Continuous practice with NCLEX RN Practice Questions helps students develop a systematic approach to problem-solving and clinical reasoning.
NCLEX Nursing Therapies Questions - NCLEX Questions on Nursing Therapies
Nursing Therapies NCLEX Practice Questions
Question 1.
Mr. B is a 25-year-old man who has been struggling with depression for several months. His therapist has recommended that he try cognitive therapy to help him manage his symptoms.
Which of the following is a goal of cognitive therapy?
(a) To modify the client's feelings and behavior towards others
(b)To reinforce desirable behaviors and eliminate unwanted ones
(c) To correct distorted concepts and dysfunctional beliefs
(d) To provide a supportive communication and environment for the client to express feelings and make decisions
Answer:
(c) To correct distorted concepts and dysfunctional beliefs
Explanation:
Cognitive therapy is based on the idea that the way we think about things affects how we feel emotionally. One of the goals of cognitive therapy is to help the client correct distorted concepts and dysfunctional beliefs that may be contributing to their mental health issues.
This may involve helping the client to identify and challenge negative thought patterns and to develop more realistic and adaptive ways of thinking. Cognitive therapy is often used to treat anxiety and depression, and it can be effective in helping clients to manage their symptoms and improve their overall well-being.
Rationale:
Option (a) (modifying the client's feelings and behavior towards others) is a goal of interpersonal therapy, not cognitive therapy. Option (b) (reinforcing desirable behaviors and eliminating unwanted ones) is a goal of behavior therapy, not cognitive therapy.
Option (c) (correcting distorted concepts and dysfunctional beliefs) is a goal of cognitive therapy and is the correct answer. Option (d) (providing a supportive communication and environment for the client to express feelings and make decisions) is a goal of supportive-level interpersonal therapy, not cognitive therapy.
Question 2.
Mr. B is a 25-year-old man who has been experiencing symptoms of depression. He has difficulty communicating with others and feels disconnected from his community. The therapist caring for Mr. B is considering implementing milieu therapy as part of his treatment plan.
What is the possible goal of milieu therapy for Mr. B?
(a) To develop self-awareness and self-confidence
(b) To change maladaptive behaviors
(c) To establish a strong therapeutic relationship
(d)To correct distorted concepts and dysfunctional beliefs
Answer:
(a) To develop self-awareness and self-confidence
Explanation:
Milieu therapy is a form of treatment in wfiich a team of hospital staff, including nurses, doctors, therapists, psychiatrists, and psychologists, w’ork to create a meaningful relationship with the patient and help them to interact in a community setting. The possible goal of milieu therapy is to help the patient develop values such as self-awareness and self-confidence through interactions with a team of hospital staff in a community setting.
Other forms of therapy, such as interpersonal therapy, behavior therapy, and cognitive therapy, may also be helpful in treating depression and other mental health issues, but they have different goals and focus on different aspects of the patient's experience.
Rationale:
Option (a) (to develop self-awareness and self-confidence) is the most appropriate answer because it is the possible goal of milieu therapy. Option (b) (to change maladaptive behaviors) is more appropriate for behavior therapy. Option (c) (to establish a strong therapeutic relationship) is more appropriate for interpersonal therapy. Option (d) (to correct distorted concepts and dysfunctional beliefs) is more appropriate for cognitive therapy.
Question 3.
Mr. B is a 45-year-old man who has been experiencing symptoms of depression for the past several months. He has difficulty with self-confidence and has been engaging in maladaptive behaviors such as overeating and procrastination. Mr. B's therapist recommends a course of treatment that includes both cognitive therapy and behavior therapy.
Which of the following techniques may be used as part of Mr. B's behavior therapy treatment?
(a) Desensitization
(b) Aversion therapy
(c) Modelling
(d) All of the above
Answer:
(d) All of the above
Explanation:
Behavior therapy involves using techniques based on the theories of classical conditioning and operant conditioning to change maladaptive behaviors and reinforce desirable ones. These techniques include desensitization, aversion therapy, and modelling. Desensitization involves gradually exposing the patient to their fears in order to help them confront and overcome them.
Aversion therapy involves pairing undesirable behavior with an aversive stimulus in order to decrease the frequency of that behavior. Modelling involves watching others perform a behavior in order to model and change one's own behavior. All of these techniques may be helpful in treating Mr. B's depression and maladaptive behaviors.
Rationale:
Option (a) (desensitization) is a technique that can be used to treat phobias and anxieties by gradually exposing the patient to their fears. Option (b) (aversion therapy) involves pairing undesirable behavior with an aversive stimulus in order to decrease the frequency of that behavior.
Option (c) (modeling) involves watching others perform a behavior in order to model and change one's own behavior. All of these options (a, b, and c) are techniques that may be used as part of behavior therapy treatment. Therefore, the correct answer is Option (d) (all of the above).
Question 4.
Mr. B is a 25-year-old man who has been experiencing symptoms of depression and anxiety. He has struggled with negative thoughts and feelings of worthlessness, and has difficulty communicating with others. His therapist has recommended that he try cognitive therapy to help him correct his distorted thinking and beliefs.
Which of the following is NOT a goal of cognitive therapy?
(a) Changing negative thoughts and beliefs
(b) Improving communication skills
(c) Modifying behavior through punishment or reinforcement
(d) Focusing on past experiences rather than present problems
Answer:
(d) Focusing on past experiences rather than present problems
Explanation:
Cognitive therapy is a form of psychotherapy that focuses on changing negative thoughts and beliefs and improving communication skills in order to address present problems and improve emotional well-being. It does not involve punishment or reinforcement as a means of behavior modification.
Cognitive therapy does not involve punishment or reinforcement as a means of behavior modification, as is the case with operant conditioning. Instead, it focuses on correcting distorted concepts and dysfunctional beliefs in order to improve the client's emotional and mental health. Cognitive therapy can be used to treat a variety of mental health issues, including anxiety and depression.
Rationale:
Option (a) (changing negative thoughts and beliefs) and option (b) (improving communication skills) are both goals of cognitive therapy. Option (c) (modifying behavior through punishment or reinforcement) is a goal of operant conditioning, which is a different type of therapy. Option (d) (focusing on past experiences rather than present problems) is incorrect because cognitive therapy focuses on present thinking, behavior, and communication rather than on past experiences.
Question 5.
Mr. B is a 25-year-old man who has been struggling with depression for several years. He has tried several different therapies in the past, but has not had much success in managing his symptoms. The therapist treating Mr. B has recommended cognitive therapy as a way to address his distorted thinking and dysfunctional beliefs.
What is the possible focus of cognitive therapy?
(a) Past experiences
(b) Present thinking and behavior
(c) Problem-solving
(d) Emotional expression
Answer:
(b) Present thinking and behavior
Explanation:
Cognitive therapy is a form of psychotherapy that focuses on the present thinking, behavior, and communication of the client. It is based on the concept that the way we think about things affects how we feel emotionally, and aims to help the client identify and change distorted thinking patterns that may be contributing to their symptoms.
Cognitive therapy is typically a relatively short-term form of treatment that is oriented towards problem-solving and helping the client to develop new coping strategies. It may be used to treat a variety of mental health conditions, including anxiety and depression.
Rationale:
Option (a) (past experiences) is incorrect because cognitive therapy does not focus on past experiences. Option (b) (present thinking and behavior) is correct because this is the possible focus of cognitive therapy.
Option (c) (problem-solving) is also correct because cognitive therapy is oriented towards problem-solving and helping the client to identify and change distorted thinking patterns. Option (d) (emotional expression) is not the possible focus of cognitive therapy, although it may be addressed as part of the therapy process.
Question 6.
Mr. B is a 25-year-old man who has been experiencing symptoms of depression and anxiety. He has been struggling with negative thoughts and feelings of hopelessness. His physician has referred him to a mental health professional for treatment.
Which type of therapy would be most appropriate for Mr. B's symptoms of depression and anxiety?
(a) Milieu therapy
(b) Interpersonal therapy
(c) Behavior therapy
(d) Cognitive therapy
Answer:
(d) Cognitive therapy
Explanation:
To determine the most appropriate therapy for Mr. B's symptoms of depression and anxiety7, the mental health professional should consider the specific symptoms and concerns that Mr. B is experiencing, as well as his personal preferences and treatment goals. In this case, cognitive therapy may be the most appropriate option because it focuses on the present and helps the patient to correct distorted thoughts and beliefs that may be contributing to their negative feelings and behaviors.
Cognitive therapy is a relatively short-term form of psychotherapy that focuses on the present and helps the patient to correct distorted thoughts and beliefs that may be contributing to their negative feelings and behaviors. This approach is often used to treat anxiety and depressive disorders and may be particularly useful for Mr. B's symptoms of depression and anxiety.
Other types of therapy, such as milieu therapy, interpersonal therapy, and behaviour therapy, may also be helpful in some cases, but they are not specifically focused on addressing the negative thoughts and beliefs that are contributing to Mr. B's symptoms.
Rationale:
Option (a) (milieu therapy) involves creating a supportive environment in which the patient can interact with others and develop positive values. While this may be helpful in some cases, it is not specifically focused on addressing the negative thoughts and beliefs that are contributing to Mr. B’s depression and anxiety.
Option (b) (interpersonal therapy) involves developing a strong therapeutic relationship with the patient and helping them to modify their feelings and behaviors towards others. This may be helpful for some patients, but it is not specifically focused on correcting distorted thoughts and beliefs.
Option (c) (behaviour therapy) involves reinforcing desirable behaviors and eliminating unwanted ones. While this may be helpful in some cases, it is not specifically focused on addressing the negative thoughts and beliefs that are contributing to Mr. B's depression and anxiety.
Option (d) (cognitive therapy) is the most appropriate option because it focuses on correcting distorted thoughts and beliefs that may be contributing to the patient's negative feelings and behaviors. This approach may be particularly useful for Mr. B's symptoms of depression and anxiety.
Question 7.
Mrs. B is a 45-year-old woman who has been experiencing symptoms of depression and anxiety. She has been struggling with negative thoughts and beliefs about herself and her ability to cope with life's challenges. Mrs. B's healthcare provider has recommended that she participate in cognitive therapy to help manage her symptoms.
Which of the following is a goal of cognitive therapy?
(a) To reinforce desirable behaviors and eliminate unwanted ones
(b) To develop a strong therapeutic relationship between the therapist and client
(c) To correct distorted concepts and dysfunctional beliefs
(d) To treat phobias and anxieties through desensitization
Answer:
(c) To correct distorted concepts and dysfunctional beliefs
Explanation:
Cognitive therapy is a form of psychotherapy that aims to help individuals identify and modify negative thoughts and beliefs that may be contributing to their emotional distress. It focuses on present thinking, behavior, and communication rather than on past experiences and is oriented towards problem-solving.
By correcting distorted concepts and dysfunctional beliefs, individuals may be better able to cope with life’s challenges and manage their symptoms of anxiety and depression. Other types of therapy, such as behavior therapy and interpersonal therapy, may also be useful in managing mental health conditions, but they have different goals and focus on different aspects of the therapeutic process.
Rationale:
Option (a) (to reinforce desirable behaviors and eliminate unwanted ones) is a goal of behavior therapy, not cognitive therapy. Option (b) (to develop a strong therapeutic relationship between the therapist and client) is a goal of interpersonal therapy, not cognitive therapy.
Option (d) (to treat phobias and anxieties through desensitization) is a technique used in behavior therapy, specifically classical conditioning, not cognitive therapy. Option (c) (to correct distorted concepts and dysfunctional beliefs) is the most appropriate answer because it accurately describes a goal of cognitive therapy.
Question 8.
Mrs. Ranjan is a 65-year-old woman who has been diagnosed with gout. She has been experiencing pain and inflammation in her toes for the past few weeks and has been prescribed NSAIDs for pain management. However, she is also taking aspirin for her heart condition and is concerned about the potential interactions between the two medications.
Which of the following statements is true regarding the use of probenecid in patients with gout?
(a) Probenecid should be avoided in patients taking aspirin
(b) Probenecid can cause visual disturbances in some patients
(c) Probenecid can increase the risk of extreme bleeding if taken with warfarin
(d) Probenecid should not be taken with citrus fruits
Answer:
(a) Probenecid should be avoided in patients taking aspirin
Explanation:
It is important for healthcare professionals to be aware of the potential interactions and side effects of medications used to treat gout in order to ensure the safe and effective management of the disease. Probenecid is a medication used to treat gout, but it should not be used in conjunction with aspirin due to the potential for salicylates to cause an elevation of uric acid levels.
Allopurinol, on the other hand, can cause visual disturbances in some patients and should not be taken with hypoglycemic agents or citrus fruits. It is also important to be aware of the potential for allopurinol to increase the effects of warfarin, which can lead to extreme bleeding.
Rationale:
Option A is correct because probenecid should never be used with aspirin as salicylates can cause elevation of the uric acid. Option B is incorrect because probenecid does not have visual side effects. Option C is incorrect because it refers to allopurinol, not probenecid. Option D is incorrect because it also refers to allopurinol. not probenecid.
Question 9.
Which of the following is NOT one of the levels of treatment in inteipersonal therapy (IPT)?
(a) Supportive level
(b) Re-educative level
(c) Reconstructive level
(d) Aversive level
Answer:
(d) Aversive level
Explanation:
Interpersonal therapy (IPT) is a form of psychotherapy that focuses on improving communication and relationships in order to treat depression and other mental health issues. It consists of three levels of treatment: supportive, re-educative, and reconstructive. The supportive level involves providing a supportive communication and environment in which the patient can express their feelings and make decisions. The re-educative level involves the patient learning new ways of behavioral change through techniques such as cognitive restructuring and psychotherapy.
The reconstructive level involves emotional and cognitive restructuring in order to increase the patient's understanding of themselves and their emotions, leading to greater emotional and social freedom. Aversive level is not a part of IPT and refers to pairing undesirable behavior with an aversive stimulus in order to decrease the frequency of that behavior.
Rationale:
Option (a) (supportive level) is a part of inteipersonal therapy (IPT) and involves providing a supportive communication and environment in which the patient can express their feelings and make decisions. Option (b) (re-educative level) is also a part of IPT and involves the patient learning new ways of behavioral change through techniques such as cognitive restructuring and psychotherapy.
Option (c) (reconstructive level) is also a part of IPT and involves emotional and cognitive restructuring in order to increase the patient's understanding of themselves and their emotions, leading to greater emotional and social freedom. Option (d) (aversive level) is not a part of interpersonal therapy (IPT) and is therefore the correct answer.
Question 10.
Mr. B is a 25-year-old man who has been experiencing symptoms of depression and anxiety. He has difficulty maintaining relationships and often feels overwhelmed and hopeless. His therapist recommends milieu therapy as a treatment option.
Which of the following statements best describes milieu therapy?
(a) A form of psychotherapy that focuses on present thinking, behavior, and communication
(b) A technique that involves reinforcing desirable behaviors and eliminating unwanted ones
(c) A method of treating phobias and anxieties by gradually exposing the patient to their fears
(d) A form of therapy that involves creating a therapeutic relationship and supportive environment for the patient to express their feelings and develop values such as self-awareness and self-confidence
Answer:
(d) A form of therapy that involves creating a therapeutic relationship and supportive environment for the patient to express their feelings and develop values such as self-awareness and self-confidence
Explanation:
Milieu therapy is a form of therapy that involves creating a supportive and therapeutic environment for the patient. It is typically conducted by a team of healthcare professionals, including nurses, doctors, therapists, psychiatrists, and psychologists, and focuses on building a meaningful relationship with the patient and helping them to develop values such as self-awareness and self-confidence.
While other forms of therapy such as cognitive therapy, behavior therapy, and desensitization may also be effective in treating depression and anxiety, milieu therapy is a specific approach that focuses on creating a therapeutic environment and building a therapeutic relationship with the patient.
Rationale:
Option (a) (a form of psychotherapy that focuses on present thinking, behavior, and communication) describes cognitive therapy, not milieu therapy.
Option (b) (a technique that involves reinforcing desirable behaviors and eliminating unwanted ones) describes behavior therapy, not milieu therapy.
Option (c) (a method of treating phobias and anxieties by gradually exposing the patient to their fears) describes desensitization, which is a technique used in behavior therapy, not milieu therapy.
Option (d) (a form of therapy that involves creating a therapeutic relationship and supportive environment for the patient to express their feelings and develop values such as self-awareness and self-confidence) accurately describes milieu therapy.
Question 11.
Mr. B is a 25-year-old man who has been experiencing symptoms of depression and anxiety. He has had difficulty interacting with others and has struggled with low self-confidence and self-esteem. His possible care physician has referred him to a mental health clinic for treatment.
What is the most appropriate therapy for Mr. B's treatment?
(a) Milieu therapy
(b) Interpersonal therapy
(c) Behavior therapy
(d) Cognitive therapy
Answer:
(b) Interpersonal therapy
Explanation:
Based on the information provided in the case study, Mr. B appears to be experiencing symptoms of depression and anxiety, as well as difficulty interacting with others and low self-confidence and self-esteem. These symptoms suggest that interpersonal therapy, which focuses on developing a strong therapeutic relationship between the therapist and the client and helping the client to modify their feelings and behaviors towards others, may be the most appropriate therapy for Mr. B's treatment.
Rationale:
Option (a) (milieu therapy) may be beneficial for some patients, but it is not the most appropriate therapy for Mr. B's specific symptoms.
Option (c) (behavior therapy) may be helpful in changing maladaptive behaviors, but it is not the most appropriate therapy for Mr. B's symptoms of depression and anxiety.
Option (d) (cognitive therapy) may be helpful in correcting distorted concepts and dysfunctional beliefs, but it is not the most appropriate therapy for Mr. B's specific symptoms.
Option (b) (interpersonal therapy) is the most appropriate therapy for Mr. B's treatment because it focuses on developing a strong therapeutic relationship and helping the client to modify their feelings and behaviors towards others, which may be particularly beneficial for Mr. B's symptoms of depression and anxiety and difficulty interacting with others.
Explanation:
Interpersonal therapy is a form of psychotherapy that can be effective in treating depression and other mental health issues. It involves developing a strong therapeutic relationship between the therapist and the client, which can provide a safe and supportive environment for the client to express their feelings and receive support.
Through this therapy, the client is also helped to modify their feelings and behaviors towards others, which can be beneficial for improving symptoms of depression and anxiety and increasing self-confidence and self-esteem. Other therapies such as milieu therapy, behavior therapy, and cognitive therapy may also be helpful for some patients, but they may not be the most appropriate therapies for all patients and may not address the specific symptoms that Mr.B is experiencing.
Question 12.
Mrs. B is a 45-year-old woman who has been struggling with depression for several years. She has tried several different treatments, including medication and therapy, but has not experienced much improvement in her symptoms. Mrs. B's healthcare provider suggests that she try cognitive therapy to help her manage her depression.
What is the main focus of cognitive therapy?
(a) Past experiences
(b) Present thinking, behavior, and communication
(c) Reinforcing desirable behaviors
(d) Pairing undesirable behaviors with aversive stimuli
Answer:
(b) Present thinking, behavior, and communication
Explanation:
Cognitive therapy is a relatively short-term form of psychotherapy that focuses on present thinking, behavior, and communication rather than on past experiences. It is oriented towards problem-solving and helps clients to correct distorted concepts and dysfunctional beliefs. Cognitive therapy can be used to toward anxiety and depression and can be an effective treatment for some individuals who have not responded well to other forms of treatment.
Other types of therapy, such as milieu therapy, interpersonal therapy, and behavior therapy, have different focuses and techniques and may be more appropriate for different individuals and situations.
Rationale:
Option (a) (past experiences) is not the main focus of cognitive therapy. Option (b) (present thinking, behavior, and communication) is the correct answer because it correctly describes the main focus of cognitive therapy.
Option (c) (reinforcing desirable behaviors) is one technique used in behavior therapy, but it is not the main focus of cognitive therapy. Option (d) (pairing undesirable behaviors with aversive stimuli) is another technique used in behavior therapy, but it is not the main focus of cognitive therapy.
Question 13.
Mr. B is a 45-year-old man who has been struggling with depression for several years. He has previously tried medication and counseling, but has not found relief from his symptoms. His possible care physician has referred him to a mental health professional for further treatment.
Which of the following therapies is most appropriate for Mr. B's depression?
(a) Milieu therapy
(b) Interpersonal therapy
(c) Behavior therapy
(d) Cognitive therapy
Answer:
(d) Cognitive therapy
Explanation:
Cognitive therapy is a form of therapy that focuses on the way that individuals think and their patterns of thinking, and is specifically designed to treat depression. It involves helping the patient to correct distorted concepts and dysfunctional beliefs and to develop more healthy and adaptive ways of thinking. This can be achieved through a variety of techniques, including cognitive restructuring and problem-solving.
By addressing the underlying causes of depression, cognitive therapy can be an effective treatment for this condition. Other therapies, such as milieu therapy, interpersonal therapy, and behaviour therapy, may be helpful for addressing certain aspects of depression, but they may not be as specifically targeted to the underlying causes of the condition and may not be as effective at treating it.
Rationale:
Option (a) (milieu therapy) involves creating a supportive environment for the patient to interact with others and develop healthy behaviors. While this may be helpful for some patients, it is not specifically designed to treat depression.
Option (b) (interpersonal therapy) focuses on the relationship between the patient and therapist and can be helpful for addressing issues related to communication and relationships with others. However, it may not be the most appropriate therapy for Mr. B's depression.
Option (c) (behavior therapy) involves techniques such as classical conditioning and operant conditioning to change maladaptive behaviors. While this may be useful for addressing specific behaviors that contribute to depression, it may not be sufficient to address the underlying causes of Mr. B's depression.
Option (d) (cognitive therapy) is a short-term form of therapy that focuses on the way that individuals think and their patterns of thinking, and is specifically designed to treat depression. This makes it the most appropriate therapy for Mr. B's depression.
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