Which statement made by a client who has agoraphobia and does not leave her home identifies the
thinking typical of a client with this disorder?
a. "I know I'll get over not wanting to leave home soon; it just takes time.".
b. "When I have a good incentive to go out, I'll be able to do it.".
c. "My husband and kids tell me they like it now that I stay home.".
d. "Being afraid to go out seems ridiculous, but I can't go out the door.".
ANS: D
The individual who is agoraphobic generally acknowledges that the behavior is not constructive and
that he or she does not really like it. The symptom is ego dystonic. However, the client will state he
or she is unable to change the behavior. Options A and B: Agoraphobics are not optimistic about
change. Option C: Most families are dissatisfied with the behavior.
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An older adult patient has been admitted to a busy medical unit. To control environmental stimuli a nurse should do which of the following?
a. Leave the hospital room lights on at all times. b. Turn off bedside equipment not in use. c. Leave the window curtains closed at all times. d. Leave the door open so the patient can hear the staff and feel secure.
Foods containing salicylates may increase the risk of adverse reactions in clients receiving salicylates. The nurse recommends that a client avoid the intake of which of the following? Select all that apply
A) Turkey B) Pepper C) Paprika D) Tea E) Prunes
A child diagnosed with AIDS comes to the clinic for routine immunizations. In giving immunizations to the child who has AIDS, the nurse can safely administer which vaccine to prevent disease?
A) Poliomyelitis B) Measles C) Mumps D) Chickenpox
The client in labor with meconium-stained amniotic fluid asks why the fetal monitor is necessary because the belt is uncomfortable. What should the nurse explain about monitoring?
1. "It helps us to see how the baby is tolerating labor." 2. "It can be removed, and oxygen can be given instead." 3. "It is necessary so we can see how your labor is progressing." 4. "It will prevent complications from the meconium in your fluid."