According to the relapse prevention model, which of the following circumstances often precede a relapse? (Select all that apply)

Attending support groups

Decreased motivation

Planning a strategy

Negative emotional state

Stressful situations

Answer and Explanation

Correct Answer : B,D,E

A. Attending support groups generally helps to prevent relapse by providing social support and accountability, rather than preceding a relapse.
B. Decreased motivation is a common factor that can lead to relapse, as it often reduces an individual's commitment to maintaining behavior changes.
C. Planning a strategy is a proactive measure that helps in relapse prevention and does not typically precede a relapse.
D. A negative emotional state can trigger or contribute to a relapse by influencing a person's coping mechanisms and decision-making.
E. Stressful situations are known triggers for relapse, as they can overwhelm an individual and lead to reverting to previous behaviors as a coping mechanism.

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Correct Answer is A

Explanation

A. The belief that accepting end-of-life care represents a medical failure can prevent individuals from seeking quality care, as it may lead to reluctance or denial of appropriate palliative and hospice care services.
B. Receiving unemployment insurance does not directly relate to the barriers of seeking end-of-life care; it pertains more to financial assistance rather than care quality issues.
C. Inability to provide appropriate home care is a logistical challenge but not necessarily a major barrier to seeking quality end-of-life care, as other options like hospice care can be utilized.
D. Distrust in the medical community can be a barrier to seeking care, but the statement about accepting end-of-life care as a failure more directly addresses a significant barrier to accessing appropriate care.

A. Evaluating self-administration of insulin in a 68-year-old client with newly diagnosed diabetes mellitus B. Auscultating lung sounds in a 76-year-old client with decompensated heart failure taking a diuretic C. Monitoring blood pressure in an 86-year-old client with hypertension recently started on a new antihypertensive D. Changing a dry dressing on a 78-year-old client with poor vision who had sustained a laceration on the lower leg

Correct Answer is D

Explanation

A. Evaluating self-administration of insulin involves assessing a client's ability to manage their medication, which requires skilled nursing assessment and education.
B. Auscultating lung sounds is a skilled nursing task involving clinical assessment of respiratory status.
C. Monitoring blood pressure is a skilled nursing task that requires clinical assessment, especially when adjusting medications.
D. Changing a dry dressing is considered non-skilled care as it primarily involves routine care and does not require advanced clinical skills. This task is appropriate for a non-skilled caregiver.

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According to the relapse prevention model, which of the following circumstances often precede a relapse? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a group of staff nurses about perspectives on death and dying. Which of the following statements would the nurse identify as being a major barrier to seeking quality end-of-life care for individuals?

Correct Answer is A

Explanation

A case management nurse is arranging discharges for several clients. Which of the following interventions would the nurse recognize as suitable for non-skilled care?

Correct Answer is D

Explanation

The nurse is discussing the social ecological model in planning community-based programs. Which of the following statements would the nurse identify as the approach that this model uses?

According to the relapse prevention model, which of the following circumstances often precede a relapse? (Select all that apply)

What level of prevention does the nurse achieve by conducting a walk-through to identify workplace hazards?

The nurse is explaining to the family of a 78-year-old client with advanced cancer the criteria necessary for qualifying for hospice care. Which of the following criteria would the nurse indicate to the family as being a requirement to qualify for hospice care?

The nurse is preparing a continuing education class for a group of nurses on the impact of health disparities. Which of the following statements would the nurse include in the teaching session?

The nurse plans to use pamphlets to teach newly immigrated clients about diabetes mellitus. Prior to initiating this education, what priority information should the nurse obtain?

Which of the following clients would be appropriate for the nurse to recommend for pediatric palliative care services?

The nurse is planning health promotion programs for a community-based health center and is concerned about the health literacy of the community. Which of the factors would the nurse identify as being risk factors for low health literacy? (Select all that Apply)