A depressed patient tells the nurse, "The bad things that happen are always my fault.". How should the nurse respond to assist the patient to reframe this overgeneralization?
a. "I really doubt that one person can be blamed for all the bad things that happen.".
b. "You are being exceptionally hard on yourself when you imply you are a jinx.".
c. "What about the good things that happen; are any of those ever your fault?"
d. "Let's look at one bad thing that happened to see if another explanation exists.".
D
By questioning a faulty assumption, the nurse can help the patient look at the premise more objectively and reframe it to a more accurate representation of fact. Casting doubt, while helpful, does not require the patient to evaluate or reframe the statement; refuting the patient's beliefs so directly could also reduce her comfort with the nurse. Noting that the patient is hard on herself reflects an accurate assessment but does not require the patient to evaluate or reframe the statement. Focusing on "good things" shifts the focus slightly and would probably elicit a "no" from the patient; it would be less likely to guide the patient to reconsider the negative distortions in her thinking.
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A hospital clinical educator is espousing the disengagement theory of aging when teaching staff how best to meet the needs of older clients. Which of the nurse's teaching points best captures the disengagement theory of aging?
A) "Older adults often benefit from a gradual and controlled withdrawal of their own interests from society's interests.". B) "The disengagement between an older adult's abilities and desires can lead to frustration and, ultimately, to illness.". C) "The lack of synchronicity between older adults' immune systems and their environments can be the root of many problems.". D) "It is imperative that we ensure older adults remain engaged with interests and events beyond themselves.".
New Zealand midwives have redefined traditional notions of professionalism so that midwifery is now defined as:
a. a partnership between the woman and the midwife. b. the only discipline that controls normal childbirth. c. a university-based profession. d. risking the autonomy of the childbearing woman.
A child is brought to the emergency room by ambulance after collapsing while playing basketball with friends. The paramedics obtain an ECG and send it to the emergency room from the ambulance. The physician diagnoses a supraventricular tachycardia and asks Wendy to prepare to administer 1.5 mg of adenosine IV when the child arrives at the hospital. On hand, the ER has prefilled disposable syringes with adenosine 
. What amount should Wendy administer?
A. 2 mL B. 1 mL C. 0.5 mL D. 1.5 mL
The rehabilitation nurse describes a patient who is blind, works full time as a Spanish interpreter, and lives with his wife in a downtown apartment. The nurse classifies this person as:
a. impaired. b. disabled. c. handicapped. d. dependent.