A patient states, "When I married my husband I thought he was perfect, but now I know that he is certainly far from perfect.". The nurse reframes the statement by responding:
a. "I think you might want to change your thinking since no one is perfect.".
b. "It seems as if you think of people as being either all good or all bad.".
c. "So, when did you start seeing your husband as a very bad person?"
d. "It is good to be able to both externalize and objectify your anger.".
B
Dichotomous thinking is a cognitive distortion that involves thinking in extremes (i.e., things are either all good or all bad). Reframing involves focusing on other aspects of the problem or encouraging the patient to see the issue from a different perspective. The nurse should avoid judgmental statements. The remaining options do not reframe or restate the patient's original statement.
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