A client has been admited to a psychiatric-mental health facility in a manic state. The client's spouse accompanies the client to the facility and informs the nurse that the client has been displaying manic symptoms for the past 2 weeks. The spouse reports that the client has not slept for the past 2 days and that the client has not eaten anything for at least 3 days. Which would be the priority for this client?
Imbalanced nutrition.
Risk for violence.
Ineffective health maintenance.
Risk for suicide.
The Correct Answer is A
Choice A reason: This is the correct choice. Given the client has not eaten for several days, addressing nutritional needs is a priority to prevent further physical health complications.
Choice B reason: While there may be a risk for violence, the immediate physical health needs related to nutrition are more pressing.
Choice C reason: Ineffective health maintenance may be a concern, but it is not as immediate as the risk posed by imbalanced nutrition.
Choice D reason: There is no indication in the text that the client is at risk for suicide; therefore, this would not be the priority without further assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect. Flooding is a different technique from desensitization and involves intense and immediate exposure to the feared stimulus, which can be overwhelming and is not the gradual approach used in desensitization.
Choice B reason: This choice is incorrect. Simply teaching a patient to ignore or become immune to anxiety- producing situations does not address the underlying fear and is not a technique used in desensitization therapy.
Choice C reason: This choice is incorrect. While cognitive techniques may be part of a broader therapeutic approach, they are not the same as desensitization, which specifically involves gradual exposure combined with relaxation techniques.
Choice D reason: This is the correct choice. Desensitization therapy, also known as systematic desensitization, is a behavioral therapy technique that involves gradually exposing the patient to the feared object or situation while teaching them relaxation techniques to overcome their anxiety.
Correct Answer is D
Explanation
Choice A reason: Listening to music is generally considered a positive activity and not something to be avoided during recovery.
Choice B reason: Exercise is beneficial for mental health and is encouraged during recovery from substance use disorder.
Choice C reason: Reading can be a relaxing activity that does not typically trigger anxiety or cravings.
Choice D reason: This is the correct choice. Meeting up with old friends, especially those associated with past substance use, can be a significant trigger for relapse.
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