

A)  relax the muscles of the body. 
B)  look at a picture of an insect in a book. 
C)  rate anxiety produced by various insects. 
D)  touch a clear glass bottle containing an insect. 
A)  relax the muscles of the body. 
B)  look at a picture of an insect in a book. 
C)  rate anxiety produced by various insects. 
D)  touch a clear glass bottle containing an insect.

Exam 27: Behavior Change and Cognitive Interventions

When describing cognitive behavioral therapy,it would be stressed that nursing is responsible for: (Select all that apply.)

A patient says,"When I lost weight,everyone was so nice to me.Now that I've regained the weight,people don't want anything to do with me.They think I'm just a fat pig." The nurse's initial response should be:

The most appropriate nursing intervention for a patient in the third stage of change is:

A patient says,"I've been sick a lot this last year but I'm still the biggest seller.I think my boss wants me to leave because a big change in our health insurance plan was implemented last week." The nurse responds:

Which behavior would a nurse focus upon when using a token economy as a method of positive reinforcement?

A patient tearfully says to a nurse,"I don't want to go on living now that my spouse has left me for someone else after 20 years.Our children are grown and don't need me.I just want to die." Which response is the most therapeutic?

A nurse determines that a patient with a fear of insects has mastered the first step in a systematic desensitization process when the patient is able to:

Roles and Functions of Psychiatric-Mental Health Nurses: Competent Caring

Therapeutic Nurse-Patient Relationship

The Stuart Stress Adaptation Model of Psychiatric Nursing Care

Evidence-Based Psychiatric Nursing Practice

Biological Context of Psychiatric Nursing Care

Psychological Context of Psychiatric Nursing Care

Social, Cultural, and Spiritual Context of Psychiatric Nursing Care

Legal and Ethical Context of Psychiatric Nursing Care

Policy and Advocacy in Mental Health Care

Families as Resources, Caregivers, and Collaborators

Implementing the Nursing Process: Standards of Practice and Professional Performance

Prevention and Mental Health Promotion

Crisis Intervention

Recovery and Psychiatric Rehabilitation

Anxiety Responses and Anxiety Disorders

Psychophysiological Responses and Somatoform and Sleep Disorders

Self-Concept Responses and Dissociative Disorders

Emotional Responses and Mood Disorders

Self-Protective Responses and Suicidal Behavior

Neurobiological Responses and Schizophrenia and Psychotic Disorders

Social Responses and Personality Disorders

Cognitive Responses and Organic Mental Disorders

Chemically Mediated Responses and Substance-Related Disorders

Eating Regulation Responses and Eating Disorders

Sexual Responses and Sexual Disorders

Psychopharmacology

Preventing and Managing Aggressive Behavior

Somatic Therapies

Complementary and Alternative Therapies

Therapeutic Groups

Family Interventions

Hospital-Based Psychiatric Nursing Care

Community-Based Psychiatric Nursing Care

Child Psychiatric Nursing

Adolescent Psychiatric Nursing

Geropsychiatric Nursing

Care of Survivors of Abuse and Violence

The Military and Their Families

Psychological Care of Patients with Life-Threatening Illness

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