"eliciting" approach Correct Answer This means to work to
draw the desire for change from the client.
3 types of reflective responses that will help you avoid getting
into a "tug of war" with the patient Correct Answer 1.
Simple/Straight Reflection
2. Amplified Reflection
3. Double-Sided Reflection
4 types of resistance Correct Answer -rebelliousness
-reluctance
-rationalizes
-resignation
A 10-year-old child is being assessed by the school nurse. The
child indicates that they were being "touched" by a relative who
came to stay with the child's family over the weekend. The nurse
knows that they need to determine if the child:
Select one:
a. reported the abuse.
b. told their parents or another adult.
c. can describe what happened.
d. is safe when they go home. Correct Answer d. is safe when
they go home.
A client is starting a new program to help her with anxiety. The
client is aware that the counsellor uses the CBT approach. The
nurse explains to the client that CBT focuses on which of the
following elements? Select all that apply.
,Select all that apply:
a. Feelings
b. Thoughts
c. Mindfulness
d. Deep breathing
e. Behaviours Correct Answer a. Feelings
b. Thoughts
e. Behaviours
A client says, "I'm really unsure about trying to quit smoking. I
know it would be good for me but it's hard. I should really try
though..." The nurse recognizes the client is most likely in the
___________ stage of change? Correct Answer contemplation
A client says, "My life feels overwhelming without having a bit
to drink. I have no idea how to manage my anxiety." Which of
the following options is the nurse's best initial response to this
client?
Select one:
a. "Let's talk about what is going on in your life and then come
up with solutions."
b. "Some people find that learning new coping skills is helpful
in calming their feelings."
c. "Since you want to manage stress, it is often a good idea to
start with reading about it."
d. "Would you like me to tell you that having a drink is ok?
Because it isn't." Correct Answer a. "Let's talk about what is
going on in your life and then come up with solutions."
,A client with anxiety asks the nurse what cognitive behavioural
therapy is and how it works. Which of the following responses
does the nurse respond with?
Select one:
a. "CBT is a treatment to help you relax and develop new coping
skills."
b. "This type of treatment helps you to examine how your
thoughts and feelings contribute to your difficulties."
c. "This type of treatment helps you to confront your fears
gradually."
d. "CBT is a good treatment for depression, but we won't be
using with you because your issues are related to stress and
fear." Correct Answer b. "This type of treatment helps you to
examine how your thoughts and feelings contribute to your
difficulties."
A motivational interviewing-focused therapeutic group would be
centered around the group leader.
Select one:
True
False Correct Answer false
A nurse is speaking with an indigenous client about their change
agenda and notices the client is avoiding eye contact during their
session. The nurse understands that this lack of eye contact:
Select one:
a. can convey respect in indigenous cultures.
, b. is due to the indigenous norm that looking at the nurse's neck
is most polite.
c. is displayed as a universal sign of disrespect.
d. is typically demonstrative of guilt for lack of change. Correct
Answer a. can convey respect in indigenous cultures.
A patient has been advised by their doctor to improve their heart
health by following the recommended guidelines for physical
exercise. The patient expresses to the nurse, "I know this change
will be helpful, but I am unsure how I can fit this into my life."
What does the nurse understand their focus should be at this
time?
Select one:
a. Create ambivalence in the patient by discussing the health
benefits related to cardiac health.
b. Explore the patient's ambivalence and elicit their motivation
for change.
c. Provide support to the patient by offering information
pamphlets about diet and exercise.
d. Follow up on the patient's action plan.
e. Establish specific strategies to move the patient's plan into
action. Correct Answer b. Explore the patient's ambivalence
and elicit their motivation for change.
A patient is having difficulty making a decision. The nurse has
mixed feelings about whether or not to provide advice. Which
principle of giving uninvited advice usually applies in these
types of situations?
Select one:
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