The psychiatric clinical nurse specialist decides to use cognitive therapy techniques as she works
with a client with anorexia nervosa. Which statement by the nurse is consistent with the use of
cognitive therapy principles?
a. "What are your feelings about not eating the food that you prepare?"
b. "You seem to feel much better about yourself when you eat something.".
c. "It must be difficult to talk about private matters to someone you just met.".
d. "Being thin doesn't seem to solve your problems; you're thin now and are still
unhappy.".
D
Option D is the only strategy that attempts to question the client's distorted thinking.
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A nurse is teaching a parent about strategies for managing colic in the infant. Which suggestions does the nurse provide to this parent? (Select all that apply.)
A. Change the baby's feeding schedule. B. Encourage daily use of probiotics. C. Provide a peaceful environment. D. Swaddle and rock the child when fussy. E. Switch from breast milk to formula.
Holistic gerontological care means helping older individuals achieve a sense of wholeness. How can gerontological nurses best help older individuals achieve this wholeness?
A) Guiding them in understanding and finding meaning and purpose in life B) Doing as much for them as possible C) Eliminating many of their chronic diseases and effects of advanced age D) Facilitating harmony of all their body systems
A patient who is postoperative day 2 following a coronary artery bypass graft (CABG) has been experiencing significant pain in the region of his sternal incision. What patient teaching should the nurse perform with this patient?
A) "Try to hug a folded blanket across your chest when you move or breathe deeply." B) "If possible, try to avoid coughing and breathe as shallowly as possible to relieve pressure on your incision." C) "The less you can move, the less pain you're likely to have in the area of your incision." D) "Getting you up and mobilizing as soon as possible will help with this problem."
A male patient with multiple injuries has had his airway stabilized and is breathing on his own. The nurse does not see any bleeding but suspects internal hemorrhage when the patient:
A) Complains of pain at wound sites B) Has increased pulse rate C) Has increased blood pressure D) Has increased urine output