An advanced practice nurse recommends that a client participate in cognitive therapy. The client asks, "What's cognitive therapy and how can it help me?" Which is the nurse's most appropriate reply?
A. "It is a system of techniques in which you use positive thinking to improve your mood."
B. "It is a long-term interpersonal approach that emphasizes the role of early childhood experiences."
C. "It is an interpersonal treatment approach that specifically targets magical thinking."
D. "It is a type of psychotherapy that focuses treatment on the modification of distorted thinking and maladaptive behaviors."
D
Cognitive therapy is meant to be a time-limited intervention in which the therapist works in collaboration with the client to modify thinking to eliminate cognitive errors that reinforce emotional disturbances.
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A group of students are reviewing information about fluid balance and losses in children in comparison to adults. The students demonstrate a need for additional review when they identify which of the following?
A) Children have a proportionately greater amount of body water than do adults. B) Fever plays a greater role in insensible fluid losses in infants and children. C) A higher metabolic rate plays a major role in increased insensible fluid losses. D) The infant's immature kidneys have a tendency to overconcentrate urine more.
Nursing care of the infant who has had a myelomeningocele repair should include which intervention?
a. Securely fastening the diaper b. Measurement of pupil size c. Measurement of head circumference d. Administration of seizure medications
The parent of a child who has schizophrenia tearfully asks a nurse, "What could I have done differently to prevent this illness?" Select the nurse's most caring response
a. "Although schizophrenia is caused by impaired family relationships, try not to feel guilty. No one can predict how a child will respond to parental guidance." b. "Most of the damage is done, but there is still hope. Changing your parenting style can help your child learn to cope more effectively with the environment." c. "Schizophrenia is a biological illness with similarities to diabetes and heart disease. You are not to blame for your child's illness." d. "Most mental illnesses result from genetic inheritance. Your genes are more at fault than your parenting."
Protect your personal safety when making home care visits by
A) carrying essential items in a belt pack and leaving your purse in the trunk. B) wearing street clothes to the client's residence, then changing into your uniform. C) asking the client's family to stand outside to watch for your arrival. D) asking a friend or relative to accompany you on the home visit.