A nurse is helping a client develop a plan to stop gambling. Which of the following interventions should the nurse include in the plan to set specific measurements for this behavior change?
The client will record attendance in community support groups.
The client will not participate in any gambling activities for the next 30 days.
The client provides a list of 10 people whom they consider to be supportive.
The client will call a support person when feeling stressed.
The Correct Answer is B
A. Recording attendance in support groups is beneficial but does not set a specific behavioral goal.
B. Setting a specific, measurable goal like abstaining from gambling for 30 days is a clear, quantifiable objective for behavior change.
C. Listing supportive people is helpful but does not provide a measurable behavior change goal.
D. Calling a support person when stressed is a good strategy but is not a specific measurement for stopping gambling.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Needle exchange programs are primary prevention strategies aimed at reducing the risk of disease transmission among current users.
B. Screening for Hepatitis B is a secondary prevention strategy to detect and address issues early.
C. Reinforcing a well-balanced diet is a general health promotion activity and does not directly address substance use treatment.
D. Providing information on drug rehabilitation facilities is a tertiary prevention strategy, which focuses on treatment and rehabilitation for those already affected by the condition.
Correct Answer is D
Explanation
A. Chorea involves involuntary, irregular movements and is typically associated with disorders like Huntington's disease rather than dementia from traumatic brain injury.
B. While visual disturbance can occur in individuals with dementia, visual field cuts alone may not necessarily indicate worsening of the condition unless they are accompanied by other concerning symptoms.
C. Decreased CD4 counts are related to immunocompromise, such as in HIV, and do not directly indicate worsening dementia.
D. Dementia related to a traumatic brain injury can result in a variety of cognitive and physical impairments. A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can occur in advanced stages of dementia or as the condition progresses. Therefore, a shuffling gait would indicate worsening of the client's condition.
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