An acutely depressed client is receiving cognitive-behavioral therapy. The nurse is developing a plan of care for the client and includes interventions that focus on this type of therapy

Question

Which of the following interventions would the nurse include? Select all that apply. 1. Assisting the client to identify and test negative cognition
2. Assisting the client to develop alternative thinking patterns
3. Assisting the client to participate in the treatment process
4. Assisting the client to rehearse new cognitive and behavioral responses
5. Assisting the client with the administration of antidepressant medications
6. Assisting the client's family to participate in group therapy on a regular basis

Answer 1

1, 2, 3, 4

Rationale: The goal of cognitive-behavioral therapy is to change the way clients think and thus relieve the depressive syndrome. This is accomplished by assisting the client to identify and test negative cognition, develop alternative thinking patterns, and rehearse new cognitive and behav-ioral responses. Although some clients are treated with antidepressant medications, this is not a component of cognitive-behavioral therapy. The focus of this therapy is on the client, not the family.