A patient with pneumonia has been hospitalized for 4 days. Family members describe the patient as "a difficult person who finds fault with others." The patient verbally abuses nurses for their poor care. The most likely explanation lies in:

a. poor childrearing that did not teach respect for others.
b. automatic thinking, leading to cognitive distortion.
c. personality style that externalizes problems.
d. delusions that others wish to deliver harm


ANS: C
Patients whose personality style causes them to externalize blame see the source of their discomfort and anxiety as being outside themselves. They displace anger and are often unable to soothe themselves. The incorrect options are less likely to have a bearing on this behavior.

Nursing

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