A patient says, "The people I work with hate me even though I'm given the hardest assignment. My boss makes it look like I'm doing less than the others.". An appropriate response by the nurse would be:
a. "It seems like you're in a very difficult position. No job is worth that kind of stress. Why not change jobs?"
b. "You can't have the hardest assignment and yet your co-workers don't see that and hate you. How can you be so sure that you're hated?"
c. "I think you should sit down and talk out your feelings with your boss. Perhaps you can come to a more agreeable situation with your co-workers.".
d. "Let me see if I understand. Your assignment appears to be easy, but it is really difficult. You feel your co-workers won't see that it's hard, and they'll hate you.".
D
This is a difficult situation. The patient is cognitively distorting the situation. Catastrophizing is thinking the worst about people and events. There may be other distortions, but using cognitive behavioral therapy involves separating issues for the patient to examine.
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A group of nurses are discussing the issue of medical errors in health care. The nurses understand the IOM's has developed a four-pronged approach to reduce medical errors. Which is one of those prongs?
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