The most appropriate intervention for the nurse to use when integrating cognitive behavioral approaches into therapy for clients with bulimia nervosa is:
1. Individual interventions.
2. Behavior modification.
3. Family groups.
4. Client education.
4
Rationale: Education about the psychology of compulsive behavior and the physiologic effects of starvation and purging behaviors is usually incorporated into therapy. Cognitive behavioral education includes teaching new ways of thinking about issues, paired with new activities and behaviors to try. Behavior modification, family groups, and individual interventions may be included in client education.
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The nurse who is instructing the patient on the chest physiotherapy procedure informs him that relaxation is an important component. Relaxation can be achieved through instructing the patient on techniques related to which type of breathing?
A) Rapid nasal breathing B) Alternating rates of mouth breathing C) Intermittent positive-pressure breathing D) Diaphragmatic breathing
A 70-year-old patient has just received a drug that can cause sedation. What would be the priority nursing diagnosis for this patient?
A) Noncompliance: Cost of the drug B) Deficient knowledge: Unfamiliar with drug therapy C) Risk for injury: Related to adverse effects of the drug D) Ineffective health maintenance: Need for medication
The nurse is providing a psychotropic medication to an older client. Which findings are most concerning to the nurse? Select all that apply.
1. Intermittent, repetitive muscle movements 2. Frequent crossing and uncrossing of legs 3. Belief that a hooded figure is watching 4. Continual lip smacking and tongue movements 5. Disorganized speech and catatonic behavior
A patient tells a nurse that she recently lost her job and that ever since, she has been going home and verbally abusing her spouse and child. The patient has lost all of her friends and feels confused. This patient is presenting the defense mechanism of
1. Repression. 2. Displacement. 3. Conversion. 4. Restitution.