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?

The client cannot claim abuse if there is no evidence of physical harm.

Laws do not provide protection against abuse when the suspect(s) is/are family members.

The client has no financial resources to hire legal representation against the client's children.

The client is emotionally close to the children and does not want to bring them harm.

Answer and Explanation

The Correct Answer is D

D. Victims of abuse, especially perpetrated by family members, may feel conflicted about reporting the abuse due to feelings of guilt, shame, or fear of repercussions.

A. This implies that the client may believe they cannot report the abuse because they perceive abuse as only valid if there is physical evidence of harm. However, it's important to recognize that abuse can take various forms, including emotional, psychological, financial, and neglectful abuse, which may not always leave physical evidence.

B. While it's true that cases of abuse perpetrated by family members can be complex and challenging to address legally, there are laws and resources available to protect victims of family abuse. Many jurisdictions have laws specifically addressing domestic violence and elder abuse.

C. Reporting abuse to appropriate authorities, such as adult protective services or law enforcement, does not necessarily require hiring legal representation.

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Correct Answer is B

Explanation

B. Systematic desensitization is a behavioral therapy technique used to treat phobias, anxiety disorders, and other fear-related conditions. It involves exposing the individual to the feared stimulus or situation gradually, starting with less anxiety-provoking scenarios and progressing to more challenging ones, while simultaneously teaching relaxation techniques to reduce anxiety.

Systematic desensitization is considered a more gentle and controlled approach compared to flooding and is often preferred for individuals with specific phobias or moderate levels of anxiety.

A. Flooding is a behavioral therapy technique that involves exposing the individual to the feared stimulus or situation at full intensity, without any gradual buildup or relaxation techniques. However, flooding can be highly distressing and overwhelming for some individuals, and it may not be suitable for everyone, especially those with severe anxiety or trauma-related disorders.

C. Cognitive restructuring is a cognitive-behavioral therapy technique used to identify and challenge irrational or negative thoughts and beliefs that contribute to emotional distress or maladaptive behaviors. While cognitive restructuring may be incorporated into treatment for anxiety disorders, it focuses more on addressing cognitive distortions rather than directly exposing the individual to feared stimuli or teaching relaxation techniques.

D. Combination therapy refers to the use of multiple therapeutic approaches or techniques simultaneously or sequentially to address a client's psychological symptoms or concerns. While combination therapy may involve elements of systematic desensitization, cognitive restructuring, and other techniques, it does not represent a specific therapeutic approach or technique on its own.

A. Irrational fear of certain objects. B. Rule-conscious behavior C. Difficulty relaxing D. Perfectionist behavior E. Unaware of compulsions

Correct Answer is ["D","E"]

Explanation

A. In OCD, individuals typically experience intrusive thoughts, images, or urges (obsessions) that cause anxiety or distress, rather than a specific fear of certain objects. While individuals with OCD may engage in compulsive behaviors related to their obsessions.
B. Rule-conscious behavior refers to a strict adherence to rules or regulations. While individuals with OCD may exhibit perfectionist tendencies and a need for orderliness, rule-conscious behavior is not a defining characteristic of OCD.
C. Individuals with OCD may experience difficulty relaxing due to the persistent nature of their obsessions and compulsions. Obsessions can trigger anxiety or distress, making it challenging for individuals with OCD to relax or engage in leisure activities without intrusive thoughts interfering. However, difficulty relaxing is not specific to OCD and can occur in other anxiety disorders as well.

D. Perfectionism is a common feature of OCD. Individuals with OCD often have unrealistic standards for themselves and may engage in compulsive behaviors to achieve a sense of perfection or symmetry. They may feel compelled to repeat tasks until they are "just right" or perform rituals to prevent perceived harm or catastrophe.

E. In OCD, individuals are typically aware of their compulsive behaviors, although they may feel driven to perform them to alleviate anxiety or prevent perceived harm. Compulsions are repetitive behaviors or mental acts that individuals feel driven to perform in response to obsessions or according to rigid rules.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following characteristics are expected findings of OCD? (Select all that apply.)

Correct Answer is ["D","E"]

Explanation

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