A student in the Mood Disorders Clinic states that everything he does is wrong and that nothing he tries ever works. Although he has never failed an exam, he believes he will fail the next one
Based on evidence-based research, which of the following interventions would best address a presentation of this type? a. Psychoanalytic therapy
b. Desensitization therapy
c. Cognitive-behavioral therapy
d. Alternative and complementary therapies
C
Cognitive-behavioral therapy attempts to alter the patient's dysfunctional beliefs by identifying automatic and/or distorted thinking and then questioning it. This is then followed by rewording or reframing the thought in a more realistic manner. The patient is also taught the connection between thoughts and mood. Research shows that cognitive-behavioral therapy involves the formation of new connections between nerve cells in the brain and is at least as effective as medication. Evidence does not support similar effectiveness for the other psychotherapeutic modalities mentioned.
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A patient tells the nurse that several times during the year she does not eat meat protein, or dairy products because of her religion. This information is helpful when the nurse is conducting which aspect of the nutritional assessment?
1. physical assessment 2. nutrient absorption 3. functional capacity 4. history
The nurse is providing care to a preschool-age client who is diagnosed with acquired immune deficiency syndrome (AIDS). In planning the client's care, which vaccine is inappropriate for the client to receive?
1. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP) 2. Haemophilus influenzae type B (HIB conjugate vaccine) 3. Varicella vaccine 4. Hepatitis B vaccine (Hep B)
A researcher wishes to widely disseminate findings of outcomes research in order to influence practice in a variety of settings. Which methods might this researcher use?
a. A series of presentations and publications in professional and public forums b. An oral presentation at an international conference c. Publication in scholarly, peer-reviewed journals d. Writing about this research in a chapter of a nursing textbook
A client is receiving adjuvant medications to increase the effectiveness to treat the pain associated with end-stage prostate cancer. What is an example of an adjuvant medication?
A) Opioids B) Corticosteroids C) Antihistamines D) Antivirals