A nurse is providing care to a client with a situational phobia. Which techniques would the nurse most likely include as an intervention in the client's plan of care? (Select all that apply.)

Assertiveness training.

Systematic desensitization.

Flooding.

Decatastrophizing.

Reminding the person to calm down.

Answer and Explanation

Correct Answer : B,C,D

Choice A reason: Assertiveness training is not a direct intervention for situational phobias, although it may help improve overall confidence.

Choice B reason: Systematic desensitization is a common technique used to treat phobias, where the client is gradually exposed to the fear-inducing situation in a controlled manner.

Choice C reason: Flooding is an exposure technique where the client is exposed to a high level of fear-inducing stimuli all at once, which can be effective for some phobias.

Choice D reason: Decatastrophizing helps clients challenge and change catastrophic thoughts that often accompany phobias.

Choice E reason: Simply reminding a person to calm down is not a therapeutic technique and is unlikely to be effective for someone with a situational phobia.

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Correct Answer is A

Explanation

Choice A reason: Dialectical behavior therapy (DBT) is a well-established treatment for borderline personality disorder, focusing on skills like mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness.

Choice B reason: While behavioral contracts can be part of treatment, they are not as central or evidence-based as DBT for borderline personality disorder.

Choice C reason: Bibliotherapy can be a supportive tool but is not a primary intervention for the complex needs of someone with borderline personality disorder.

Choice D reason: A safety plan is important, especially if there are concerns about self-harm or suicidal ideation, but it is not a comprehensive treatment approach like DBT.

A. The family has a high level of criticism and perfectionism. B. The family has a supportive and nurturing environment. C. The family has a history of similar disorders. D. The family has a lack of boundaries and control.

Correct Answer is A

Explanation

Choice A reason: A family environment characterized by high levels of criticism and perfectionism can contribute to the development of eating disorders like Bulimia Nervosa. Such an environment may lead to feelings of inadequacy and a focus on appearance, which are risk factors for Bulimia Nervosa.

Choice B reason: A supportive and nurturing environment is generally protective against the development of eating disorders.

Choice C reason: While a family history of similar disorders can be a risk factor due to genetic predisposition, it is not a family dynamic.

Choice D reason: Lack of boundaries and control within a family can contribute to various behavioral issues, but high criticism and perfectionism are more directly related to Bulimia Nervosa.

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A nurse is providing care to a client with a situational phobia. Which techniques would the nurse most likely include as an intervention in the client's plan of care? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning discharge for a client who has borderline personality disorder. Which of the following interventions should be included for this client?

Correct Answer is A

Explanation

When a community health nurse arrives at the home of a client diagnosed with Bulimia Nervosa, what family dynamic is most likely contributing to the client's condition?

Correct Answer is A

Explanation

A female client comes to the clinic regularly for various somatic issues that have been ruled out for any organic cause. She states that she works as one of the only women on a cybersecurity technical team. Which statement made by the client indicates that she may have suppressed anger?

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? Select all that apply.

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?

The nurse is educating the client about their diagnosis of somatic symptom disorder. Which statement by the client will indicate to the nurse that the education has been effective?

The nurse is performing an assessment for a client brought in by a family member who states they think the client has dementia. When evaluating the assessment data, which finding indicates that the client may likely have delirium and not dementia?

The nurse is caring for a client who delivered a newborn 2 days ago and states that they are experiencing crying spells, anxiety, and sadness that started the day after delivery. Which is the most therapeutic action by the nurse?