A patient with depression tells the nurse, Bad things that happen ...

[Shelles]

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

Question 2

When counseling patients with major depression, an advanced practice nurse will address the negative thought patterns by using:
 
  a. psychoanalytic therapy.
  b. desensitization therapy.
  c. cognitive behavioral therapy.
  d. alternative and complementary therapies.

[JCABRERA33]

Answer to Question 1

ANS: B
By questioning a faulty assumption, the nurse can help the patient look at the premise more objectively and reframe it as a more accurate representation of fact. The incorrect responses cast doubt but do not require the patient to evaluate the statement.

Answer to Question 2

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

[Shelles]

Excellent

[JaynaD87]

TYSM