Making use of evidence-based research, the advanced practice nurse who provides counseling to
severely depressed clients should choose to address the negative thought patterns of these clients by
using
a. psychoanalytic therapy.
b. desensitization therapy.
c. cognitive behavioral therapy.
d. alternative and complementary therapies.
C
Cognitive behavioral therapy attempts to alter the client's dysfunctional beliefs by focusing on
positive outcomes rather than negative attributions. The client is also taught the connection between
thoughts and resultant feelings. Research shows that cognitive behavioral therapy involves the
formation of new connections between nerve cells in the brain and that it is at least as effective as
medication. Evidence is not present to support superior outcomes for the other psychotherapeutic
modalities mentioned.
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A patient fractured her right ulna 8 weeks ago and has just had her cast removed. The orthopedic surgeon prescribes isometric exercises for the right arm. Which of the following exercises comply with the surgeon's orders?
1) Place a foam ball in the right hand and squeeze; hold the squeeze position for 6 to 8 seconds, and repeat 5 to 10 times. 2) Grasping the right wrist with the left hand, move the right arm up, down, and side to side; hold each position for 6 to 8 seconds, and repeat 5 to 10 times. 3) Grasping the right wrist with the left hand, pull the right arm across the body; hold this position for 6 to 8 seconds, and repeat 5 to 10 times. 4) Press the right hand against a wall; hold this position for 6 to 8 seconds, and repeat 5 to 10 times.
Preconception care:
1. is designed for women who have never been pregnant. 2. includes risk factor assessments for potential medical and psychologic problems but by law cannot consider finances or workplace conditions. 3. avoids teaching about safe sex to avoid political controversy. 4. could include interventions to reduce substance use and abuse.
Despite the availability of Children's Health Insurance Programs (CHIP), many eligible children are not enrolled. Which nursing intervention would be the most appropriate to help children become enrolled in CHIP?
1. Assessment of the details of the family's income and expenditures 2. Case management to limit costly, unnecessary duplication of services 3. To advocate for the child by encouraging the family to investigate its SCHIP eligibility 4. To educate the family about the need for keeping regular well-child–visit appointments
The nurse is working with a client who is in cervical traction. How much should the head of the bed be elevated?
a. 20-30 degrees c. 70-90 degrees b. 45-60 degrees d. 95-120 degrees