Author Question: The psychiatric clinical nurse specialist decides to use cognitive therapy techniques as she works ... (Read 101 times)

elizabeth18 · **on:** Jul 19, 2018

The psychiatric clinical nurse specialist decides to use cognitive therapy techniques as she works
with a client with anorexia nervosa. Which statement by the nurse is consistent with the use of
cognitive therapy principles?

a. What are your feelings about not eating the food that you prepare?
b. You seem to feel much better about yourself when you eat something..
c. It must be difficult to talk about private matters to someone you just met..
d. Being thin doesn't seem to solve your problems; you're thin now and are still
unhappy..

Question 2

To assess clients effectively, the nurse must understand that an essential difference between
somatoform disorders and dissociative disorders is

a. symptoms of somatoform disorders are under voluntary control, whereas
symptoms of dissociative disorders are unconscious and automatic.
b. symptoms of dissociative disorders are precipitated by psychological factors,
whereas symptoms of somatoform disorders are related to stress.
c. dissociative disorders involve stress-related disruptions of memory,
consciousness, or identity, whereas somatoform disorders involve expression of
psychological stress through somatic symptoms.
d. symptoms of dissociative disorders are individually determined and related to
childhood sexual abuse, whereas symptoms of somatoform disorders are culture
bound.

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

Answer to Question 1

D
Option D is the only strategy that attempts to question the client's distorted thinking.

Answer to Question 2

ANS: C
Option 3 is the only fully accurate statement. Option A: Somatoform symptoms are not under
voluntary control. Option B points out a similarity. Option D incorrectly suggests that all
somatoform symptoms are culture bound.