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Question 1 of 5

Which of the following is the primary focus of cognitive behavioral therapy (CBT)?

Correct Answer: D

Rationale: CBT focuses on identifying and correcting automatic thoughts (
D) to change behavior. Rewards (
A), underlying causes (
B), and social effects (
C) are secondary.

Question 2 of 5

The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?

Correct Answer: C

Rationale: Identifying peripheral pulses is critical to assess baseline circulation, as an abdominal aortic aneurysm can affect distal blood flow.

Question 3 of 5

A client is brought to the emergency room by the police. He is combative and yells, 'I have to get out of here. They are trying to kill me.' Which assessment is most likely correct in relation to this statement?

Correct Answer: C

Rationale: The client's statement reflects paranoid delusions, a belief that others intend harm, common in psychotic disorders.

Question 4 of 5

The nurse is caring for a postpartum client. Which of the following assessment findings would be a reason for concern during the client's postpartum stay?

Correct Answer: C

Rationale: Vaginal discharge should progress from rubra to serosa to alba. Reverting to rubra suggests possible retained placental fragments or bleeding, a cause for concern.

Question 5 of 5

The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?

Correct Answer: B

Rationale: Disalignment is a hallmark sign of a hip fracture due to bone displacement.

Similar Questions

The nurse is preparing to administer regular insulin by continuous IV infusion to a client with diabetic ketoacidosis. The nurse should:
The physician has ordered that a client recovering from back surgery be logrolled. The client has a draw sheet in place, and the nurse and an assistant are positioned with one on each side of the bed. Place the steps to logrolling (Roman numerals) in the correct sequence from first to last.
A home health nurse has four clients assigned for morning visits. The nurse should give priority to visiting the client with:
The nurse is caring for an unvaccinated child who developed complications related to German measles (rubella). Which of the following infection control protocols is appropriate?
On the second post-operative day after a subtotal thyroidectomy, the client tells the nurse, 'I feel numbness and my face is twitching.' What is the nurse's best initial action?

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