A Patient Says, "I Know I Have a Brain Tumor

question 25

Multiple Choice

A patient says, "I know I have a brain tumor despite the results of the magnetic resonance image (MRI) . The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited all day." Which response by the nurse fosters cognitive restructuring?

• A) "You do not have a brain tumor. The more you talk about it, the more it reinforces your illogical thinking."
• B) "Let's see whether any other explanations for your vomiting are possible."
• C) "You seem so worried. Let's talk about how you're feeling."
• D) "We should talk about something else."

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Definitions:

Need for Affiliation

A person's inherent desire to feel connected to others, seeking social bonds and meaningful relationships.

Need for Achievement

A psychological trait that drives individuals to achieve goals and excel in their endeavors.

Desire to Excel

The strong motivation or ambition to surpass others or oneself in performance or achievement.

Acquired Needs Theory

A motivational theory that categorizes an individual's specific needs into three categories: achievement, affiliation, and power.