A patient diagnosed with hypochondriasis says, "No one believes I have a brain tumor! I have terrible headaches and episodes of blurred vision. I'm going to die.". Which nursing approach fosters cognitive restructuring?
a. "Tell me about your relationships with the significant people in your life.".
b. "You must be very worried about your condition. Let's discuss these feelings.".
c. "Let's look at the evidence that suggests you have a brain tumor and consider the possible explanations for the symptoms.".
d. "Your concern is unfounded. The more you talk about it, the more real your false idea seems. Let's talk about something else.".
C
Questioning the evidence is a cognitive restructuring technique that can be effective in changing distorted thinking. Patients with hypochondriasis often ignore any possibilities except those that support their distorted thinking. Learning that headaches, visual disturbances, weakness, and vomiting can have causes other than brain tumors can be helpful.
You might also like to view...
2 1/2 oz = _____ drams
a. 20 b. 32 c. 10 d. 75
A client is suspected of having leukemia and is having a series of laboratory and diagnostic studies performed. What does the nurse recognize as the hallmark signs of leukemia? Select all that apply
A) Diarrhea B) Nausea and vomiting C) Frequent infections D) Fatigue from anemia E) Easy bruising
Test items on the NCLEX exam are validated by:
a. at least two approved nursing textbooks or references b. at least two approved clinical references c. a minimum of three approved nursing references d. a minimum of three approved clinical references
A nurse is preparing to examine the breasts of a client. In what position should the nurse place the client?
A) Prone B) Standing C) Dorsal recumbent D) Lithotomy