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.".

Answer and Explanation

The Correct Answer is C

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Correct Answer is ["A","B","C","D"]

Explanation

A.Bradycardia, or a slow heart rate, is a common physiological finding in individuals with anorexia nervosa due to the body's adaptive response to conserve energy. The heart rate may drop below the normal range of 60-100 bpm.

B.Russell's sign refers to calluses or abrasions on the knuckles or back of the hand caused by self-induced vomiting. It's a physical indicator of recurrent vomiting in individuals with bulimia nervosa or severe anorexia nervosa.

C.Lanugo refers to fine, soft hair that grows on the face, back, and arms of individuals with anorexia nervosa. This is the body's attempt to increase warmth due to insufficient body fat, and it's a result of the malnutrition associated with the disorder.

D.Hypotension, or low blood pressure, is often seen in individuals with anorexia nervosa due to decreased cardiac output and volume. This can lead to dizziness, fatigue, and other cardiovascular symptoms.

E.Diarrhea is not a common finding in anorexia nervosa. Clients with anorexia nervosa are more likely to experience constipation due to malnutrition, dehydration, and the body’s reduced metabolic rate.

A. Seizure disorder. B. Crohn's disease. C. Asthma. D. Hypothyroidism.

Correct Answer is A

Explanation

The correct answer is choice a. Seizure disorder. Choice A rationale: Seizure disorder is a contraindication for aripiprazole therapy. Aripiprazole, an antipsychotic medication, can lower the seizure threshold, making seizures more likely in susceptible individuals. Thus, it should be used with caution or avoided in patients with a known seizure disorder (NCBI) (NLM.nih.gov). Choice B rationale: Crohn's disease is not a known contraindication for aripiprazole therapy. There is no significant evidence suggesting that aripiprazole exacerbates Crohn's disease or interacts adversely with it. Choice C rationale: Asthma is not a contraindication for aripiprazole. While asthma is a chronic condition that requires careful management, aripiprazole does not typically interfere with asthma medications or exacerbate respiratory symptoms. Choice D rationale: Hypothyroidism is not a contraindication for aripiprazole therapy. Aripiprazole does not have a significant impact on thyroid function, and patients with hypothyroidism can be treated with appropriate thyroid hormone replacement while on aripiprazole.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.).

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?

Correct Answer is A

Explanation

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