a patient with posttraumatic stress disorder ptsd is undergoing cognitive processing therapy what is the primary goal of this therapy
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ATI Mental Health Practice A 2023

1. In cognitive processing therapy for PTSD, what is the primary goal for the patient?

Correct answer: C

Rationale: The primary goal of cognitive processing therapy for PTSD is to help the patient understand the impact of the trauma on their current thoughts and behaviors. Through this therapy, individuals learn to identify and challenge maladaptive beliefs related to the traumatic event, ultimately helping them to process the trauma and develop healthier coping mechanisms. This approach aims to address the cognitive distortions and negative thoughts that have resulted from the trauma, facilitating healing and recovery.

2. A client who is at risk for suicide following their partner’s death is speaking with a nurse. Which of the following statements should the nurse make?

Correct answer: C

Rationale: When a client is at risk for suicide, it is crucial for the nurse to acknowledge the emotional impact of losing a loved one without downplaying or judging their feelings. Statement C demonstrates empathy and understanding without making assumptions or providing unsolicited advice, making it the most appropriate response in this situation. Choice A focuses more on the nurse's feelings rather than the client's, which might not effectively address the client's emotional state. Choice B is judgmental and dismissive, which could further isolate the client. Choice D, although empathetic, shifts the focus to the nurse's experience rather than validating the client's feelings.

3. What is the primary benefit of cognitive-behavioral therapy (CBT) for patients with anxiety disorders?

Correct answer: B

Rationale: The primary benefit of cognitive-behavioral therapy (CBT) for patients with anxiety disorders is that it helps individuals understand and change their thought patterns. By doing so, patients can effectively reduce their anxiety levels by altering their responses to anxious thoughts and situations, leading to improved coping mechanisms and overall well-being. Choice A is incorrect because CBT does not focus on the long-term use of medications but rather on changing cognitive patterns. Choice C is incorrect because while CBT may address past experiences, its primary focus is on current thoughts and behaviors. Choice D is incorrect as CBT aims to help patients confront and manage anxiety-provoking situations rather than avoid them.

4. When caring for a patient with dissociative identity disorder, which nursing intervention is a priority?

Correct answer: B

Rationale: When caring for a patient with dissociative identity disorder, the priority nursing intervention is to monitor for signs of self-harm or suicidal ideation. Ensuring patient safety is crucial, as individuals with this disorder may be at increased risk of self-harm or suicidal behaviors. Providing education about the condition is beneficial but ensuring immediate safety takes precedence. Encouraging the patient to recall traumatic events can be detrimental and should be done cautiously under professional guidance. While helping the patient develop a strong sense of identity is important in the long term, it is not the immediate priority when safety is a concern.

5. Which patient statement suggests the presence of dissociative amnesia?

Correct answer: B

Rationale: The correct answer is B because the statement reflects a significant gap in memory related to a traumatic event, which is characteristic of dissociative amnesia. Choice A is more indicative of normal forgetfulness and absentmindedness. Choice C suggests depersonalization or dissociative identity disorder rather than dissociative amnesia. Choice D describes a common experience related to concentration while reading, not memory loss as seen in dissociative amnesia.

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