Author Question: Which intervention would be the most therapeutic for the school nurse on the 1-year anniversary of a ... (Read 51 times)

melina_rosy · **on:** Jul 19, 2018

Which intervention would be the most therapeutic for the school nurse on the 1-year anniversary of a shooting that killed three of the school's adolescent students?

a. Plan a convocation for students, family, and teachers to revisit the deaths and loss.
b. Recommend that the principal cancel school for private observances around the town.
c. Plan a forum of commemoration for faculty, students, and family with grief counselors and experts on violence prevention.
d. Suggest to the principal that no specific acknowledgement be made in order to avoid reinforcing attention to the violence that occurred.

Question 2

A nurse practitioner is treating a client for uncomplicated adult primary insomnia on an outpatient basis.

After ruling out correctable medical causes for the insomnia, the nurse practitioner formulates a plan of care to provide primary care cognitive therapy to treat the insomnia. Whether or not this plan of care is appropriate depends on the knowledge that cognitive therapy developed for use by a primary care provider: a. is not effective because cognitive therapy can be performed only by a cognitive behavioral therapy specialist
b. appears to have a good short-term efficacy for managing uncomplicated adult primary insomnia
c. contradicts the results of multiple studies that show no significant benefit from cognitive behavioral therapy for the treatment of insomnia
d. results in the same efficacy and side-effect profile as placebo therapy

sokh · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
The occurrence of school shootings has caused experts to look more closely at lethality among adolescents. Providing a forum that will allow everyone involved to express grief and will educate them on strategies they can take to prevent further outbreaks would help to reduce feelings of powerlessness.

Answer to Question 2

B
A primary therapy cognitive therapy appears to have good short-term efficacy for managing uncomplicated adult primary insomnia in outpatient practice. Cognitive behavioral therapy is likely to have fewer side effects and may have lower long-term costs than the use of prescription medications.