A cognitive strategy the nurse could use to help an excessively dependent client would be to have
the client
a. reveal his or her dreams.
b. take prescribed medications.
c. examine his or her thoughts about being independent.
d. choose an applicable diagnostic label from the DSM-IV-TR.
ANS: C
Cognitive theory suggests that one's thought processes are the basis of emotions and behavior.
Changing faulty learning makes development of new adaptive behaviors possible. Option A would
be used in psychoanalytically oriented therapy. Option B is an intervention associated with
biological therapy. Option D is not an appropriate intervention. Medical diagnosis is the prerogative
of the medical practitioner or advanced practice registered nurse.
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The nurse wishes to enhance sleep cycles in her critically ill patient. Research has shown that which nursing action improves sleep in critically ill patients?
A) Repositioning every 2 hours B) Hypnotic medications C) Five-minute back effleurage D) Adequate pain control
The nurse is working with a client who is diagnosed with posttraumatic ttress disorder (PTSD). The client is preparing for discharge in a week. On what should the nurse focus with this client?
1. Identify coping mechanisms and resources. 2. Notify the physician when having nightmares. 3. Find outlets for aggression. 4. Eliminate all anxiety.
On vaginal exam, the client's cervix is anterior, soft, 70% effaced, dilated 2 cm, and the presenting part is at 0 station. The Bishop's score for this client is:
a. 6. b. 9. c. 10. d. 12.
Communication is:
a. The verbal account of care and observa-tions b. The written account of care and observa-tions c. The medical record d. The exchange of information