A psychiatric nurse is working with a client with generalized anxiety disorder (GAD). Which phenomenon best describes the cognitive theory of GAD?
A) Overuse or ineffective use of ego defense mechanisms results in maladaptive responses to anxiety.
B) When an individual feels vulnerable in a given situation, distorted thinking results in an irrational appraisal, fostering a negative outcome.
C) The elevations in cortisol that occur during the fight-or-flight response.
D) Worry is a learned response to anxiety and serves to keep it within the control of the individual.
Question 2
The nurse is leading a small group of hospitalized patients diagnosed with psychiatric disorders. One group member has asked for advice and often agrees with suggestions by other group members but then adds,
Yes, but . . . to every suggestion offered. Which response by the nurse would be most appropriate?
A) Things would probably work out better if you joined a different group.
B) Do you realize you say, 'Yes, but . . .' to every suggestion the group has for you?
C) I suggest you stop and think about why you always respond to suggestions with 'Yes, but . . .'
D) What solution do you think would work best for you?
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