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 B

Explanation

A. A client who is experiencing withdrawal from oxycodone. Opioid withdrawal is uncomfortable but not typically life-threatening. Symptoms include nausea, vomiting, muscle aches, and sweating, but it does not commonly cause seizures. Seizure precautions are not necessary.
B. A client who is experiencing withdrawal from diazepam. Benzodiazepine withdrawal can lead to life-threatening complications, including seizures, tremors, anxiety, hallucinations, and delirium tremens. Since diazepam is a long-acting benzodiazepine, withdrawal symptoms may appear later but can still be severe, making seizure precautions essential.
C. A client who has a low lithium level. A low lithium level is unlikely to cause seizures. Seizure risk is associated with lithium toxicity, not low lithium levels. Symptoms of lithium toxicity include tremors, confusion, and seizures, but a deficiency does not pose the same risk.
D. A client who has a low imipramine level. Imipramine is a tricyclic antidepressant (TCA), and a low level would not increase seizure risk. Seizures are more commonly associated with TCA overdose, which can lead to cardiotoxicity and CNS toxicity, rather than low levels.

A. Give the client a cup of hot black tea before bed. B. Wake the client at the same time each morning. C. Take the client for a walk 2 hour before bedtime each night. D. Allow the client to take a 50 min nap immediately after lunch.

Correct Answer is B

Explanation

A. Give the client a cup of hot black tea before bed. Black tea contains caffeine, which is a stimulant that can interfere with sleep. Individuals with Alzheimer's disease are particularly sensitive to sleep disturbances, so avoiding caffeinated beverages before bedtime is recommended.
B. Wake the client at the same time each morning. Maintaining a consistent sleep schedule helps regulate the body’s internal clock and improves sleep quality. For individuals with Alzheimer's disease, a predictable routine reduces confusion and enhances overall well-being.
C. Take the client for a walk 2 hr before bedtime each night. While daytime physical activity is beneficial for sleep, exercising too close to bedtime can be stimulating rather than relaxing, making it harder for the client to fall asleep. A morning or early afternoon walk would be more appropriate.
D. Allow the client to take a 50 min nap immediately after lunch. Long or late naps can interfere with night-time sleep. If a nap is necessary, it should be brief (20–30 minutes) and earlier in the day to avoid disrupting the client’s sleep-wake cycle.

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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 reviewing the medical records of a group of clients. For which of the following clients should the nurse implement seizure precautions?

Correct Answer is B

Explanation

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?

Correct Answer is B

Explanation

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 assessing a client who reports using cocaine 1 hour ago. Which of the following findings should the nurse expect?

A nurse is caring for a client who has become violent and is threatening self-harm following a crisis. After ensuring enough staff are available, which of the following actions should the nurse take first?

A nurse is admitting a client who has posttraumatic stress disorder (PTSD) to a community mental health facility. Which of the following manifestations should the nurse expect when completing the admission assessment?

A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?

A nurse is conducting a child maltreatment screening of a family who has a toddler. Which of the following findings should the nurse identify as an indicator of possible child neglect?

A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse recommend a referral for assertive community treatment (ACT)?

A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following interventions should the nurse include?

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