A client diagnosed with depression states, Even in high school I ...

[ericka1]

A client diagnosed with depression states, Even in high school I was a failure. It's a wonder I was associated with successful friends. The nurse knows this client is making:
 
  1. A hard situation worse.
  2. Attributions about his life.
  3. Excuses about his present behavior.
  4. Assumptions about his friends.

Question 2

Which of the following client behaviors is the best illustration of a positive response to the therapeutic environment in an inpatient ward?
 
  1. Sitting alone in the day room working a jigsaw puzzle
  2. Watching television during leisure time
  3. Napping in the dayroom after lunch
  4. Signing up during the community meeting for ward duties

[Toya9913]

Answer to Question 1

4
Rationale: As humans, we constantly ascribe causes to the events in our lives. By labeling or assigning meaning to a circumstance, or a set of circumstances, we make attributions (I only got a grade of C. I'm no good at anything. Sarah and Francisco got A's. They can do anything.). Think of attributions as perceived causes that may or may not be objectively accurate. Depressed people often attribute failure to themselves and success to others. Then, we attribute associated features or characteristics to that circumstance (such as being a good student or knowing the material). Next, we expect a certain outcome from that circumstance and we behave consistently with that expectation. Finally, we have feelings that match, or are congruent with, the experience. The basic idea is that thoughts and behaviors lead to feelings.

Answer to Question 2

4
Rationale: Participation in community life by signing up for unit or ward duties or activities indicates the client is responding positively to the therapeutic environment. Engaging in isolative activities by working a jigsaw puzzle, watching television, or napping after lunch are benign responses that do not represent client involvement in the therapeutic environment.