A male client states, "I haven't left my house for six years.". The nurse realizes that the most helpful theory for dealing with this problem would come from:

1. Interpersonal theory.
2. Intrapersonal theory.
3. Behavioral theory.
4. Gender-bias theory.


3. Behavioral theory.

Rationale:
Behavioral theorists view phobias as conditioned learned responses. They would most likely use behavior modification for this client's agoraphobia. Intrapersonal theorists believe anxiety disorders are based on a reaction to past experiences resulting in the use of defense mechanisms. Interpersonal theorists believe people become anxious when they sense disapproval from significant others. Gender-bias theorists believe that women have been reinforced to behave dependently and become helpless. This client is male so gender-bias theory does not apply.

Nursing

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The nurse is supportive of the frustrated patient with expressive aphasia because the condition is characterized by (select all that apply):

1. speech that sounds normal, but makes no sense. 2. total inability to communicate. 3. difficulty understanding the written and spoken word. 4. stuttering and spitting. 5. difficulty initiating speech.

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An adolescent has systemic lupus erythematosus (SLE). An action by the adolescent that indicates acceptance of body changes with SLE would be that the teen

1. refuses to attend school. 2. doesn't want to attend any socialfunctions. 3. discusses the body changes with apeer. 4. discusses the body changes withhealthcare personnel only.

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After the patient's bath, the nurse should

a. Not offer a backrub because it is not therapeutic. b. Routinely give backrubs of 2 minutes or less. c. Assume that all patients need backrubs after their bath. d. Not offer a backrub for 48 hours after coronary artery bypass surgery.

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Over the years there have been different foci for care of vulnerable populations. Which of the following are trends related to caring for vulnerable populations? Select all that apply

1. Community-based care and interorganizational partnerships 2. Outreach and case finding 3. Elimination of disparities 4. Culturally and linguistically appropriate care

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