You are caring for a patient who has been diagnosed with depression and anxiety following sexual violence. Which of the following outcomes should the nurse include in the care plan? (Select all that apply)

Choice A reason: Regular therapy, like CBT, addresses depression and anxiety by processing trauma. Scientifically, therapy modulates amygdala activity and cortisol levels, reducing hyperarousal from sexual violence. This fosters emotional regulation, helping patients reframe negative thoughts and build resilience, supporting long-term recovery from trauma-related disorders. Choice B reason: Effective coping strategies, like mindfulness, reduce depression and anxiety symptoms. Scientifically, these techniques lower cortisol and stabilize autonomic responses, countering trauma-induced hyperarousal. This empowers patients to manage triggers, improving psychological resilience and preventing relapse of trauma-related symptoms, supporting mental health recovery. Choice C reason: Improved sleep patterns are critical, as trauma disrupts circadian rhythms, increasing cortisol and worsening depression. Scientifically, better sleep stabilizes serotonin and melatonin, enhancing mood regulation. This reduces anxiety-driven insomnia, supporting neurobiological recovery and improving overall mental health outcomes for sexual violence survivors. Choice D reason: Verbalizing safety reflects reduced fear and trauma-related hyperarousal. Scientifically, feeling safe lowers amygdala activity and cortisol, stabilizing emotional responses. This outcome indicates successful trauma processing, enhancing psychological resilience and reducing anxiety or depression symptoms, critical for recovery from sexual violence’s impact.