The nurse knows that a client who has panic attacks when she sees waterfalls because she had been physically assaulted in a park with a waterfall, would benefit from the feature of cognitive and behavioral treatment of:
1. Suggesting alternative behavior.
2. Seeking social support.
3. Reframing.
4. Expressing affection.
3
Rationale: Cognitive and behavioral treatment consists of identifying and recognizing maladaptive thinking styles and working toward the acquisition of new skills for managing stressors. Features of treatment include teaching, interpreting, reframing, and learning and practicing new behaviors. Once thoughts and behaviors are realistically and rationally framed and implemented, emotional reactions will be consistent with them. Seeking social support and expressing affection are not part of cognitive and behavioral therapy. The client's need is to reframe, not just receive a suggested alternative behavior.
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An older adult with type 2 DM who is being treated with insulin wants to increase his activity level and begin a walking program. What recommendations should the nurse provide to this pa-tient?
a. A walking program is not recommended for an older adult with diabetes. b. The walking regimen needs to be done on a regularly scheduled basis. c. Regular exercise should not exceed 30 minutes three times a week. d. Insulin can most probably be discontinued if the individual adheres to the walking program.
Assessing a client's capillary refill is an important piece in determining vascular blood flow to an extremity
After pressing down on a client's fingernail or toenail for a few seconds and then releasing, the RN would expect the client's nail to return to a normal color in how many seconds? a. >15 seconds c. < .5 seconds b. < 3 seconds d. between 15-30 seconds
A client has chosen to undergo a simple mastectomy for stage I breast cancer. Which response below best describes this surgical procedure?
a. removal of the tumor mass and a small por-tion of adjacent tissue b. removal of only the cancerous mass c. removal of the entire breast, lymph nodes, and underlying muscle d. removal of the entire breast and lymph nodes
Flatulence is:
a. The excessive formation of gas or air in the stomach and intestines b. Gas or air passed through the anus c. A black, tarry stool d. Excreted feces