A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure.
The client informs the nurse that they do not want to have the procedure.
Which of the following actions should the nurse take?

Obtain consent from the client's family member.

Inform the client that they have the legal right to refuse treatment at any time.

Request another nurse to review the procedure with the client.

Encourage the client to have the procedure.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Obtaining consent from the client's family member is not the appropriate action in this scenario. The client has the right to make decisions about their own medical treatment, and the consent should come from the client themselves, not a family member.

Choice B rationale:

Informing the client that they have the legal right to refuse treatment at any time is the correct action. Informed consent is a fundamental principle of medical ethics, and the nurse should respect the client's autonomy and right to make decisions about their own healthcare.

Choice C rationale:

Requesting another nurse to review the procedure with the client may be helpful in providing additional information and support, but it does not address the client's right to refuse treatment. The primary responsibility is to ensure that the client is aware of their right to refuse.

Choice D rationale:

Encouraging the client to have the procedure goes against the principle of respecting the client's autonomy and right to make their own decisions about their healthcare. The nurse should not pressure the client into having the procedure.

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Correct Answer is A

Explanation

Refer the client to a self-help group.

Choice B rationale:

Teach the client to practice systematic desensitization. Systematic desensitization is a therapeutic technique primarily used for phobias and anxiety disorders. It is not a standard treatment for alcohol use disorder. While it might help with some aspects of anxiety related to substance abuse, it is not a core recommendation for this condition.

Choice C rationale:

Request a discharge prescription for buprenorphine for the client. Buprenorphine is typically prescribed for opioid use disorder, not alcohol use disorder. It is not an appropriate medication for treating alcohol addiction.

Choice D rationale:

Contact a close relative of the client to discuss the discharge plan. Involving a close relative in the discharge plan can be beneficial for providing social support and ensuring a safer transition. However, it is not the primary recommendation. Referring the client to a self-help group (Choice A) is more focused on addressing the alcohol use disorder directly.

A. "Exposure and response prevention involves avoiding the triggers that lead to obsessions and compulsions.”. B. "During exposure and response prevention, you'll engage in the compulsive behaviors to reduce anxiety gradually.”. C. "Exposure and response prevention helps you face the situations that trigger anxiety while preventing the compulsive behaviors.”. D. "In exposure and response prevention, we eliminate all exposure to the situations that cause distress and anxiety.”. .

Correct Answer is C

Explanation

Choice A rationale:

Exposure and response prevention does not involve avoiding triggers that lead to obsessions and compulsions. It actually involves confronting these triggers to reduce their impact on the individual. Avoidance would not be an effective strategy in CBT for OCD.

Choice B rationale:

Engaging in compulsive behaviors to reduce anxiety is not the goal of exposure and response prevention. Instead, the therapy aims to help individuals resist engaging in these behaviors, allowing them to gradually reduce their anxiety over time.

Choice C rationale:

This is the correct answer. Exposure and response prevention in CBT for OCD involves facing situations that trigger anxiety while preventing the compulsive behaviors. This process helps individuals learn to tolerate the anxiety without resorting to compulsions, ultimately reducing the obsessions and compulsions' severity.

Choice D rationale:

Eliminating all exposure to distressing situations is not the goal of exposure and response prevention. The therapy aims to expose individuals to these situations in a controlled manner so they can learn to manage their anxiety and reduce compulsive behaviors. In exposure and response prevention, the key principle is to gradually expose the individual to situations that trigger their obsessions while simultaneously preventing the performance of compulsive behaviors. This approach allows the individual to confront their fears and anxiety, gradually reducing their sensitivity to these triggers.

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A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure.The client informs the nurse that they do not want to have the procedure.Which of the following actions should the nurse take?

Nursing Test Bank

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A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendations should the nurse include in the plan?

Correct Answer is A

Explanation

A client with OCD is undergoing cognitive-behavioral therapy (CBT). The client asks the nurse, "How does exposure and response prevention work in treating OCD?" Which response by the nurse accurately explains this aspect of CBT?

Correct Answer is C

Explanation

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A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure.
The client informs the nurse that they do not want to have the procedure.
Which of the following actions should the nurse take?