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A nurse is teaching a client who has gambling disorder about the use of cognitive reframing. Which of the following instructions should the nurse give the client?

"Perform deep-breathing exercises when you feel the urge to gamble."

"Use a journal to write down thoughts related to gambling."

"Reward yourself for not going to the casino for 1 week."

"Replace thoughts of gambling with positive self-statements."

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Deep breathing exercises can be a relaxation technique, but they don't directly address cognitive reframing.

Choice B rationale:

Using a journal to write down thoughts related to gambling can be useful for self-reflection, but it's not specifically a cognitive reframing technique.

Choice C rationale:

Rewarding oneself for not going to the casino can be part of a behavioral approach to managing gambling disorder, but it's not a cognitive reframing technique.

Choice D rationale:

Cognitive reframing involves identifying and replacing negative or distorted thoughts with positive and more rational thoughts. In the context of gambling disorder, this technique can help the client challenge and change the cognitive patterns that contribute to their gambling behavior.

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Correct Answer is B

Explanation

Choice A rationale:

While wearing a supportive bra is generally advisable, wearing it 24 hours a day is not necessary and may cause discomfort.

Choice B rationale:

Performing a breast self-exam 1 week after menstruation is recommended for individuals with fibrocystic breast condition. Hormonal changes during the menstrual cycle can affect breast tissue, and examining the breasts when they are less likely to be affected by hormonal fluctuations can provide a more accurate baseline for self-examination.

Choice C rationale:

Mammograms are recommended more frequently than every 4 years, especially for those with fibrocystic breast condition or other risk factors.

Choice D rationale:

Increasing caffeine intake can exacerbate symptoms of fibrocystic breast condition. Caffeine is known to contribute to breast pain and tenderness.

A. Store the injector in the refrigerator. B. Expect the solution to appear brown. C. Shake the device for 30 seconds to disperse sediment before injection. D. Hold the injector in place for 10 seconds after injection.

Correct Answer is D

Explanation

Choice A rationale:

Epinephrine auto-injectors should be stored at room temperature and protected from light. Refrigeration is not recommended.

Choice B rationale:

The solution in an epinephrine auto-injector should be clear. If it appears discolored or contains particles, it may be expired or compromised.

Choice C rationale:

Epinephrine auto-injectors should not be shaken before use, as shaking could cause the solution to foam and result in inaccurate dosing.

Choice D rationale:

Holding the epinephrine auto-injector in place for 10 seconds allows the medication to be fully delivered into the muscle, enhancing its effectiveness.

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A nurse is teaching a client who has gambling disorder about the use of cognitive reframing. Which of the following instructions should the nurse give the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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