In planning care for a client with negative thinking, the nurse ...

[justinmsk]

In planning care for a client with negative thinking, the nurse would intervene by teaching the client to:
 
  1. Identify and reframe negative thoughts.
  2. Discuss personal worthlessness with all unit peers.
  3. Make a list of things the client does poorly.
  4. Avoid unit activities until the client desires to participate.

Question 2

A client who is being physically and sexually abused states, God doesn't want to bother with me. Am I an evil person? Why do these things always happen to me? What's wrong with God?
 
  These statements indicate that the client is most likely experiencing:
  Standard Text: Select all that apply.
  1. Spiritual distress
  2. Anger
  3. Altered thought process
  4. Fear
  5. Hopelessness

[alvinum]

Answer to Question 1

1
Rationale: Research shows that the cognitive behavioral therapy techniques of identifying and reframing negative thoughts are effective. Avoiding participation in unit activities until the client desires to participate allows the client to isolate and become more self-absorbed. Discussing personal worthlessness with all unit peers may reinforce the negative thought patterns.

Answer to Question 2

1,2,4,5
Rationale: Spiritual distress. Victims of abuse are often plagued by spiritual questions.

[justinmsk]

Thanks for the timely response, appreciate it

[helenmarkerine]

Wow, this really help