A client is seeking treatment for a specific phobia. The nurse in the anxiety disorders clinic documents that the client's anxiety is related to exposure to the phobic object. Which is a realistic outcome for anxiety self-control in this situation?

Avoid the feared object whenever possible

Face the feared object without supportive assistance

State that the fear of the object is unrealistic and inappropriate

Practice relaxation techniques and report decreased physiological sensations associated with thoughts of the feared object

Answer and Explanation

The Correct Answer is D

D. Relaxation techniques, such as deep breathing, progressive muscle relaxation, or mindfulness exercises, can help reduce physiological arousal and anxiety symptoms associated with thoughts of the feared object.

A. Avoidance is a common coping mechanism for individuals with specific phobias. While avoidance may provide temporary relief from anxiety, it does not address the underlying fear and can perpetuate the phobia over time.

B. Facing the feared object without any support or guidance may be overwhelming and could potentially exacerbate anxiety rather than promote self-control.

C. While cognitive restructuring and challenging irrational beliefs about the feared object are important components of cognitive-behavioral therapy for specific phobias, simply stating that the fear is unrealistic and inappropriate may not be sufficient for anxiety self-control.

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Correct Answer is ["A","B","C"]

Explanation

A. Tardive dyskinesia can involve abnormal, involuntary movements of the hips, pelvis, and trunk.
B. Facial grimacing and eye blinking are common manifestations of tardive dyskinesia. These movements involve involuntary contractions of facial muscles, leading to facial distortions and repetitive blinking.
C. Tongue thrusting and lip smacking are classic signs of tardive dyskinesia. These movements involve involuntary protrusion of the tongue and repetitive puckering or smacking of the lips.

D. Fine hand tremors and pill rolling movements are more commonly associated with other movement disorders, such as Parkinsonism, which can also be caused by certain antipsychotic medications but are distinct from tardive dyskinesia.
E. Urinary retention and constipation are not typical symptoms of tardive dyskinesia. These symptoms may occur due to other factors, such as anticholinergic effects of medications or medical conditions unrelated to tardive dyskinesia.

A. Explain that antidepressants often take several weeks to be fully effective. B. Tell the client that the provider will need to change fluoxetine to a different medication. C. Speak to the provider about adding an MAOI to the current medication regimen. D. Recommend a sleep study be done on the client.

Correct Answer is A

Explanation

A. Fluoxetine and other selective serotonin reuptake inhibitors (SSRIs) typically require several weeks of treatment before the full therapeutic effects are realized. Therefore, it's important for the nurse to reassure the client that it may take some time for the medication to alleviate depressive symptoms fully.

B. While lack of improvement in depressive symptoms after two weeks of fluoxetine treatment may be concerning, it's generally recommended to wait at least 4 to 6 weeks before considering changing or adjusting the antidepressant regimen.

C. Monoamine oxidase inhibitors (MAOIs) are another class of antidepressant medications that may be considered for treatment-resistant depression. However, MAOIs have significant dietary and medication restrictions and carry the risk of potentially serious drug interactions.

D. While sleep disturbances are common in major depressive disorder, recommending a sleep study as the first intervention for a client who is not responding to antidepressant treatment after only two weeks may not be the most appropriate action.

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A client is seeking treatment for a specific phobia. The nurse in the anxiety disorders clinic documents that the client's anxiety is related to exposure to the phobic object. Which is a realistic outcome for anxiety self-control in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

A nurse is caring for a client who has major depressive disorder and was prescribed fluoxetine 2 weeks ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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