A nurse is planning to teach a group of clients about techniques to change unwanted behaviors. Which of the following techniques is the nurse using when they act out different scenarios and has clients respond by practicing new behaviors?
Systematic desensitization
Role Playing
Biofeedback
Cognitive restructuring
The Correct Answer is B
Choice A reason: Systematic desensitization is a behavioral therapy technique used to reduce phobias or anxiety by gradually exposing the client to the feared stimulus while teaching relaxation strategies. It does not involve acting out scenarios or practicing new behaviors in a group setting.
Choice B reason: Role playing is the correct answer because it involves acting out scenarios and practicing new behaviors in a safe environment. This technique allows clients to rehearse adaptive responses, gain confidence, and receive feedback. It is widely used in behavioral therapy and group education to promote skill acquisition and behavioral change.
Choice C reason: Biofeedback involves using monitoring devices to provide clients with information about physiological processes such as heart rate or muscle tension. Clients learn to control these processes voluntarily. While effective for stress reduction, it does not involve acting out scenarios or practicing interpersonal behaviors.
Choice D reason: Cognitive restructuring is a cognitive-behavioral technique focused on identifying and challenging distorted thoughts. It helps clients replace maladaptive thinking patterns with healthier ones. While important in therapy, it does not involve role enactment or practicing behaviors in scenarios.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Sleeping only 4 hours is common during mania and contributes to exhaustion, but it is not immediately life-threatening.
Choice B reason: Refusing to shower reflects poor self-care, which is expected in mania, but it does not pose an acute medical risk.
Choice C reason: Eating half a snack shows reduced intake but is not as urgent as fluid refusal.
Choice D reason: Refusing fluids is the priority because dehydration can quickly lead to severe complications such as electrolyte imbalance, cardiac dysrhythmias, and renal impairment. This requires immediate intervention.
Correct Answer is A
Explanation
Choice A reason: Encouraging the client to verbalize their feelings about hoarding is the first step because it establishes rapport and allows the nurse to understand the client’s perspective. Hoarding disorder is often associated with deep emotional distress, anxiety, and fear of loss. By exploring feelings first, the nurse builds trust and creates a foundation for further interventions. This therapeutic communication is essential before moving into education or referrals.
Choice B reason: Referring the client to a support group is beneficial but should not be the first action. Without first establishing trust and understanding the client’s feelings, the client may resist external interventions. Support groups are effective later in the care plan once the client is ready to engage with others.
Choice C reason: Discussing health risks is important but should follow after the nurse has explored the client’s feelings. Starting with risks may feel confrontational or judgmental, which could increase resistance. The nurse must first understand the client’s emotional attachment to hoarding before addressing risks.
Choice D reason: Completing the Hoarding Scale Self-Report is a useful assessment tool, but it is not the first action. The client may not be ready to engage in structured assessments until rapport and trust are established.
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