Author Question: A middle-aged client who has been treated for depression with SSRIs and cognitive behavioral ... (Read 154 times)

P68T · **on:** Jul 19, 2018

A middle-aged client who has been treated for depression with SSRIs and cognitive behavioral
therapy has identified that passivity probably contributed to her depression. The nurse can
appropriately suggest

a. social skills training.
b. use of complementary therapy.
c. relaxation training classes.
d. learning desensitization techniques.
Other

Question 2

A client with acute mania is a business executive. He tells the nurse that his job is only his cover,
that he's really the right-hand man to the president of the United States and that he has been sent to
this city to reorganize the FBI and

CIA. A desired outcome for this client is that he will
a. use his executive skills to organize unit activities.
b. consistently display distorted thought self-control.
c. demonstrate acceptance of unit policies.
d. act out feelings.

Anton · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
Social skills training is helpful in treating and preventing the recurrence of depression. Training
focuses on assertiveness training and coping skills that lead to positive reinforcement from others.
Option B refers to adjunctive therapies such as herbals. Option C: Assertiveness would be of greater
value than relaxation training because passivity has been identified as a concern. Option D:
Desensitization is used in treatment of phobias.

Answer to Question 2

B
The client's reality testing is poor, as evidenced by the grandiose ideas he verbalizes. An appropriate
outcome is the control of distorted thinking and maintenance of reality-based thinking. The other
outcomes are not desirable.