For planning purposes, the nurse caring for a client with a social phobia should know that an
effective treatment for this disorder is
a. analysis.
b. thought stopping.
c. cognitive therapy.
d. response prevention.
ANS: C
Cognitive therapy assists the client to identify automatic, negative beliefs that cause anxiety,
reevaluate the situation, and replace negative self-talk with supportive ideas. Option A: Analysis is
expensive, requires years of commitment, and may not be effective. Options B and D: Thought
stopping and response prevention are more useful to treat obsessive-compulsive disorder.
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A nurse is seeking consultation on strategies to cope with the potential for burnout while working on a psychiatric unit. Which of the following strategies demonstrates the nurse's ability to reduce the occurrence of burnout?
1. Focus on paperwork when the stress of listening to the clients becomes too much. 2. Pursue personal needs for social interactions during days off. 3. Take breaks often to relieve internal stress signals. 4. Maintain an accurate awareness of each client's needs throughout inpatient stays.
The nurse is examining a patient's retina with an ophthalmoscope. Which finding is considered normal?
a. Optic disc that is a yellow-orange color b. Optic disc margins that are blurred around the edges c. Presence of pigmented crescents in the macular area d. Presence of the macula located on the nasal side of the retina
A patient had a bowel resection 5 days ago. Which request by the patient might alert the nurse that the patient has a history of substance abuse?
1) Oral pain medication once every 6 to 8 hours 2) Patient-controlled analgesic 3) Oral pain medications instead of the IM form 4) Only nonpharmacological pain measures
An adolescent is admitted to the pediatric hospital following an appendectomy. Current medications include atomoxetine (Strattera). Which of the following nursing interventions related to this medication is indicated?
A) Monitor for signs and symptoms of withdrawal. B) Encourage ambulation. C) Prevent diversional activity deficit. D) Observe for suicidal thinking.