The nurse is caring for a client with depression who is ...

[mcmcdaniel]

The nurse is caring for a client with depression who is withdrawn. Which of the following statements suggests that the nurse is able to challenge his or her dogmatic beliefs?
 
  1. I understand that clients with depression have anger turned inward.
  2. I realize that if clients would just change their negative thoughts, they wouldn't be depressed.
  3. I realize that clients with depression are not just avoiding their problems.
  4. I understand that if clients would just develop strong interests, they wouldn't be depressed.

Question 2

The night nurse at the mental health clinic is designing a behavioral contract for a client diagnosed with panic attacks. During the assessment phase, the client is negative and exhibits low self-esteem.
 
  However, the nurse knows that in order to develop an effective contract, the focus must be on: 1. Specific social weaknesses.
  2. The client's abilities and strengths.
  3. The client's family.
  4. The goals of discharge.

[xoxo123]

Answer to Question 1

3
Rationale: The nurse who realizes clients with depression are not just avoiding their problems has been challenged to change their beliefs as the result of caring for clients with depression. Continuing to hold beliefs that clients remain depressed because of negative thoughts, anger turned inward, or a lack of strong interests demonstrates that the nurse is unable or unwilling to form new ideas and research about mental illness in order to fit his or her preconceived notion of depression.

Answer to Question 2

2
Rationale: Evaluating client abilities and strengths, particularly with regard to learning and making changes, will help in the design of the contract. Discover what other situations requiring behavioral change the client has mastered and what specific personal or social strengths the client employed in implementing the change. Evaluate the client's weaknesses with regard to learning and making changes as well. These interactions address specific problematic behaviors, rather than social weaknesses or family issues. Goals of discharge are developed later in the treatment process.