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.
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.
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