The nurse is assisting a patient with obsessive thoughts. The advanced practice nurse suggests using thought-stopping techniques. Which of the following is an example of such a technique?
a. Have her reward herself with a treat for each 2-hour period completed without an obsessive thought.
b. Teach the patient to snap a rubber band on her wrist whenever an obsessive thought enters her mind.
c. Spend three 20-minute periods per day in meditation or doing deep-breathing exercises.
d. Encourage the patient to spend time with peers and maintain adequate nutrition and rest.
B
Thought stopping uses techniques such as rubber band snapping, saying "stop" aloud, and stomping one's foot to interrupt obsessive thinking. Option A: Modeling involves the therapist acting as a role model to demonstrate an appropriate behavior. Option B: Flooding exposes a patient to a large amount of a feared stimulus in an effort to extinguish the anxiety response. Option C: Desensitization involves gradual exposure to a feared stimulus.
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The nurse planning to teach a client to use Benson's relaxation techniques to treat hypertension is
essentially teaching the client to a. switch from the sympathetic mode of the autonomic nervous system to the parasympathetic mode. b. alter the internal state by acting on electronic signals related to physiologic processes. c. replace stress-producing activities with daily stress-reducing pleasant activities. d. reduce catecholamine production and produce ß-endorphins.
A woman who is Rh-negative is pregnant with her first child, and her husband is Rh positive. During her 12-week prenatal visit, she tells the nurse that she has been told that this is dangerous. What should the nurse tell her?
a. That no treatment is necessary b. That an exchange transfusion will be necessary at birth c. That no treatment is available until the infant is born d. That administration of Rh immunoglobulin is indicated at 26 to 28 weeks of gestation
The first nursing theorist who identified the importance of theory in nursing was
A. Virginia Henderson. B. Hildegard Peplau. C. Lydia Hall. D. Florence Nightingale.
A nurse is instructing a client regarding medications and substances contraindicated for the client with heart failure. Which of the following would not be contraindicated?
1. Alcohol 2. Furosemide 3. Metformin 4. Pioglitazone