The advanced practice nurse (APRN) is caring for a patient who ...

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The advanced practice nurse (APRN) is caring for a patient who recently relocated from another city. The patient is reporting depressive symptoms and no previous history of depression.
 
  Which therapy will the APRN be most likely to discuss with the patient?
  1. Pharmacotherapy
  2. Psychological first aid
  3. Cognitive-behavioral therapy
  4. Critical incident stress debriefing

Question 2

The nurse is participating in psychological debriefing of a patient who is experiencing a crisis. Which statements will the nurse include when providing education to the patient or family of the patient who is experiencing crisis? Select all that apply.
 
  1. Transportation is available if you cannot drive.
  2. You may want to use a calendar to help you track your response to the crisis.
  3. Do you have a spiritual leader that you would like me to contact for you?
  4. The sedative that the health care provider prescribed is a common treatment.
  5. The relaxation techniques that the health care provider suggested are a common treatment.

[nanny]

Answer to Question 1

Answer: 3
Explanation: Short-term cognitive-behavioral therapy is considered the first-line treatment for individuals experiencing mood symptoms secondary to crisis. Pharmacotherapy, psychological first aid, and critical incident stress debriefing are therapies that may be used in the collaborative care of a patient experiencing crisis; however, these are not considered to be the first-line treatments for the patient experiencing mood symptoms secondary to crisis.

Answer to Question 2

Answer: 1, 2, 3, 5
Explanation: Debriefing interventions aim to provide information regarding the crisis, elicit feelings and perceptions related to the crisis, provide education regarding normal responses to trauma, and provide resources for treatment and support. Debriefing interventions include those that address patients' need for resources such as transportation and spiritual support; strategies to recognize and respond appropriately to stress, such as maintaining a calendar or journal to document stress and anxiety; and teaching and reinforcing behavioral modifications such as relaxation techniques. Pharmacological therapy is not a common treatment for crisis; furthermore, sedatives are not commonly prescribed for the patient in crisis.

[azncindy619]

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[nanny]

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