A nurse is caring for a client in the outpatient mental health facility.

Exhibits

Drag words from the choices below to fill in each blank in the following sentence

The nurse should include in the teaching to the client that behavioral therapy will
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and
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Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

"Involve incremental exposure while using relaxation techniques." Exposure therapy involves gradually exposing the client to anxiety-provoking situations while using relaxation strategies such as deep breathing, progressive muscle relaxation, and positive self-talk. This approach helps the client manage anxiety and reduce avoidance behaviors over time.

"Involves increasing their interpersonal effectiveness." This is a component of dialectical behavior therapy (DBT), which is used to improve communication and relationship skills in conditions like borderline personality disorder. It is not an effective approach for treating specific phobias like claustrophobia.

"Help the client to practice the new skill in a role-playing situation." Role-playing is commonly used in social anxiety treatment or assertiveness training, where clients rehearse real-life interactions. However, specific phobias like claustrophobia require real-world or simulated exposure rather than role-playing.

"Target behavior with a negative stimulus to extinguish undesirable behavior." This describes aversion therapy, which involves pairing an unpleasant stimulus with an undesirable behavior (e.g., using a bitter nail polish to stop nail-biting). It is not suitable for phobia treatment, where gradual and controlled exposure is preferred over punishment-based approaches.

"Encourage the client to face their fears in a safe environment." Exposure therapy helps clients gradually confront their fears in a controlled, supportive setting. This allows them to build tolerance and confidence while ensuring that the exposure occurs safely and at a manageable pace to prevent overwhelming distress.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

Melatonin 5 mg orally at bedtime. Melatonin is a natural sleep aid commonly used in clients with Alzheimer’s disease to help regulate the sleep-wake cycle. Since the client has insomnia, this medication is appropriate and can improve sleep quality without significant side effects.

Memantine 10 mg orally twice daily. Memantine is an NMDA receptor antagonist used to treat moderate to severe Alzheimer's disease by slowing cognitive decline and improving daily functioning. Since the client has severe Alzheimer's, memantine is an appropriate and anticipated medication.

Donepezil 10 mg orally once daily. Donepezil is a cholinesterase inhibitor commonly prescribed for mild to severe Alzheimer's disease to enhance memory and cognitive function. It works by increasing acetylcholine levels in the brain and is a first-line treatment for Alzheimer's disease.

Haloperidol 2 mg orally every 12 hours. Haloperidol is an antipsychotic that can cause severe side effects in elderly clients with dementia, including extrapyramidal symptoms, sedation, falls, and an increased risk of death due to cardiovascular complications. Black box warnings advise against using antipsychotics for behavioral disturbances in dementia unless absolutely necessary. Therefore, it is contraindicated in this client.

A. Paranoid B. Histrionic C. Narcissistic D. Antisocial

Correct Answer is B

Explanation

A. Paranoid. Paranoid personality disorder is characterized by distrust and suspicion of others, often without justification. Clients with this disorder are unlikely to display flirtatious or seductive behaviors; instead, they may appear guarded, defensive, or hypervigilant.
B. Histrionic. Histrionic personality disorder involves excessive attention-seeking behaviors, emotional overreaction, and a need for approval. Clients often act flirtatious, seductive, or dramatic to gain attention and validation from others. Their self-esteem is dependent on external approval, making this the correct answer.
C. Narcissistic. Narcissistic personality disorder is marked by grandiosity, a need for admiration, and a lack of empathy. While narcissistic individuals may seek attention, their behavior is typically more arrogant and self-important rather than flirtatious or overly emotional.
D. Antisocial. Antisocial personality disorder is characterized by disregard for others' rights, manipulative behavior, and lack of remorse. These clients often engage in deceitful or aggressive behaviors but do not primarily seek attention through flirtation or emotional displays.

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A nurse is caring for a client in the outpatient mental health facility. Exhibits Drag words from the choices below to fill in each blank in the following sentence The nurse should include in the teaching to the client that behavioral therapy will dropdownanddropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing medication reconciliation on a client. Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated, or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

A nurse is caring for a client who exhibits excessive attention-seeking behaviors, including acting flirtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders?

Correct Answer is B

Explanation

A nurse is assessing a client who takes diazepam for anxiety and hydromorphone for severe pain. Which of the following is the priority finding that the nurse should report to the provider?

A nurse is providing teaching to the caretakers of a client who has Alzheimer's disease with mild cognitive decline. The client is beginning to experience sleep disturbances. Which of the following instructions should the nurse include?

A nurse is admitting a client who has borderline personality disorder and is at risk for self-mutilation. Which of the following interventions should the nurse incorporate in the plan of care?

A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?

A nurse is caring for a client who has undergone electroconvulsive therapy (ECT). The nurse should monitor the client for which of the following adverse effects of ECT?

Exhibits A nurse is planning care for a client who has been readmitted to an acute mental health unit. Which of the following actions should the nurse take? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)

A nurse is caring for a client who has bipolar disorder. The client says to the nurse. "Give me your pen to cut the pain out of my chest." The nurse should identify that the client is at risk for which of the following?

A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply).

A nurse is caring for a client in the outpatient mental health facility.

Exhibits

Drag words from the choices below to fill in each blank in the following sentence

The nurse should include in the teaching to the client that behavioral therapy will
dropdown
and
dropdown