A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought-stopping technique?
"Ask a family member to check the locks for you at night.".
"Keep a journal of how often you check the locks each night.".
"Snap a rubber band on your wrist when you think about checking the locks.".
"Focus on abdominal breathing whenever you go to check the locks.".
The Correct Answer is C
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
No explanation
Correct Answer is C
Explanation
The correct answer is c. Recent head injury.
Rationale for choice c:
- Bupropion lowers the seizure threshold.
- Individuals with a history of head injury have an increased risk of seizures.
- Administration of bupropion to a client with a recent head injury could significantly elevate the risk of seizure activity.
- It's crucial for the provider to be aware of this risk and make an informed decision about whether to prescribe bupropion or consider alternative smoking cessation therapies.
Rationale for choice a:
- Hepatitis B infection does not generally contraindicate the use of bupropion.
- However,it's important to inform the provider of any underlying medical conditions for comprehensive assessment and management.
Rationale for choice b:
- Knee arthroplasty 1 month ago is not a contraindication for bupropion use.
- While pain management following surgery might be a consideration,bupropion is not known to interact with common analgesics used post-operatively.
Rationale for choice d:
- Hypothyroidism also does not contraindicate bupropion use.
- However,thyroid hormone levels should be monitored as bupropion may potentially impact thyroid function in some individuals.
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