A client is diagnosed with an anxiety disorder. The nurse counselor recommends intervention with the behavioral technique of reciprocal inhibition. The client asks, "What's that?" Which is the most appropriate nursing reply?
A. "At the beginning of this intervention, a contract will be drawn up explicitly stating the behavior change agreed upon."
B. "By introducing an adaptive behavior that is mutually exclusive to your maladaptive behavior, we will expect subsequent behavior to improve."
C. "Through a series of increasingly anxiety-provoking steps, we will gradually increase your tolerance to anxiety."
D. "In one intense session, you will be exposed to a maximum level of anxiety that you will learn to tolerate."
ANS: B
Reciprocal inhibition decreases or eliminates an undesired behavior by introducing a more adaptive behavior that is incompatible with the undesired behavior.
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A nurse prepares to discharge an older adult client home from the emergency department (ED). Which actions should the nurse take to prevent future ED visits? (Select all that apply.)
a. Provide medical supplies to the family. b. Consult a home health agency. c. Encourage participation in community activities. d. Screen for depression and suicide. e. Complete a functional assessment.
A nursing instructor is teaching about the DSM-5 diagnosis of depersonalization-derealization disorder (D-DD). Which student statement indicates a need for further instruction?
1. "Clients with this disorder can experience emotional and/or physical numbing and a distorted sense of time." 2. "Clients with this disorder can experience unreality or detachment with respect to their surroundings." 3. "During the course of this disorder, individuals or objects are experienced as dreamlike, foggy, lifeless, or visually distorted." 4. "During the course of this disorder, the client is out of touch with reality and is impaired in social, occupational, or other areas of functioning."
A nurse reads that a case involving the care provided in a hospital will be reviewed by the United States Supreme Court. The nurse suspects that which situations could have occurred?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The case involves a constitutional issue. 2. Two lower federal courts have reached different conclusions in the case. 3. The hospital involved is a military hospital. 4. The care in question included the suspicion of premeditated homicide. 5. The patient involved in the case was an undocumented alien.
The nurse plans care for a patient with impaired swallowing. Which outcome would be appropriate for the nurse to include in the patient's plan of care?
a. The patient holds food in the pockets of the mouth. b. The nurse observes no movement of the larynx during swallowing. c. The patient maintains a stabilized weight for 3 consecutive days. d. The patient swallows four times after each mouthful.