Author Question: A patient diagnosed with major depression tells the nurse, Bad things that happen are always my ... (Read 90 times)

kamilo84 · **on:** Jul 19, 2018

A patient diagnosed with major depression tells the nurse, Bad things that happen are always my fault. Which response by the nurse will best 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. Let's look at one bad thing that happened to see if another explanation exists.
c. You are being extremely hard on yourself. Try to have a positive focus.
d. Are you saying that you don't have any good things happen?

Question 2

Priority interventions for a patient diagnosed with major depression and feelings of worthlessness should include:

a. distracting the patient from self-absorption.
b. careful unobtrusive observation around the clock.
c. allowing the patient to spend long periods alone in meditation.
d. opportunities to assume a leadership role in the therapeutic milieu.

Carissamariew · **Reply #1 on:** Jul 19, 2018

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: B
Approximately two-thirds of people with depression contemplate suicide. Patients with depression who exhibit feelings of worthlessness are at higher risk. Regular planned observations of the patient diagnosed with depression may prevent a suicide attempt on the unit.