A client living in a beachfront community is seeking help with an extreme fear of bridges, which is interfering with daily functioning. A psychiatric nurse practitioner decides to try systematic desensitization
Which explanation of this treatment should the nurse provide? 1. "Using your imagination, we will attempt to achieve a state of relaxation."
2. "Because anxiety and relaxation are mutually exclusive states, we can attempt to substitute a relaxation response for the anxiety response."
3. "Through a series of increasingly anxiety-provoking steps, we will gradually increase your tolerance to anxiety."
4. "In one intense session, you will be exposed to a maximum level of anxiety that you will learn to tolerate."
3
Rationale: The nurse should explain to the client that when participating in systematic desensitization he or she will go through a series of increasingly anxiety-provoking steps that will gradually increase tolerance. Systematic desensitization was introduced by Joseph Wolpe in 1958 and is based on behavioral conditioning principles.
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While being interviewed, a client admits to the nurse that she has been hearing voices and sounds for the past three days
Which response by the nurse is the most appropriate? 1. "How long have you been hearing these voices?" 2. "Tell me about what the voices tell you to do." 3. "These must be other things you are hearing." 4. "Do the voices bother you during the night only?"
Interventions to help caregivers cope with their anger focus on
1. learning to effectively interact with clients. 2. assessing which stressors and coping skills are being used. 3. learning to effectively control their feelings of anger. 4. establishing a trusting therapeutic relationship via clear communications.
Your patient has pulmonary emboli. You know that this patient has ventilation without what?
A) Shunting B) Perfusion C) Diffusion D) Gas excess
The third step of the nursing process encompasses planning and
a. assessment c. diagnosis b. evaluation d. outcome identifica-tion