A patient whose employment includes frequent travel asks for assistance with the fear of flying. Which behavioral treatment approach should be considered for this patient?
1. Psychoanalysis
2. Aversion therapy
3. Cognitive therapy
4. Systematic desensitization
4. Systematic desensitization
Explanation:
Systematic desensitization seeks to reduce a negative behavior through exposure to a feared object or situation paired with an activity designed to offset the resulting anxiety. Psychoanalysis explores psychodynamic patterns whose roots are in childhood experiences. Aversion therapy is not a standard treatment for phobias. Cognitive therapy involves addressing negative assumptions.
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The nurse is caring for a client receiving a blood transfusion. Ten minutes after the transfusion of a unit of packed red blood cells was initiated, the client complains of a headache
The nurse assesses that the client has slight shortness of breath and feels warm to the touch. Based on this data, which is the priority intervention for this client? A) Decrease the rate of the transfusion. B) Notify the client's health care provider. C) Prepare to resuscitate the client. D) Discontinue the transfusion.
A patient has been treated in the hospital for an episode of acute pancreatitis The patient has acknowledged the role that his alcohol use played in the development of his health problem, but has not expressed specific plans for lifestyle changes after discharge. What is the nurse's most appropriate response?
A) Educate the patient about the link between alcohol use and pancreatitis. B) Ensure that the patient knows the importance of attending follow-up appointments. C) Refer the patient to social work or spiritual care. D) Encourage the patient to connect with a community-based support group.
A patient with ESKD is scheduled to begin hemodialysis. The nurse is working with the patient to adapt the patient's diet to maximize the therapeutic effect and minimize the risks of complications. The patient's diet should include which of the following modifications?
A) Decreased protein intake B) Decreased sodium intake C) Increased potassium intake D) Fluid restriction E) Vitamin D supplementation
You are the circulating nurse caring for a 78-year-old patient who is scheduled for a total hip replacement. Which of the factors should you consider during the preparation of the patient in the operating room?
A) The patient should be placed in Trendelenburg position. B) The patient must be firmly restrained at all times. C) Pressure points should be assessed and well padded. D) The preoperative shave should be done by the circulating nurse.