A client believes she has a brain tumor despite numerous ...

[darbym82]

A client believes she has a brain tumor despite numerous diagnostic tests that show no evidence of a
  tumor. She tells the nurse People with brain tumors vomit. Yesterday I vomited all day. I know I
  have a brain tumor..
 
  The approach that fosters cognitive restructuring is
  a. You do not have a brain tumor. The more you talk about it, the more it reinforces
  your illogical thinking. We'll talk about something else..
  b. Let's see if there are any other possible explanations for your vomiting..
  c. How worried you seem Let's talk about how you're feeling..
  d. What interpersonal problems have you had recently?

Question 2

The physician mentions that a client's dementia may be associated with either Alzheimer's disease
  or multiple infarcts.
 
  For the physician to make a differential diagnosis with the least expensive test,
  the nurse should expect to prepare the client for a
  a. computed tomography (CT) scan.
  b. magnetic resonance imaging (MRI) scan.
  c. PET scan.
  d. single-photon emission computed tomography (SPECT) scan.

[kaykay69]

Answer to Question 1

ANS: B
Questioning the evidence is a cognitive restructuring technique. Learning that headaches, visual
disturbances, weakness, and vomiting can have causes other than the feared disease can be helpful in
changing distorted perceptions. Option A does not foster questioning on the part of the client. Option
C is empathetic, but does not foster restructuring. Option D queries, but not with an appropriate
focus.

Answer to Question 2

ANS: A
The CT scan could be expected to show the presence or absence of cortical atrophy, ventricular
enlargement, and areas of infarct, information that would be helpful to the physician. The CT scan is
the least expensive of the imaging techniques listed.