A patient hospitalized for depression demonstrates dysfunctional thinking as evidenced by persistent pessimism and predictions of disastrous outcomes. A nurse using cognitive therapy will focus on:
a. uncovering unconscious conflicts that affect the "here and now" behavior.
b. finding an area of mutual understanding to serve as a basis for therapy.
c. patient recognition and replacement of automatic negative evaluations.
d. analyzing and enhancing relationships with significant others.
C
Cognitive therapy focuses on changing distortions and negative thinking patterns that affect the patient's feelings and behaviors.
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The nurse obtains a specimen from the client's wound. Which items will the nurse include when documenting this procedure in the medical record?
Select all that apply. 1. Source of specimen 2. Type of culture obtained 3. Appearance of wound 4. Dispersal of the specimen 5. Microorganism causing infection
The nurse is caring for a client who had major abdominal surgery yesterday. Which assessment finding would indicate inadequate airway clearance that might be cleared with coughing and deep breathing?
1. Tachypnea with rales heard in the upper lobes and over the trachea 2. Bradypnea with wheezing heard throughout all lung fields 3. Tachypnea with wheezing heard throughout all lung fields 4. Tachypnea with rhonchi heard in the lower lobes
Qualitative researchers often count on recruiting by referral, which is called which of the following?
A) Convenience sampling B) Snowball sampling C) Volunteer sampling D) Purposive sampling
During the course of surgery, a patient exhibits tachycardia, diaphoresis, and rising body temperature. The priority intervention by the circulating nurse is to:
a. continue to monitor the patient for any further changes in condition. b. note the patient's oxygen saturation and blood pressure. c. ask the scrub nurse to verify the assess-ment findings. d. alert the anesthesiologist and surgeon immediately.