A nurse is caring for a patient with a history of depression who has expressed interest in trying cognitive-behavioral therapy (CBT). Which of the following is an appropriate statement regarding CBT?

Correct Answer: A

Rationale: The correct answer is A because CBT focuses on changing negative thinking patterns and improving coping skills, making it an appropriate therapy for patients with depression. CBT is effective for a wide range of depression severity levels. Choices B, C, and D are incorrect because CBT is not limited to patients with mild depression, does not require medication to be effective, and can be beneficial for patients with severe depression when used in conjunction with other treatments.

Correct Answer: B

Rationale: The correct answer is B: Administering prescribed medications to alleviate withdrawal symptoms. This intervention is most appropriate as medications can help manage and alleviate the uncomfortable withdrawal symptoms experienced by the patient. It is important to address these symptoms to prevent complications and ensure the patient's safety. Encouraging the patient to stop using all substances immediately (choice A) can lead to severe withdrawal symptoms and potential harm. Providing reassurance that the symptoms will resolve on their own (choice C) may not be sufficient for managing withdrawal symptoms effectively. Encouraging the patient to participate in group therapy sessions (choice D) is beneficial for long-term recovery but may not directly address the immediate withdrawal symptoms.

Correct Answer: A

Rationale: The correct answer is A: Excessive worry about a variety of topics. This is a common symptom of generalized anxiety disorder as individuals with this condition experience persistent and uncontrollable worry about various aspects of their life. This worry is excessive, difficult to control, and can interfere with daily functioning. Rapid thoughts and racing speech (B) are more commonly associated with conditions like mania or panic disorder, not generalized anxiety disorder. Intrusive memories and flashbacks (C) are symptoms of post-traumatic stress disorder, not generalized anxiety disorder. Hallucinations and delusions (D) are more indicative of psychotic disorders such as schizophrenia, not generalized anxiety disorder.

Correct Answer: C

Rationale: Rationale: - Establishing clear boundaries (Choice C) is crucial in the therapeutic relationship to ensure a professional and safe environment. - Clear boundaries help maintain a focus on the patient's needs and prevent any potential harm or ethical issues. - By identifying patient needs, the therapist can tailor treatment effectively and maintain a respectful dynamic. Summary: - Choice A focuses more on personal connection rather than therapeutic goals. - Choice B is vague and lacks specificity about how mutual needs will be addressed. - Choice D emphasizes communication but doesn't prioritize the establishment of boundaries, which is essential in therapy.

Correct Answer: C

Rationale: The correct answer is C: Ethnocentrism. Ethnocentrism refers to the belief that one's own culture is superior to others. This term accurately describes individuals who view their cultural values and practices as correct and better than those of others. Choice A, Assimilation, refers to the process of integrating into a different culture. Choice B, Enculturation, refers to the process of learning one's own culture. Choice D, Somaticization, is unrelated to the question as it refers to the conversion of mental experiences into physical symptoms.