The client tells the nurse "I'll never be happy until I'm as successful as my older sister.". The nurse

asks the client to reassess this statement and reframe it. An acceptable reframed statement is

a. "I won't be happy until I make as much money as my sister.".
b. "People should treat me as well as they treat my sister.".
c. "I can find enjoyment in success at my own job level.".
d. "I'm resigned to not being as smart or clever as my sister.".


ANS: C
This reframed statement is positive and realistic. It speaks to finding satisfaction and happiness
without measuring the self against another person. The other options show persistent negative,
irrational thinking about the self compared with the sister.

Nursing

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A breech presentation is associated with:

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Which finding should produce the most concern when performing pin care for a patient with an external fixator?

a. Crusts around the pin b. Serous drainage on the dressing c. Purulent drainage d. Absence of pain

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A 28-year-old patient with endometriosis asks why she is being treated with medroxyprogesterone (Depo-Provera), a medication that she thought was an oral contraceptive. The nurse explains that this therapy

a. suppresses the menstrual cycle by mimicking pregnancy. b. will relieve symptoms such as vaginal atrophy and hot flashes. c. prevents a pregnancy that could worsen the menstrual bleeding. d. will lead to permanent suppression of abnormal endometrial tissues.

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What should the nurse do to assist a patient who is having difficulty swallowing tablets?

a. Administer the medication with less fluid. b. Insert a nasogastric tube and instill the medication. c. Crush the medications and administer with a small amount of food. d. Administer the tablets one at a time with plenty of water.

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