A nurse is working with a group of clients during group therapy. For which of the following client disorders will setting limits serve as an appropriate behavioral management technique?

Delirium

Depression

Antisocial personality disorder

Generalized anxiety disorder

Answer and Explanation

The Correct Answer is C

Choice A reason: Setting limits is not typically the primary behavioral management technique for clients with delirium. Delirium is an acute and often reversible state of confusion that requires addressing the underlying medical cause. Management strategies for delirium focus on reorientation, ensuring safety, and treating any underlying conditions rather than setting behavioral limits.

Choice B reason: Clients with depression may benefit from supportive and empathetic interactions rather than strict behavioral limits. While structure and routine can be helpful, the primary approach for managing depression involves therapeutic communication, medication management, and cognitive-behavioral strategies rather than setting limits on behavior.

Choice C reason: Setting limits is an essential behavioral management technique for clients with antisocial personality disorder. Individuals with this disorder often exhibit manipulative, deceitful, and aggressive behaviors. Clear and consistent limits help establish boundaries and prevent the exploitation of others. This approach promotes accountability and helps manage inappropriate behaviors in a therapeutic setting.

Choice D reason: Generalized anxiety disorder is characterized by excessive and persistent worry. Behavioral management techniques for anxiety disorders typically include cognitive-behavioral therapy, relaxation techniques, and sometimes medication. Setting limits is not a primary intervention for managing anxiety; rather, the focus is on reducing anxiety symptoms through therapeutic strategies.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: A decrease in appetite is not a typical effect of starting a nicotine transdermal system. In fact, individuals may experience an increase in appetite and potential weight gain after quitting smoking, as nicotine acts as an appetite suppressant. It is important for clients to be aware of this potential change so they can plan healthy eating habits and manage their weight effectively.

Choice B reason: Nicotine replacement therapy, including the nicotine transdermal system, is designed to help minimize symptoms of nicotine withdrawal. These symptoms can include cravings, irritability, anxiety, and difficulty concentrating. By providing a controlled release of nicotine, the transdermal system helps reduce the intensity of withdrawal symptoms and supports the quitting process.

Choice C reason: It is unrealistic to expect clients to stop smoking immediately after starting a nicotine transdermal system. The goal of nicotine replacement therapy is to gradually reduce dependence on nicotine while managing withdrawal symptoms. Clients are often encouraged to set a quit date and use the transdermal system as part of a comprehensive plan to stop smoking over time.

Choice D reason: Applying a new patch every 4 hours is incorrect and impractical. Nicotine transdermal patches are typically designed to be worn for 16 to 24 hours, depending on the specific product. Clients should follow the manufacturer's instructions and their healthcare provider's guidance for the proper use of the patch, usually replacing it once a day.

A. Use systematic desensitization to help prevent relapse. B. Your antidepressant medication will make you feel better in a few days. C. You should identify how you react to stressful events. D. Try snapping a rubber band on your wrist when depressive thoughts occur.

Correct Answer is C

Explanation

Choice A reason: Systematic desensitization is a technique primarily used for anxiety disorders and phobias, rather than for preventing relapse in depression. This method involves gradually exposing a person to anxiety-provoking stimuli while teaching them relaxation techniques to cope with the anxiety. While it is an effective therapeutic tool, it is not specifically aimed at preventing relapse in depression. Instead, it is more suitable for conditions where anxiety and avoidance behaviors are predominant issues.

Choice B reason: Antidepressant medications typically take several weeks to begin showing their full therapeutic effects, not just a few days. Telling a client that they will feel better in a few days can lead to unrealistic expectations and potential disappointment if the medication does not work immediately. Clients should be informed that it might take a few weeks to notice significant improvements and that they should continue taking the medication as prescribed and follow up with their healthcare provider.

Choice C reason: Identifying how one reacts to stressful events is crucial in managing depression and preventing relapse. Stressful events can trigger or exacerbate depressive episodes. By understanding their responses to stress, clients can develop coping strategies and seek appropriate support when needed. This proactive approach helps in recognizing early signs of relapse and implementing measures to mitigate the impact of stress on their mental health. Therefore, this advice is practical and directly applicable to preventing depression relapse.

Choice D reason: Snapping a rubber band on the wrist as a way to interrupt depressive thoughts is a behavioral technique that might work for some individuals in the short term. However, it is not a comprehensive strategy for preventing depression relapse. This method is more of a distraction technique and does not address the underlying issues or equip the client with long-term coping strategies. Effective relapse prevention in depression involves a more holistic approach, including cognitive-behavioral techniques, medication adherence, and lifestyle changes.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is working with a group of clients during group therapy. For which of the following client disorders will setting limits serve as an appropriate behavioral management technique?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for a nicotine transdermal system. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse?

Correct Answer is C

Explanation

A nurse in a mental health facility is contributing to the plan of care for a new client. Which of the following actions should the nurse plan to include in the working phase of the nurse-client relationship?

A nurse is caring for a client who has delirium. Which of the following findings should the nurse expect?

A nurse is reinforcing teaching with a client who is to receive electroconvulsive therapy. Which of the following statements should the nurse include in the teaching?

A charge nurse overhears a staff nurse talking to a nurse from another unit in the hallway. The staff nurse says, "I heard that Mr. Smith was admitted for a suicide attempt." Which of the following responses should the charge nurse make?

A nurse is caring for a client who has agreed to a verbal safety contract following a self-mutilation attempt. Which of the following behaviors indicates that the contract has been effective?

A nurse is caring for a client who has an anxiety disorder and reports ongoing difficulty sleeping at night. Which of the following recommendations should the nurse make?

A nurse is monitoring a client who is receiving haloperidol. Which of the following findings is the priority to report to the provider?

A nurse is collecting data from a client who is taking amitriptyline. Which of the following findings should the nurse report to the provider as an adverse effect of the medication?