The care plan for an engineer with agoraphobia includes increasing self-esteem with cognitive restructuring. When the patient tells the nurse, "I'm not smart enough to get that job," the nurse should say:
a. "You must be smart to be in that position.".
b. "You should not demean your abilities.".
c. "Let's stop and think about what you just said.".
d. "Poor self-esteem is behind that comment.".
C
Cognitive restructuring calls for the patient to examine automatic negative thoughts about himself and replace them with more realistic evaluations of his own abilities. The other options would not promote examination of the negative thinking exhibited by the patient.
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