A psychiatric clinical nurse specialist uses cognitive therapy with a patient with anorexia nervosa. Which statement by the nurse supports this type of therapy?

Correct Answer: D

Rationale: The correct answer is D because it reflects a core principle of cognitive therapy, which is challenging distorted beliefs. By pointing out that being thin hasn't solved the patient's problems, the nurse is helping the patient recognize the irrationality of their belief that thinness equals happiness. This approach aims to modify negative thought patterns and promote healthier perspectives. Choices A, B, and C do not directly address challenging distorted beliefs or irrational thoughts, which are central to cognitive therapy for eating disorders like anorexia nervosa.

Correct Answer: C

Rationale: The correct answer is C: Counselor. In this scenario, the nurse is fulfilling the role of a counselor by engaging Nancy in a therapeutic conversation to explore her past experiences and emotions related to her major depressive disorder diagnosis. This role focuses on providing emotional support, guidance, and facilitating self-exploration. A: Surrogate - This role involves temporarily standing in for another person. In this scenario, the nurse is not acting as a stand-in for anyone but is providing direct emotional support to Nancy. B: Resource person - This role involves providing information and guidance related to the patient's care. While the nurse may provide resources and information, the primary focus in this scenario is on emotional support and therapeutic communication. D: Technical Expert - This role involves providing specialized knowledge and skills related to patient care. While the nurse may use technical expertise in other aspects of care, in this scenario, the focus is on therapeutic communication and emotional support rather than technical knowledge.

Correct Answer: C

Rationale: The correct answer is C: The duty to respect the rights of others to make their own decisions. Autonomy refers to the ability of individuals to make their own choices and decisions without external interference. By respecting the rights of others to make decisions, we are upholding their autonomy. Choice A is incorrect because it refers to beneficence, not autonomy. Choice B is incorrect as it relates to non-maleficence, not autonomy. Choice D is incorrect as it pertains to distributive justice, not autonomy. Autonomy is specifically about respecting individuals' rights to self-determination.

Correct Answer: A

Rationale: The correct answer is A because atypical antipsychotics commonly cause metabolic side effects such as increased weight, glucose levels, and triglycerides. This occurs due to their effects on appetite, metabolism, and insulin sensitivity. Option B is incorrect as atypical antipsychotics typically lead to weight gain and metabolic disturbances. Option C is incorrect as atypical antipsychotics are associated with several side effects. Option D is incorrect as atypical antipsychotics do not typically increase the risk of seizures.

Correct Answer: B

Rationale: The correct answer is B because adventitious crises are external events like natural disasters or crimes that trigger a crisis response. These crises are outside of an individual's control and can have a significant impact on their psychological well-being. Choices A, C, and D are incorrect because they do not accurately describe adventitious crises. Choice A refers to developmental crises, choice C refers to situational crises, and choice D refers to intrapsychic crises.