Upon the client's arrival on the patient care unit, the nurse ...

[luvbio]

Upon the client's arrival on the patient care unit, the nurse begins implementation of the nursing process. Of which nursing theorist should the nurse's practice be most reflective?
 
  1. Ida Jean Orlando
  2. Jean Watson
  3. Dorothea Orem
  4. Hildegard Peplau

Question 2

Nurses are instrumental in helping clients during cognitive therapy. The nurse helps clients:
 
  1. Correct the id and the superego in relation to self-awareness.
  2. Examine connections of the mind, body, and spirit.
  3. Determine the best course of treatment.
  4. Identify unrealistic and negative thoughts.

[tofugiraffe]

Answer to Question 1

4
Rationale: Some say that the phases of Peplau's therapeutic nurseclient relationship are ancestors of the phases of the nursing process. While Orem, Watson, and Orlando guide the nurse in areas for assessment, analysis, planning, intervention, evaluation, etc., they do not identify specific phases or steps of the nurseclient interaction process.

Answer to Question 2

4
Rationale: The purpose of cognitive therapy is first to identify thoughts that are unrealistic, negative, or otherwise problematic. Once these thoughts are identified, they are examined for their impact on the individual. Nurses are instrumental in helping a client see how a particular set of thoughts can create a problem. When this connection is made, substituting neutral or positive thoughts for the problematic thinking schema takes place over time. Correcting automatic problematic thinking is a retraining experience. The individual must unlearn the maladaptive cognitive style, and then learn adaptive cognitions. The other choices are not relevant for cognitive therapy.

[luvbio]

TYSM

[lkanara2]

Excellent