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A client asks the nurse about the meaning of behavioral therapy. Which description
describes the purpose of behavioral therapy?
1. Fosters positive behavioral change
2.Develops structure and organizes time
3.Creates insight into maladaptive behavior
4.Decreases stress through relaxation training - answr-Answer:
1. Fosters positive behavioral change
Rationale:
The purpose of behavioral therapy is to create effective changes in behavior.
Developing structure and organizing time describe aspects of milieu management.
Insight is a useful outcome of psychotherapy but does not always result in behavior
change. Relaxation training is a treatment modality effective for reducing stress.
A client diagnosed with depression says to the nurse, "Things would be so much better
for everyone if I just weren't around." Which response should the nurse make at this
time to assess the client's state of mind?
1."You sound very unhappy. Are you thinking of harming yourself?"
2."Have you talked to anyone specifically about what is bothering you?"
3."Those feelings will go away when your medication really takes effect."
4."I know what you mean; everyone gets that way when they are depressed." - answr-
Answer:
1."You sound very unhappy. Are you thinking of harming yourself?"
,Rationale:
Clients who are depressed may be at higher risk for suicide. When clients make
statements such as the one in the question, it is critical for the nurse specifically to
assess suicidal ideation and plan. The best method is to ask the client directly about
whether a specific plan has been formed. The incorrect options either do not address
the client's concern or place the client's feelings on hold.
The nurse monitors a client diagnosed with anorexia nervosa understanding that the
client manages anxiety by which action?
1.Engaging in self-mutilating acts
2.Observing rigid rules and regulations
3.Always reverting to the independent role
4.Constantly striving to avoid making decisions - answr-Answer:
2. Observing rigid rules and regulations
Rationale:
Clients with anorexia nervosa have the desire to please others. Rules and rituals help
them manage their anxiety. Their need to be correct or perfect interferes with rational
decision-making processes. These clients generally don't engage in self-mutilation
Which behavior in a client with schizophrenia demonstrates the client's cognitive
inability to appropriately process data from external stimuli?
1.The client remains in the same physical position for hours.
2.The client is convinced that the curtains are actually ghosts.
3.The client looks for a cat when someone says, "It's raining cats and dogs."
4.The client repeatedly asks, "Can you see my dead sister over by the door? - answr-
Answer:
2.The client is convinced that the curtains are actually ghosts.
Rationale:
, A delusion is a personal belief that is the product of dysfunctional processing of
information derived from external reality. This cognitive processing dysfunction is the
basis of schizophrenia. Catatonia is a stuporous state that renders the client incapable
of physical movement. Magical thinking is a result of concrete thinking that causes the
client to interpret a statement literally. Hallucinations are the result of distortions in
perceptions of the senses, but they are not reliant on internal or external stimuli
The nurse should be prepared to manage which occurrence unique to the abuse of
hallucinogenic drugs?
1.Flashbacks
2.Amotivational syndrome
3.Enhanced physical strength
4.Absence of pain perception - answr-Answer:
1. Flashbacks
Rationale:
Flashbacks, the recurrence of perceptual distortions, are unique to the use of
hallucinogenic drugs. Enhanced physical strength and the inability to feel pain are
indicative of phencyclidine use, whereas marijuana abuse can result in amotivational
syndrome
During a nursing interview, a client says, "My daughter was murdered. I can't help
wondering if her husband killed her, but he's been eliminated as a suspect." Which
statement is a therapeutic nursing response?
1."I agree. What do you want to bet he did it?"
2."Have you shared your concerns with the police?"
3."I don't think that you should blame yourself one little bit."
4."It feels terrible to lose a daughter. Your suspicions are only natural." - answr-
Answer:
2."Have you shared your concerns with the police?"
Rationale: