A depressed client tells the nurse The bad things that happen are ...

[tnt_battle]

A depressed client tells the nurse The bad things that happen are always my fault.. To assist the
  client to reframe this overgeneralization, the nurse should respond
 
  a. I really doubt that one person can be blamed for all the bad things that happen..
  b. You are being exceptionally hard on yourself when you imply you are a jinx..
  c. What about the good things that happen; are any of them ever your fault?
  d. Let's look at one bad thing that happened to see if another explanation exists..

Question 2

The nurse is told that a client with disorganized schizophrenia is being admitted to the unit. The
  nurse should expect the client to demonstrate
 
  a. highly suspicious, delusional behavior.
  b. extremes of motor activity and excitement to stupor.
  c. social withdrawal and ineffective communication.
  d. severe anxiety and ritualistic behavior.

[Jane]

Answer to Question 1

D
By questioning a faulty assumption, the nurse can help the client look at the premise more
objectively and reframe it to a more accurate representation of fact. Option A casts doubt but does
not require the client to evaluate the statement. Option B states a fact but does not require the client
to evaluate the statement. Option C shifts the focus slightly and would probably elicit a no from
the client.

Answer to Question 2

C
Clients with disorganized schizophrenia demonstrate the most regressed and socially impaired
behaviors of the schizophrenias. Communication is often incoherent, with silly giggling and loose
associations predominating. Option A relates more to paranoid schizophrenia. Option B relates to
catatonic schizophrenia. Option D is seen with obsessive-compulsive disorder.