A client diagnosed with borderline personality disorder states, "Get out of here. No one cares about me or my situation!" Which nursing reply is an example of a cognitive intervention?
A. "You have an anti-anxiety medication ordered. It may make you feel better."
B. "It sounds like you are feeling really frustrated."
C. "Can you explain further your thinking about your situation?"
D. "No one cares about you?"
C
When a nurse asks for an explanation about a client's thinking, the nurse is using a cognitive approach to assessment. The focus of cognitive interventions is on the modification of distorted cognitions and maladaptive behaviors.
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After teaching a class about inborn errors of metabolism, the instructor determines that additional teaching is needed when the class identifies which of the following as an example of an inborn error of metabolism?
A) Galactosemia B) . Maple syrup urine disease C) Achondroplasia D) Tay-Sachs disease
The nurse is assessing cranial nerve function in the patient recovering from percutaneous rhizotomy of the facial nerve. What technique should the nurse use when making this assessment?
1. Ask the patient to blow out the cheeks, wrinkle the forehead, frown, wink, and close both eyes tightly. 2. Have the patient touch the index finger to the nose with eyes open, and then repeat the movement with eyes closed. 3. Ask the patient to shrug the shoulders, and then repeat the movement when resistance is applied. 4. Have the patient turn the head to the left, then the right, and touch the ear to the shoulder on the left and right sides.
Referral to a psychiatric extended-care facility would be most appropriate for which of the following patients?
a. An adult with generalized anxiety disorder b. A severely depressed 70-year-old retiree c. A patient with personality disorder who frequently self-mutilates d. A severely ill person with schizophrenia who is regressed and withdrawn
Which of the following equations explains the function of blood pressure?
A) PVR X BP = CO B) BP X CO = PVR C) CO X PVR = BP D) SV X HR = CO