A patient says, "I know I have a brain tumor despite the results of the magnetic resonance image (MRI). The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited all day."
Which response by the nurse fosters cognitive restructuring?
a. "You do not have a brain tumor. The more you talk about it, the more it reinforces your illogical thinking."
b. "Let's see whether any other explanations for your vomiting are possible."
c. "You seem so worried. Let's talk about how you're feeling."
d. "We'll talk about something else."
ANS: B
Questioning the evidence is a cognitive restructuring technique. Identifying causes other than the feared disease can be helpful in changing distorted perceptions. Distraction by changing the subject will not be effective.
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A 65-year-old patient is being evaluated for glaucoma. Which information given by the patient has implications for the patient's treatment?
a. "I use aspirin when I have a sinus headache." b. "I have had frequent episodes of conjunctivitis." c. "I take metoprolol (Lopressor) daily for angina." d. "I have not had an eye examination for 10 years."
The client is being treated with furosemide as well as an aminoglycoside. What effect should the nurse expect to see as a result of the interaction of the drugs?
a. Blurred vision b. Ototoxicity c. Bone pain d. Blood-tinged urine
When obtaining an oral temperature on a client, the nurse inserts the thermometer:
A) At the gum line between the check and tongue B) Deep in the posterior sublingual pocket C) On either side of the frenulum at gingival level D) Just past the teeth below the tongue
An interstitial pneumonia (primary atypical pneumonia) is usually caused by a pathogenic bacterium such as the pneumococcus (Streptococcus pneumoniae)
Indicate whether the statement is true or false