The sibling of a depressed patient says, "When we were children my sister always gave up easily. Now as an adult, everyone in the family takes advantage of her." What is the most appropriate nursing intervention?
a. Begin cognitive therapy to reduce negative thinking.
b. Plan measures to reduce inappropriate feelings of guilt.
c. Discuss the value of assertiveness training with the patient.
d. Invite the sibling to join the patient's group therapy sessions.
C
Depressed patients often allow people to violate their rights and then feel resentful or angry. Assertiveness training will help the patient change her interpersonal style from acquiescent to assertive and reduce resentfulness. Cognitive therapy and working on guilt feelings will not address the passive behavior. It would not be appropriate to include the sibling in the patient's group therapy.
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