The plan for a depressed patient includes use of cognitive ...

[debasdf]

The plan for a depressed patient includes use of cognitive therapy. The nurse supports this therapy by
 
  a. uncovering unconscious conflicts by encouraging description of childhood traumas.
  b. challenging pessimistic beliefs and recognizing the patient's accomplishments.
  c. determining areas of mutual understanding between the nurse and patient.
  d. using role-playing to rehearse new behaviors.

Question 2

During an interview with a depressed person, it is important for the nurse to assess social interactions to determine
 
  a. disruptions in relationships with others.
  b. needs for diversional-activities therapy.
  c. needs for implementation of a no-harm contract.
  d. the patient's ability to make decisions about care.

[jessicaduplan]

Answer to Question 1

B
Depressed patients evaluate situations as being negative. Cognitive therapy aims at symptom removal by identifying and correcting distorted negative thinking. The other options are not directed at correcting negative thinking.

Answer to Question 2

A
Assessing for altered social interactions will give the nurse information about whether relationships with significant others are intact or disrupted. Often, the depressed person has withdrawn to the extent that formerly supportive relationships have been disrupted, leaving the patient without situational support. Diversional activities are an integral part of management of the therapeutic milieu. The patient's ability to make decisions would be assessed in other ways. A no-harm contract relates to suicidal ideation.