The care plan for an engineer with agoraphobia includes increasing self-esteem with cognitive
restructuring. When the client tells the nurse "I'm not smart enough to get that job," the nurse should
say
a. "It must be difficult to be in that position.".
b. "You should not demean your abilities.".
c. "Let's think about what you just said.".
d. "You seem intelligent to me.".
ANS: C
Cognitive restructuring calls for the client to examine automatic negative thoughts about himself and
replace them with more realistic evaluations of his own abilities. The other options would not
promote examination of the negative thinking exhibited by the client.
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