Author Question: A patient says, It's my fault because I always make bad decisions. I should never have taken that ... (Read 23 times)

RODY.ELKHALIL · **on:** Jul 19, 2018

A patient says, It's my fault because I always make bad decisions. I should never have taken that job. Using a rational-emotive approach, how would the nurse respond?

a. What can you do to solve your problems at work?
b. You're experiencing a great deal of stress right now. How can you manage it more effectively?
c. Can you describe a time in your childhood when your parents blamed you for things you didn't do?
d. Consider the words you are using to talk about yourself. Let's try to change those words to more positive ones.

Question 2

An adult diagnosed with paranoid schizophrenia lives with older adult parents

The patient was recently hospitalized with acute psychosis. One parent is very anxious, and the other is ill from all the stress. Select the most applicable nursing diagnosis.
a. Ineffective family coping related to parental role conflict
b. Caregiver role strain, related to the stress of chronic illness
c. Impaired parenting, related to patient's repeated hospitalizations
d. Interrupted family processes, related to relapse of acute psychosis

EAN94 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
The therapist using rational-emotive therapy helps the patient identify irrational thoughts and replace them with new, more positive self-statements to enable the patient to think, feel, and behave differently. The other options do not make use of the combination of cognitive, emotive, and behavioral components.

Answer to Question 2

B
Caregiver role strain refers to a caregiver's felt or exhibited difficulty in performing a family caregiver role. In this case one parent exhibits stress-related illness, and the other exhibits increased anxiety. The other nursing diagnoses are not substantiated by the information given and are incorrectly formatted (one nursing diagnosis should not be the etiology for another).