A patient says, "I know I have a brain tumor despite the results of the MRI. The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited all day." Which response by the nurse fosters cognitive reframing?
a. "You do not have a brain tumor. The more you talk about it, the more it reinforces your belief."
b. "Let's see if there are any other possible explanations for your vomiting."
c. "You seem so worried. Let's talk about how you're feeling."
d. "We need to talk about something else."
ANS: B
Questioning the evidence is a cognitive reframing technique. Identifying causes other than the feared disease can be helpful in changing distorted perceptions. Distraction by changing the subject will not be effective.
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