During an interdisciplinary team meeting, a nurse says, "The patient's psychological distress seems to result from automatic thoughts that cause self-defeating behaviors
" The nurse is conceptualizing the patient's problem from the viewpoint of which model?
a. Interpersonal
b. Psychoanalytic
c. Stress-adaptation
d. Cognitive-behavioral
D
The cognitive-behavioral model recognizes the role of automatic thoughts (irrational beliefs) in promulgating self-defeating behaviors. The information given in the scenario does not reflect conceptualization using any of the other models.
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The nurse is assessing a patient for pain. Which question is best for the nurse to ask when determining aggravating factors for a patient's pain?
a. How long has the patient had pain? b. What increases the intensity of the pain? c. Where is the pain located specifically? d. What is the pain level on a scale of 0 to 10?
A patient arrives at the emergency department stating that she was raped, but she felt so "dirty" that she went home and showered. She states that she has on clean clothes but has her other clothes in a bag
What will the nurse tell the patient? 1. "I understand why you felt dirty, but you know you should not have taken a shower.". 2. "We will probably never find out who raped you, since you destroyed evidence.". 3. "Do you want an emergency contraceptive pill?" 4. "I understand that was important to you. We will see what we can get from your clothes, and give them to the authorities.".
A patient diagnosed with borderline personality disorder was hospitalized several times after self-mutilating episodes. The patient remains impulsive. Which nursing diagnosis is the initial focus of this therapy?
a. Risk for self-directed violence b. Impaired skin integrity c. Risk for injury d. Powerlessness
Evidence-based practice is
A. very intuitive. B. research-based. C. based on what has worked for years. D. never changed.