A high school student says to the school nurse, "If I don't make the honor roll every term, a college will never want me.". The most therapeutic nurse response is:
a. "If making the honor role every term was the admissions criterion, very few people would get into college.".
b. "I can understand your concern. The pressures are truly great to assure acceptance into college today.".
c. "It's true that a consistent record of academic achievement will ensure college acceptance.".
d. "It sounds as if you believe that colleges will only admit students that are perfect academically.".
D
The patient is projecting perfectionism onto the criteria for college acceptance. Perfectionism is a cognitive distortion, and this is best explored by reflecting the patient's distortion back to have the patient reexamine his or her thinking.
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A nurse is teaching a patient about a new prescription for reserpine [Serpasil] for hypertension. Which statement by the patient indicates the need for further teaching?
a. "Depressive side effects are common and will improve over time." b. "I should report gastrointestinal side ef-fects to the provider." c. "I should stand up slowly when getting up and lie down if I feel dizzy." d. "Therapeutic effects may not be optimal for a couple of weeks."
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Indicate whether the statement is true or false
The client who has a positive enzyme immunoassay test asks the nurse if that means that he is HIV positive. The nurse's most helpful response would be
a. "No, many people have positive enzyme immunoassays." b. "No, you need to have the Western blot test to confirm that you are positive." c. "Yes, but antiretrovirals will probably combat the infection now." d. "Yes, you should seek medical care for antiretroviral drugs."
A prescription needs to be written for:
1. Legend drugs 2. Most controlled drugs 3. Medical devices 4. All of the above