A client is seeking treatment for a specific phobia. The nurse in the anxiety disorders clinic documents that the client's anxiety is related to exposure to the phobic object. Which is a realistic outcome for anxiety self-control in this situation?

Avoid the feared object whenever possible

Face the feared object without supportive assistance

State that the fear of the object is unrealistic and inappropriate

Practice relaxation techniques and report decreased physiological sensations associated with thoughts of the feared object

Answer and Explanation

The Correct Answer is D

D. Relaxation techniques, such as deep breathing, progressive muscle relaxation, or mindfulness exercises, can help reduce physiological arousal and anxiety symptoms associated with thoughts of the feared object.

A. Avoidance is a common coping mechanism for individuals with specific phobias. While avoidance may provide temporary relief from anxiety, it does not address the underlying fear and can perpetuate the phobia over time.

B. Facing the feared object without any support or guidance may be overwhelming and could potentially exacerbate anxiety rather than promote self-control.

C. While cognitive restructuring and challenging irrational beliefs about the feared object are important components of cognitive-behavioral therapy for specific phobias, simply stating that the fear is unrealistic and inappropriate may not be sufficient for anxiety self-control.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

C. Excessive sweating, a low sodium diet, and diarrhea can all lead to dehydration and electrolyte imbalances, particularly low sodium levels (hyponatremia). Lithium is primarily excreted by the kidneys, and its clearance is influenced by sodium levels in the body. Decreased sodium levels can impair lithium excretion, leading to increased lithium levels and potential toxicity.

A. Green tea contains caffeine, which is a diuretic and can increase urine output. Since lithium is excreted primarily by the kidneys, increased urine output can lead to decreased lithium levels in the body and potentially subtherapeutic levels.

B. While exercise can increase sweat production, leading to fluid and electrolyte loss, moderate exercise alone is unlikely to cause significant lithium toxicity.

D. Increasing sodium intake can potentially enhance lithium excretion by promoting its renal clearance not accumulation and toxicity.

A. Monitor food intake and eliminate potential sources of tyramine. B. Assess for weight loss and difficulty sleeping. C. Monitor the client for migraines. D. Implement suicide precautions.

Correct Answer is D

Explanation

D. Children and adolescents with depression, especially when initiating or adjusting antidepressant medications like SSRIs, are at an increased risk of suicidal ideation and behavior. Therefore, it is crucial to prioritize the safety of the client by implementing suicide precautions, which may include close observation, removing potential means of self-harm, and involving the client in structured activities under supervision.

A. Monitoring food intake and eliminating potential sources of tyramine are considerations for clients taking monoamine oxidase inhibitors (MAOIs), another class of antidepressant medications, due to the risk of hypertensive crisis.

B. Weight loss and difficulty sleeping are potential side effects of SSRIs that may occur, particularly during the initial phases of treatment. However, suicide precautions are a priority

C. While SSRIs may cause headaches or migraines as potential side effects, monitoring for migraines specifically would not typically be a priority

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client is seeking treatment for a specific phobia. The nurse in the anxiety disorders clinic documents that the client's anxiety is related to exposure to the phobic object. Which is a realistic outcome for anxiety self-control in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?

Correct Answer is C

Explanation

An 11-year-old client has been hospitalized on the adolescent psychiatry unit with severe depression. For the past several weeks, the client has been prescribed a selective serotonin reuptake inhibitor (SSRI). What is the priority nursing action?

Correct Answer is D

Explanation

A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?

A coherent older client has been financially and emotionally abused by their adult children for the past several years but has not reported the abuse to anyone. Which is the most likely reason that the client has not reported the abuse?

A client experiences panic attacks when confronted with riding in elevators. The therapist is teaching the client ways to relax while incrementally exposing the client to getting on an elevator. This technique is called which of the following?

A nurse is caring for a client with paranoid personality disorder who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head down, and he is wringing his hands. Which of the following actions should the nurse take?

A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

A nurse is teaching a client who has a new prescription for disulfiram (Antabuse). Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply)