Making use of evidence-based research, the advanced practice ...

[BRWH]

Making use of evidence-based research, the advanced practice nurse who provides counseling to
  severely depressed clients should choose to address the negative thought patterns of these clients by
  using
 
  a. psychoanalytic therapy.
  b. desensitization therapy.
  c. cognitive behavioral therapy.
  d. alternative and complementary therapies.

Question 2

The psychiatric home care nurse makes visits a Hispanic client being treated for depression. The
  client greets the nurse with a smile and eagerly offers to make coffee.
 
  The nurse initiates a
  handshake, politely refuses the coffee so as not to make work for the client, and suggests they talk
  about how the client is doing. During the session the nurse notes the client seems less spontaneous in
  affect and becomes more withdrawn. In analyzing the situation the nurse should correctly conclude
  that
  a. the client is experiencing rapid cycling.
  b. the client may feel rejected by the nurse.
  c. the nurse has broached a taboo topic.
  d. social touch is inappropriate for Hispanic clients.

[kiamars2010]

Answer to Question 1

C
Cognitive behavioral therapy attempts to alter the client's dysfunctional beliefs by focusing on
positive outcomes rather than negative attributions. The client is also taught the connection between
thoughts and resultant feelings. Research shows that cognitive behavioral therapy involves the
formation of new connections between nerve cells in the brain and that it is at least as effective as
medication. Evidence is not present to support superior outcomes for the other psychotherapeutic
modalities mentioned.

Answer to Question 2

ANS: B
In the Hispanic culture, good etiquette requires accepting offers of food and spending some time in
small talk before getting down to business. The nurse behaved impolitely by the client's standards.
Option A: Rapid cycling is related to rapid mood swings of bipolar disorder. Option C: Data are not
present to suggest that the nurse touched on a taboo topic. Option D: Clients of Hispanic culture
engage in high touch behaviors.

[BRWH]

TYSM

[adf223]

Excellent