Author Question: Which measure consistent with the use of cognitive therapy could the nurse incorporate into the ... (Read 33 times)

Zulu123 · **on:** Jul 19, 2018

Which measure consistent with the use of cognitive therapy could the nurse incorporate into the treatment plan?

1. Approach the client with cheerful affect and optimistic remarks.
2. Ignore the client's pessimistic statements; give attention for positive thinking.
3. Identify negative evaluations and challenge pessimistic beliefs.
4. Seek to uncover unconscious conflicts about significant relationships.

Question 2

Which symptom related to thought-flow disturbance is the nurse most likely to assess in a newly admitted client who is diagnosed with bipolar disorder, manic episode?

1. Slow, halting speech
2. Flight of ideas
3. Schemata
4. Anhedonia

meryzewe · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 3
Cognitive therapy addresses symptom removal by identifying and correcting distorted negative thinking. Option 1 is an insensitive nontherapeutic approach that will reinforce client negative thinking about self. Option 2 is a behavioral approach. Option 4 is a psychodynamic approach.

Answer to Question 2

ANS: 2
Flight of ideas is a continuous rapid flow of speech marked by jumping from topic to topic. It is a manifestation of thought disorder associated with inability to filter stimuli causing increased dis-tractibility. 1. This would be seen in depression. 3. This is not a symptom of a thought-flow dis-order. 4. This is not a symptom of a thought-flow disorder.