A nurse is caring for a client who has dementia and insists that a doll is their infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?

Cognitive reframing.

Thought stopping.

Validation therapy.

Operant conditioning.

Answer and Explanation

The Correct Answer is C

A reason: Cognitive reframing. Cognitive reframing involves changing the way a person thinks about a situation to reduce stress or anxiety. While useful in some cases, it is not the most appropriate technique for addressing delusions in clients with dementia.

B reason: Thought stopping. Thought stopping is a technique used to interrupt and control intrusive thoughts, often used in cognitive-behavioral therapy. It is not suitable for managing the delusions of a client with dementia.

C reason: Validation therapy. Validation therapy involves accepting the client's perception of reality and responding in a way that acknowledges their feelings and experiences. For a client with dementia who believes a doll is their infant child, validation therapy helps provide comfort and reduces distress by not challenging their beliefs.

D reason: Operant conditioning. Operant conditioning involves using reinforcement to encourage desired behaviors and discourage undesired ones. It is not appropriate for addressing the delusions of a client with dementia, as it does not validate their experiences.

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Correct Answer is C

Explanation

A reason: Provide additional attention to the client. While providing support and attention is important, it can reinforce attention-seeking behaviors in clients with borderline personality disorder. The care plan should balance support with boundaries.

B reason: Apply mechanical restraints before administering medication. Using restraints as a first-line intervention is not appropriate and should be avoided unless there is an immediate risk of harm. Less restrictive measures should be used initially.

C reason: Obtain a verbal contract from the client. A verbal contract, or a no-harm agreement, can be an effective strategy to engage the client in their own safety plan and reduce the risk of self-mutilation. It encourages the client to commit to seeking help before engaging in self-harm.

D reason: Limit staff members who work with the client. Consistency in care is important for clients with borderline personality disorder to build trust and maintain clear communication. Limiting staff changes helps provide stable and predictable care.

A. A client who has new-onset depression. B. A client who is experiencing auditory hallucinations. C. A client who is experiencing mania. D. A client who has somatic symptom disorder.

Correct Answer is D

Explanation

A reason: A client who has new-onset depression. While assertiveness training can be beneficial for clients with depression, it may not be the most immediate need for someone with new-onset depression. Initial treatment should focus on managing depressive symptoms.

B reason: A client who is experiencing auditory hallucinations. Clients experiencing active psychotic symptoms, such as auditory hallucinations, may have difficulty engaging in and benefiting from assertiveness training. Stabilizing their symptoms is the priority.

C reason: A client who is experiencing mania. Clients in a manic state may struggle to focus and participate effectively in assertiveness training. Managing manic symptoms is the primary concern for these individuals.

D reason: A client who has somatic symptom disorder. Clients with somatic symptom disorder often struggle with expressing their needs and feelings assertively. Assertiveness training can help them communicate more effectively and reduce the psychological distress associated with their physical symptoms.

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A nurse is caring for a client who has dementia and insists that a doll is their infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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