A client tells the nurse My doctor thinks my problems with stress ...

[Haya94]

A client tells the nurse My doctor thinks my problems with stress relate to the negative way I think
  about things, and he wants me to learn a new way of thinking..
 
  The nurse should be prepared to help
  the client understand and apply a cognitive technique called
  a. priority restructuring.
  b. reframing/restructuring.
  c. guided imagery.
  d. assertiveness.

Question 2

Which client would the nurse assess as being at greatest risk for becoming noncompliant with his or
  her treatment recommendations?
 
  a. G, who has diabetic neuropathy and depression
  b. H, who has had a mild stroke and arteriosclerosis
  c. I, who has chronic obstructive pulmonary disease and altered role performance
  d. J, who has unstable angina and type 2 diabetes

[cswans24]

Answer to Question 1

ANS: B
Cognitive reframing involves the individual reassessing a situation and
changing his or her perception of the stress. The altered perception allows the individual to
restructure the situation to one over which he or she can have a measure of control.
Option A: Priority restructuring involves replacing stressful activities with pleasant activities and is
not necessarily related to distorted or irrational cognitions. Option C: Guided imagery is a behavioral
technique. Option D: Assertiveness focuses on standing up for one's rights without violating the
rights of others. It is not necessarily related to distorted or irrational cognitions.

Answer to Question 2

A
Evidence tells us that comorbid depression creates increased risk for noncompliance with the
medical regimen. The other comorbidities have not been investigated for increased risk of
noncompliance.

[Haya94]

Excellent

[parshano]

TYSM