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 distortions.
c. a 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 self-soothe. The incorrect options are less likely to have a bearing on this behavior.
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