An 18-year-old client is rejected after applying to several Ivy League colleges. The client tells the nurse, "I guess I'll just have to forget about going to college. I'm just not good enough"
The nurse says, "I thought you had received a scholarship to the local university". The client responds, "Oh, that doesn't count". The nurse understands that the client's response is an example of which automatic thought or schema?
A) Magnification
B) Minimization
C) Selective abstraction
D) Catastrophic thinking
C
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The postoperative patient complains of pain only 1 hour after having been medicated with an opioid, which cannot be repeated for 3 more hours. The nurse should initially:
a. give one half of the prescribed dose now. b. contact the prescriber. c. ambulate the patient in the hall. d. reposition the patient.
The nurse has applied an aquathermia pad to a client's back. After 15 minutes of treatment, the client says that the pack no longer is warm, and asks the nurse to increase the temperature. How should the nurse evaluate this request?
A) Adaptation of the thermal receptors often results in the decreased sensation of warmth. B) This client might be experiencing a rebound effect from the application of moist heat. C) The aquathermia pad should be replaced with a standard hot pack. D) Since this client's thermal tolerance is higher than normal, increasing the temperature is necessary.
Infants less than one year old should not be fed
a. crackers. b. egg yolk. c. cow's milk. d. fruit juice.
The nurse is teaching a group about coping skills. The clients are asked to make one positive statement about their home life. The nurse notices that one of the clients begins to fidget in the chair and interprets this behavior as:
A) An excuse to avoid answering the question. B) Characteristic when this topic is taught in group format. C) A therapeutic use of space. D) An expression of discomfort.