A client tells the nurse "My doctor thinks my problems with stress relate to the negative way I think
about things, and he wants me to learn a new way of thinking.".
The nurse should be prepared to help
the client understand and apply a cognitive technique called
a. priority restructuring.
b. reframing/restructuring.
c. guided imagery.
d. assertiveness.
ANS: B
Cognitive reframing involves the individual reassessing a situation and
changing his or her perception of the stress. The altered perception allows the individual to
restructure the situation to one over which he or she can have a measure of control.
Option A: Priority restructuring involves replacing stressful activities with pleasant activities and is
not necessarily related to distorted or irrational cognitions. Option C: Guided imagery is a behavioral
technique. Option D: Assertiveness focuses on standing up for one's rights without violating the
rights of others. It is not necessarily related to distorted or irrational cognitions.
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A nursing priority for a patient with GI hemorrhage is
a. positioning the patient in a high-Fowler position. b. airway protection. c. irrigating the nasogastric tube with iced saline. d. maintaining venous access so that fluids and blood can be administered.
A patient asks for information about Alcoholics Anonymous. Select the nurse's best response. "Alcoholics Anonymous is a:
a. form of group therapy led by a psychiatrist.". b. self-help group for which the goal is sobriety.". c. group that learns about drinking from a group leader.". d. network that advocates strong punishment for drunk drivers.".
The group therapy leader will identify outcomes in all types of group therapy
Indicate whether the statement is true or false
A patient with a brain tumor asks why a chest x-ray is needed when the tumor is in the head. What is the nurse's most appropriate response?
A. "Don't get so upset about this! It's routine. The doctor will talk to you later." B. "The physician may be trying to determine if this is a metastatic brain tumor, as the most common source of these tumors is cancer of the lung." C. "This is just a precautionary measure. The physician often prescribes chest x-rays." D. "The escort is here to take you to radiology, so we'll discuss this when you return."