A nurse in a mental health clinic is assessing a client who was brought in by her adult daughter. The daughter states that her mother has not been able to leave her home for weeks because she is afraid to be outdoors alone. Which of the following phobias should the nurse anticipate planning care for managing?
Acrophobia
Xenophobia
Agoraphobia
Mysophobia
The Correct Answer is C
Choice A reason: Acrophobia is the fear of heights, which is not indicated by the client's fear of being outdoors alone.
Choice B reason: Xenophobia is the fear of strangers or foreigners, which does not align with the client's described fear.
Choice C reason: Agoraphobia is the fear of open spaces or being in crowded, public places like markets. It also includes the fear of leaving a safe place, such as home, which aligns with the client's symptoms.
Choice D reason: Mysophobia is the fear of germs, which is not related to the fear of being outdoors alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E","F"]
Explanation
Choice A reason: Exploring is a therapeutic technique that involves delving into a client's experiences and feelings, which can be beneficial in understanding their perspective.
Choice B reason: Silence can be a therapeutic technique that gives clients space to think and express themselves.
Choice C reason: Voicing doubt can undermine the client's confidence and is not considered a therapeutic response.
Choice D reason: Challenging may confront the client in a non-therapeutic way, potentially leading to defensiveness.
Choice E reason: Disapproving can make clients feel judged and is not conducive to a therapeutic relationship.
Choice F reason: Agreeing may not always be therapeutic as it can prevent clients from exploring all aspects of their issues.
Correct Answer is D
Explanation
Choice A reason: Gastric lavage is not indicated in this scenario as the client's lithium level is not extremely elevated. Gastric lavage is typically reserved for cases of acute lithium toxicity when levels are significantly higher than the therapeutic range.
Choice B reason: There is no need to hold the medication as the lithium level is within the normal therapeutic range, which is generally between 0.6 to 1.2 mEq/L. Early manifestations of toxicity typically occur at levels above 1.5 mEq/L.
Choice C reason: Checking the client's medication record is a standard procedure but does not take precedence over administering the medication. The lithium level indicates that the client has been compliant with the medication regimen.
Choice D reason: The nurse should administer the morning dose of lithium because the current level is within the therapeutic range, indicating that it is safe to continue the prescribed treatment.
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