A patient with a history of multiple childhood illnesses tells the nurse that she dislikes doctors and hospitals because "nothing good ever happens in a hospital."
The nurse's understanding of cognitive concepts helps him realize this patient's comment demonstrates: 1. A cognitive triad.
2. Selective abstraction.
3. Dichotomous thinking.
4. Minimization.
Cognitive triad.
Rationale: The cognitive triad is a group of three negative recurring patterns of thought that influence people to see themselves as inadequate, negatively misinterpret an experience, and view the future in a negative way. The patient had many childhood illnesses and may have experienced at an early age that hospitals and doctors mean illness, and therefore a bad experience. Selective abstraction occurs when a situation is conceptualized while ignoring contradictory information. In dichotomous thinking, experiences are categorized with all-or-nothing reasoning. Minimization is seeing something as far less important than it is.
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