Author Question: A nurse is working with a patient to improve self-concept. To best assist the patient in realistic ... (Read 41 times)

vHAUNG6011 · **on:** Jul 19, 2018

A nurse is working with a patient to improve self-concept. To best assist the patient in realistic goal planning, the nurse will:

a. note the patient's use of logical and illogical thinking.
b. provide support measures to reduce the patient's anxiety.
c. clarify that the patient's beliefs affect the patient's feelings and behaviors.
d. help the patient understand that the patient alone can bring about personal change.

Question 2

A psychiatric nurse is obtaining a comprehensive history from a 32-year-old male client who has engaged in bulimic behaviors over the past 17 years.

When dealing with bulimia, the nurse knows that failure to improve may be associated with all EXCEPT which of the following? a. comorbid substance abuse
b. the use of structured cognitive behavioral therapy
c. borderline, narcissistic, and antisocial personality disorders
d. a long-term duration of symptoms before initial diagnosis and treatment

meganmoser117 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
Helping the patient to understand that only the patient, and not others, can bring about personal change is part of level 4, realistic planning. The remaining options relate to self-exploration, expanded self-awareness, and self-evaluation.

Answer to Question 2

B
Failure to improve is not associated with structured cognitive behavioral therapy. In fact, cognitive behavioral therapy has been shown to be more effective in treating bulimia than antidepressants alone. Impulsivity and depression in addition to the other mentioned issues may also be associated with failure to improve.