Cognitive-behavioral therapy is based on principles, including the principle that in depression, the client's negative thoughts often are irrational and bear little resemblance to reality
Indicate whether the statement is true or false
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A young adult client notes height as "5 feet 11 inches" and weight as "200 lbs." Upon assessment, the client is found to be 5 feet 9 inches tall with a weight of 225 lbs. Which is the most likely cause of this discrepancy?
1. The client does not have a scale at home. 2. The client may have an image of self that is inconsistent with actual findings. 3. The client did not want to tell the truth. 4. The client is trying to hide a chronic illness.
A patient with moderate to severe chronic pain has been taking oxycodone [OxyContin] 60 mg every 6 hours PRN for several months and tells the nurse that the medication is not as effective as before
The patient asks if something stronger can be taken. The nurse will contact the provider to discuss: a. administering a combination opioid anal-gesic/acetaminophen preparation. b. changing the medication to a contin-ued-release preparation. c. confronting the patient about drug-seeking behaviors. d. withdrawing the medication, because physical dependence has occurred.
The nurse assesses a client in the postanesthesia recovery unit and finds a BP of 88/50, pulse 116, and respirations of 20. What other assessment data will the nurse want to collect first?
1. Pulse oximeter reading 2. Pain assessment 3. Whether the client is nauseated 4. Urine output
The nurse explains that in assessing the burn area of a child, the "rule of nines" is not a useful tool because small children have:
a. More fluid loss b. Thinner skin c. Less body fat d. Different body proportions