A client diagnosed with depression states, "Even in high school I was a failure. It's a wonder I was associated with successful friends." The nurse knows this client is making:
1. A hard situation worse.
2. Attributions about his life.
3. Excuses about his present behavior.
4. Assumptions about his friends.
4
Rationale: As humans, we constantly ascribe causes to the events in our lives. By labeling or assigning meaning to a circumstance, or a set of circumstances, we make attributions ("I only got a grade of C. I'm no good at anything. Sarah and Francisco got A's. They can do anything."). Think of attributions as perceived causes that may or may not be objectively accurate. Depressed people often attribute failure to themselves and success to others. Then, we attribute associated features or characteristics to that circumstance (such as being a good student or knowing the material). Next, we expect a certain outcome from that circumstance and we behave consistently with that expectation. Finally, we have feelings that match, or are congruent with, the experience. The basic idea is that thoughts and behaviors lead to feelings.
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a. it could make respiratory distress syndrome worse. b. shivering to produce heat may use up too many calories. c. a low temperature may make the infant less able to digest nutrients. d. cold decreases circulation to the extremities.
Which of the following breakfast options will the nurse who is assisting a patient diagnosed with osteomalacia suggest considering the dietary consideration associated with osteomalacia?
A) Cereal with milk, a scrambled egg, and grapefruit B) Fresh fruit with granola sprinkled on the fruit C) Waffles with fresh strawberries and powdered sugar D) A bagel topped with vegetable cream cheese and a side dish of grapes
While the nurse is counseling a client about fibrocystic breast disease, the client asks if having this disorder will lead to cancer. The nurse's best response is:
1. "There is no direct link between this disease and breast cancer.". 2. "You will need to ask the primary healthcare provider that question.". 3. "This disease is a form of cancer.". 4. "Why are you so worried about this?"
What is an early sign of hypoxia?
a. hypotension b. use of accessory muscles c. crackles d. tachycardia