An adult diagnosed with attention deficit hyperactivity disorder (ADHD) says, "I've always been stupid. I never had friends when I was a child. My parents often punished me because I made mistakes. Now, I can't keep a job." The nurse managing care should consider:

A) aversive therapy to extinguish negative behaviors.
B) cognitive therapy to help address internalized beliefs.
C) group therapy to allow comparison of feelings with others.
D) vocational counseling to identify needed occupational skills.

Question

Fahmi Akmal · Accepted Answer

Final Answer : B, Explanation :  Cognitive therapy and knowledge of ADHD will make it possible for the patient to reframe the past and present in a more positive and realistic light and to challenge internalized false beliefs about self. Aversive therapy would not be useful for the patient. Group therapy may be valuable later to allow for the testing of new coping behaviors in a safe environment. Vocational counseling can help the patient explore suitable career options while pursuing treatment.

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