Bio-psychosocial therapies and role of nurse in these therapies.
Time: 15:00
The biopsychosocial model of care is based on the principle that:
[a] Biological factors are the primary cause of all mental illness.
[b] Mental health is influenced by a complex interplay of biological, psychological, and social factors.
[c] Social and environmental therapies are more effective than biological therapies.
[d] Psychological conflicts are the root of all behavioral disorders.
What is the nurse's primary role in psychopharmacology?
[a] Prescribing the initial dose of medication.
[b] Diagnosing the disorder based on medication response.
[c] Administering medication, monitoring for effectiveness and side effects, and providing patient education.
[d] Determining which class of medication is most appropriate for the client.
A client is scheduled for electroconvulsive therapy (ECT) in the morning. Which nursing action is a priority?
[a] Encouraging a high-protein breakfast.
[b] Administering the client's morning dose of a benzodiazepine.
[c] Ensuring the client has been NPO (nothing by mouth) since midnight.
[d] Explaining the detailed electrical mechanisms of the procedure.
The core principle of Cognitive Behavioral Therapy (CBT) is that:
[a] Unconscious conflicts from childhood determine current behavior.
[b] Maladaptive behaviors are a result of a lack of positive reinforcement.
[c] An individual's thoughts and beliefs influence their emotions and behaviors.
[d] Interpersonal relationships are the central cause of psychological distress.
In milieu therapy, what is the nurse's most important function?
[a] To conduct individual psychoanalysis for each client.
[b] To act as the sole authority figure on the unit.
[c] To focus exclusively on medication administration.
[d] To maintain a safe and therapeutic environment and model adaptive social skills.
A nurse is reinforcing teaching with a client who is learning to use "thought stopping" techniques in CBT. The purpose of this intervention is to:
[a] Analyze the deep meaning of the thoughts.
[b] Replace the thought with a compulsive behavior.
[c] Interrupt and dismiss recurring, negative automatic thoughts.
[d] Share the negative thoughts with the peer group.
Dialectical Behavior Therapy (DBT) was originally developed to treat which condition?
[a] Schizophrenia.
[b] Major Depressive Disorder.
[c] Obsessive-Compulsive Disorder.
[d] Borderline Personality Disorder.
The nurse's role in family therapy primarily involves:
[a] Taking one family member's side to resolve conflict.
[b] Prescribing medication for the entire family.
[c] Educating the family about the client's illness and facilitating healthy communication patterns.
[d] Focusing only on the identified patient's problems.
Following an ECT procedure, the nurse should prioritize monitoring the client for:
[a] Hypertensive crisis.
[b] Onset of psychosis.
[c] Confusion and short-term memory loss.
[d] Severe muscle rigidity.
When a nurse co-facilitates a therapy group, a key role is to:
[a] Solve the problems for each group member.
[b] Encourage interaction between members and maintain focus on the group's purpose.
[c] Allow the most dominant member to lead the conversation.
[d] Share personal experiences to guide the group.
Systematic desensitization is a type of behavioral therapy used to treat:
[a] Depression.
[b] Psychosis.
[c] Phobias.
[d] Personality disorders.
A nurse teaching a client about lithium for bipolar disorder must emphasize the importance of maintaining a consistent intake of:
[a] Vitamin C and iron.
[b] Sodium and fluids.
[c] Tyramine-rich foods.
[d] High-fat foods.
When a nurse ensures that a client understands their legal rights and that these rights are being upheld, the nurse is acting as a(n):
[a] Milieu manager.
[b] Therapist.
[c] Advocate.
[d] Pharmacist.
In a group therapy session, a client states, "I'm relieved to know I'm not the only one who feels this way." According to Yalom, this represents which therapeutic factor?
[a] Altruism.
[b] Universality.
[c] Catharsis.
[d] Instillation of hope.
Transcranial Magnetic Stimulation (TMS) is a biological therapy that is primarily used to treat:
[a] Severe mania.
[b] Catatonia.
[c] Treatment-resistant depression.
[d] Acute psychosis.
A nurse is working with a client who has a phobia of dogs. The nurse helps the client create a list of feared situations, from looking at a picture of a dog to petting one. This is the first step in which therapy?
[a] Dialectical Behavior Therapy.
[b] Psychoanalysis.
[c] Systematic Desensitization.
[d] Interpersonal Therapy.
Which of the following demonstrates the nurse's role in psychodynamic therapy?
[a] Assigning behavioral homework.
[b] Recognizing and exploring transference and countertransference phenomena.
[c] Leading the client through relaxation exercises.
[d] Administering psychotropic medications.
A nurse establishes a "token economy" on an adolescent unit, where patients earn points for desired behaviors which can be exchanged for privileges. This is an application of:
[a] Cognitive therapy.
[b] Behavioral therapy (operant conditioning).
[c] Milieu therapy.
[d] Family therapy.
Which statement best describes the nurse's role in Interpersonal Therapy (IPT)?
[a] To interpret the client's dreams.
[b] To identify and correct cognitive distortions.
[c] To help the client identify and resolve problems in their relationships with others.
[d] To manage the client's medication regimen.
Mindfulness, distress tolerance, and emotion regulation are core skills taught in which therapy?
[a] Cognitive Behavioral Therapy.
[b] Dialectical Behavior Therapy.
[c] Psychoanalytic Therapy.
[d] Family Systems Therapy.
A client taking a first-generation antipsychotic develops a shuffling gait, drooling, and muscle stiffness. The nurse recognizes these as symptoms of:
[a] Tardive dyskinesia.
[b] Neuroleptic malignant syndrome.
[c] Pseudoparkinsonism.
[d] Akathisia.
A client with anxiety is taught by the nurse to progressively tense and then relax different muscle groups. This technique is known as:
[a] Biofeedback.
[b] Mindfulness.
[c] Progressive muscle relaxation.
[d] Guided imagery.
A nurse working with a depressed client on an inpatient unit would integrate the biopsychosocial model by:
[a] Focusing only on the client's negative thought patterns.
[b] Only administering antidepressant medication as prescribed.
[c] Referring the client to a social worker and having no further contact.
[d] Administering medication, using therapeutic communication to explore feelings, and encouraging group participation.
The most important rationale for a nurse to use therapeutic communication is that it:
[a] Fulfills documentation requirements.
[b] Forms the foundation for a trusting, therapeutic relationship.
[c] Is the quickest way to gather assessment data.
[d] Allows the nurse to give effective advice.
The nurse's role in supporting a client undergoing any form of psychotherapy is to:
[a] Act as the primary therapist.
[b] Change the therapy goals set by the therapist.
[c] Reinforce the concepts and skills learned in therapy sessions.
[d] Discourage the client from discussing therapy outside of their sessions.
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