Correct Answer: B

Rationale: The correct answer is B: Thought stopping. In CBT, thought stopping is a technique used to interrupt and replace negative or intrusive thoughts. Here's why it's correct: 1. It helps clients identify and challenge negative thought patterns. 2. It teaches clients to stop negative thoughts in their tracks. 3. It encourages the use of positive affirmations or coping statements. Other choices are incorrect: A: Free association is a psychoanalytic technique, not a CBT technique. C: Dream analysis is also associated with psychoanalytic therapy. D: Systematic desensitization is a behavioral therapy technique used in exposure therapy, not CBT.

Correct Answer: C

Rationale: The most appropriate nursing intervention for a patient with OCD who performs hand washing repeatedly is to allow the patient to wash hands at specified times (
Choice
C). This approach promotes a balance between addressing the patient's need for cleanliness and preventing excessive hand washing. By allowing the patient to wash hands at specific times, the nurse can help establish a routine that provides a sense of control for the patient while also setting boundaries to prevent excessive behavior. Restricting the patient from washing hands (
Choice
A) can lead to increased anxiety and resistance. Setting strict limits on hand washing (
Choice
B) may also trigger anxiety and escalate the behavior. Ignoring the patient's behavior (
Choice
D) does not address the underlying issue and can lead to worsening symptoms. Ultimately,
Choice C supports a therapeutic approach that acknowledges the patient's needs while promoting healthier coping strategies.

Correct Answer: B

Rationale: The correct answer is B: Teaching relaxation techniques. This intervention is effective in managing PTSD-related nightmares by helping the patient reduce anxiety and promote better sleep. Relaxation techniques, such as deep breathing and progressive muscle relaxation, can calm the nervous system and improve sleep quality. Encouraging the patient to journal before bedtime (
Choice
A) may help with processing emotions but may not directly address the nightmares. Avoiding discussing the nightmares directly (
Choice
C) can lead to avoidance behaviors and hinder the therapeutic process. Developing a safety plan (
Choice
D) is important for overall safety but does not specifically target the nightmares.

Correct Answer: B

Rationale: The correct answer is B: Risk for suicide. This is the priority nursing diagnosis because individuals with major depressive disorder have an increased risk of suicidal ideation and behaviors. Assessing and addressing this risk is crucial for patient safety.
Choice A is not the priority as nutritional imbalances may not pose immediate harm compared to suicide risk.
Choice C, disturbed sleep pattern, and choice D, ineffective coping, are important but not as critical as addressing the risk of suicide in a patient with major depressive disorder.

Correct Answer: A

Rationale: The correct answer is A because a structured and low-stimulation environment can help reduce the intensity of the manic episode by providing predictability and minimizing triggers. This intervention promotes safety and stability for the patient. Option B may exacerbate the symptoms by overstimulating the patient. Option C may overwhelm the patient with information during a manic episode. Option D is risky as unsupervised time can lead to impulsive behaviors and potential harm.