When a father states, I don't understand what the doctor means by ...

[robinn137]

When a father states, I don't understand what the doctor means by saying my daughter has an adjustment disorder. The nurse explains that this disorder often results from:
 
  a. Failure of existing coping skills
  b. Lack of stable emotional support
  c. Denial that a problem truly exists
  d. Overcompensation to present a controlled appearance

Question 2

Which measure consistent with the use of cognitive therapy could the nurse incorporate into the treatment plan of a chronically depressed patient?
 
  a. Approach the patient with cheerful affect and optimistic remarks.
  b. Ignore the patient's pessimistic statements; give attention for positive thinking.
  c. Identify negative evaluations and challenge pessimistic beliefs.
  d. Seek to uncover unconscious conflicts about significant relationships.

[efwsefaw]

Answer to Question 1

ANS: A
When existing coping skills are not adequate to deal with a stressor, and new coping skills have not been developed, symptoms appear. These symptoms may fit the DSM-IV-TR crite-ria for adjustment disorder. The lack of emotional support is not applicable to the situation. The disorder does not result from use of denial since patients usually recognize that a prob-lem exists. Overcompensation is not related to the onset of adjustment disorder.

Answer to Question 2

ANS: C
Cognitive therapy addresses symptom removal by identifying and correcting distorted nega-tive thinking. An overly cheerful mannerism is an insensitive nontherapeutic approach that will reinforce patient negative thinking about self. To ignore negative statements while rein-forcing positive thinking is considered a behavioral approach. Seeking to uncover uncon-scious conflicts is a psychodynamic approach.

[robinn137]

Thanks for the timely response, appreciate it

[kjohnson]

Gracias!