A depressed patient tells the nurse, The bad things that happen ...

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A depressed patient tells the nurse, The bad things that happen are always my fault.. How should the nurse respond to assist the patient to reframe this overgeneralization?
 
  a. I really doubt that one person can be blamed for all the bad things that happen..
  b. You are being exceptionally hard on yourself when you imply you are a jinx..
  c. What about the good things that happen; are any of those ever your fault?
  d. Let's look at one bad thing that happened to see if another explanation exists..

Question 2

When the environment lacks security or presents dangers, the perception that life will be short or will end in violence is most compelling for:
 
  a. Children
  b. Adolescents
  c. Young adults
  d. Middle-aged adults

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Answer to Question 1

D
By questioning a faulty assumption, the nurse can help the patient look at the premise more objectively and reframe it to a more accurate representation of fact. Casting doubt, while helpful, does not require the patient to evaluate or reframe the statement; refuting the patient's beliefs so directly could also reduce her comfort with the nurse. Noting that the patient is hard on herself reflects an accurate assessment but does not require the patient to evaluate or reframe the statement. Focusing on good things shifts the focus slightly and would probably elicit a no from the patient; it would be less likely to guide the patient to reconsider the negative distortions in her thinking.

Answer to Question 2

B
This age-group tends to feel this way more than other age-groups do, and if this is the feeling of an adolescent, he or she sees no promise for the future.