A nurse clinician uses rational-emotive therapy with a patient who is chronically depressed. The initial step in this process is to help the patient
a. identify developmental tasks and progress.
b. manage environmental stressors more effectively.
c. explore childhood influences on the patient's emotional state.
d. recognize how irrational beliefs are related to painful feelings.
D
Cognitive therapists believe that irrational beliefs or automatic thoughts cause self-defeating behaviors to be maintained. Individuals can challenge their self-defeating behaviors once they identify irrational beliefs and see their connection to painful feelings. The other options reflect interventions that might occur later.
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The nurse is reviewing charts for quality improvement. A client experienced a complication during labor. The nurse is uncertain if the labor nurse took the appropriate action during the situation
What is the best method for the quality improvement nurse to determine what the appropriate action by the nurse should have been? 1. Call the nurse manager of the Labor and Delivery unit and ask what the nurse should have done. 2. Ask the departmental chair of the obstetrical physicians what the best nursing action should have been. 3. Examine other charts to find cases of the same complication, and determine how it was handled in those situations. 4. Look in the policy and procedure book, and examine the practice guidelines published by a professional nursing organization.
A nurse is caring for a patient admitted to the unit and receiving dantrolene (Dantrium) for spasticity. The nurse should particularly monitor the patient's
a. liver enzymes. b. renal function tests. c. complete blood count. d. serum electrolytes.
The nursing approach that will minimize power struggles between the client with an eating dis-order and the nurse is best characterized as:
1. Authoritarian and autocratic 2. Laid-back and flexible 3. Rigid and unyielding 4. Compassionate and firm
Which woman is most likely to experience strong afterpains?
a. A woman who experienced oligohydramnios b. A woman who is a gravida 4, para 4-0-0-4 c. A woman who is bottle-feeding her infant d. A woman whose infant weighed 5 pounds, 3 ounces