Nursing Test Banks
One Account Get all Test Banks
Chapter 27: Behavior Change and Cognitive
Interventions
Chapter 27: Behavior Change and Cognitive Interventions
Test Bank
MULTIPLE CHOICE
1. A patient says, “My partner doesn‟t love me! Even the roses I get are the wrong color. It
ter if I am not happy.” The nurse responds:
a. “How do you want your partner to show you that you‟re loved?”
b. “When was the last time your partner made you feel really loved?”
c. “Everyone deserves to be shown by their partners that they are loved. What did your p
say in his defense?”
d. “Let me see if I understand you. You think your partner doesn‟t love you because the g
were of the wrong color?”
,and solution. The most therapeutic communication is the one that seeks clarification. Pres
tient‟s statements allows the patient to “listen with a third ear” and take a view that places
perspective.
DIF: Cognitive Level: Analysis REF: Text Page: 564
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
2. A patient says, “I‟ve been sick a lot this last year but I‟m still the biggest seller. I think m
me to leave because a big change in our health insurance plan was implemented last week
responds:
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 onl
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
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 y
problem? You feel that your employer‟s change in health insurance indicates they wan
leave?”
ANS: D
The patient is demonstrating the cognitive distortion of personalization and arbitrary infer
apeutic communication that reflects a cognitive behavioral assessment is the one that first
the problem?” Identifying the problem from the patient‟s perspective in a neutral, nonjud
of communication helps the patient to take this first step. The antecedent and feared conse
, DIF: Cognitive Level: Analysis REF: Text Page: 564
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. A patient tearfully says to a nurse, “I don‟t want to go on living now that my spouse has
someone else after 20 years. Our children are grown and don‟t need me. I just want to die.
sponse is the most therapeutic?
a. “You‟re young, and you will manage well. I know several people your age who‟ve actu
better after divorcing their spouses.”
b. “It always seems bleak when we lose someone we‟ve loved. Don‟t worry, it will work
need to think this through.”
c. “So your spouse is off having a midlife crisis and you are here thinking of killing your
cus on how to make you feel better.”
d. “I am very concerned about you wanting to die because your spouse left. Rather than t
all the problems immediately let‟s focus on your feelings of hopelessness right now.”
ANS: D
The patient is demonstrating the cognitive distortions of dichotomous thinking (thinking i
and overgeneralization. The patient is clearly in crisis and may be experiencing suicidal id
identifying the most important problem and giving the patient permission to view one pro
with the therapist, the nurse is supporting effective problem solving by the patient. Using
havioral approach, the nurse is able to perform a lethality assessment and then help the pa
alternatives and become a more flexible thinker.
DIF: Cognitive Level: Analysis REF: Text Page: 564
One Account Get all Test Banks
Chapter 27: Behavior Change and Cognitive
Interventions
Chapter 27: Behavior Change and Cognitive Interventions
Test Bank
MULTIPLE CHOICE
1. A patient says, “My partner doesn‟t love me! Even the roses I get are the wrong color. It
ter if I am not happy.” The nurse responds:
a. “How do you want your partner to show you that you‟re loved?”
b. “When was the last time your partner made you feel really loved?”
c. “Everyone deserves to be shown by their partners that they are loved. What did your p
say in his defense?”
d. “Let me see if I understand you. You think your partner doesn‟t love you because the g
were of the wrong color?”
,and solution. The most therapeutic communication is the one that seeks clarification. Pres
tient‟s statements allows the patient to “listen with a third ear” and take a view that places
perspective.
DIF: Cognitive Level: Analysis REF: Text Page: 564
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
2. A patient says, “I‟ve been sick a lot this last year but I‟m still the biggest seller. I think m
me to leave because a big change in our health insurance plan was implemented last week
responds:
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 onl
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
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 y
problem? You feel that your employer‟s change in health insurance indicates they wan
leave?”
ANS: D
The patient is demonstrating the cognitive distortion of personalization and arbitrary infer
apeutic communication that reflects a cognitive behavioral assessment is the one that first
the problem?” Identifying the problem from the patient‟s perspective in a neutral, nonjud
of communication helps the patient to take this first step. The antecedent and feared conse
, DIF: Cognitive Level: Analysis REF: Text Page: 564
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. A patient tearfully says to a nurse, “I don‟t want to go on living now that my spouse has
someone else after 20 years. Our children are grown and don‟t need me. I just want to die.
sponse is the most therapeutic?
a. “You‟re young, and you will manage well. I know several people your age who‟ve actu
better after divorcing their spouses.”
b. “It always seems bleak when we lose someone we‟ve loved. Don‟t worry, it will work
need to think this through.”
c. “So your spouse is off having a midlife crisis and you are here thinking of killing your
cus on how to make you feel better.”
d. “I am very concerned about you wanting to die because your spouse left. Rather than t
all the problems immediately let‟s focus on your feelings of hopelessness right now.”
ANS: D
The patient is demonstrating the cognitive distortions of dichotomous thinking (thinking i
and overgeneralization. The patient is clearly in crisis and may be experiencing suicidal id
identifying the most important problem and giving the patient permission to view one pro
with the therapist, the nurse is supporting effective problem solving by the patient. Using
havioral approach, the nurse is able to perform a lethality assessment and then help the pa
alternatives and become a more flexible thinker.
DIF: Cognitive Level: Analysis REF: Text Page: 564
