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A nurse in the community mental health center works with a client who is diagnosed with depression. Cognitive therapy is initiated. The nurse should take:

(a) A holistic approach to physical health.
(b) A passive role in the therapeutic process.
(c) A confrontational approach to behavior.
(d) An empathetic and collaborative approach to understanding and addressing cognitive distortions.

User Encee
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Final answer:

In cognitive therapy for depression, the nurse should take an empathetic and collaborative approach, fostering a client-centered and evidence-based engagement. The intertwining of cognitive processes and behaviors, a holistic view of health, and cultural appropriateness are vital in this approach.

Step-by-step explanation:

When working with a client diagnosed with depression and initiating cognitive therapy, the nurse should take an empathetic and collaborative approach to understanding and addressing cognitive distortions. This involves actively engaging with the client to identify and challenge negative thought patterns and beliefs that contribute to depression, in line with Cognitive-Behavioral Therapy principles. The approach is client-centered and evidence-based, emphasizing the therapeutic alliance and the client's active participation in the recovery process.

It is also crucial for the nurse to consider the wider context of the individual's experience, including taking a holistic view of their physical health. While a confrontational approach to behavior is generally not favored in cognitive therapy, it's important to address problematic behaviors in a way that encourages insight and self-reflection without being adversarial. As community psychologists emphasize, interventions need to be culturally appropriate and leverage community partnerships to address broader health disparities and inequities effectively.

User John Laffoon
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