A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?

"I will join an online book club."

"I should avoid entering elevators and other closed spaces."

"I plan to sit on a park bench for a few minutes each day."

"I can try participating in group therapy every week."

Answer and Explanation

The Correct Answer is C

C. This statement demonstrates an understanding of exposure therapy, a key component of agoraphobia treatment. Exposure therapy involves gradually facing feared situations or environments to reduce anxiety and desensitize the individual to their triggers.

A. While joining an online book club is a positive social activity, it does not directly address the fear associated with agoraphobia.

B. This statement reflects avoidance behavior, which is common in agoraphobia. However, avoiding

elevators and closed spaces perpetuates the fear and limits the client’s ability to function.

D. Group therapy can be beneficial for clients with agoraphobia. It provides social support, coping strategies, and exposure to others. However, this choice does not directly address the fear of open spaces.

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Correct Answer is B

Explanation

B. Understanding the precipitating factors is essential for developing effective treatment strategies tailored to the individual's specific needs. By identifying triggers, the nurse can work with the client to develop coping mechanisms and interventions to manage these triggers and reduce the frequency or intensity of obsessive-compulsive symptoms.

A. Providing a structured activity schedule can be helpful for individuals with OCD as it can promote a sense of routine and predictability. However, while structuring activities is beneficial, it may not address the immediate needs of the client upon admission.

C. Teaching relaxation techniques, such as deep breathing exercises, progressive muscle relaxation, or guided imagery, can be beneficial for managing anxiety and stress associated with OCD symptoms. However, like option A, while relaxation techniques are important, they may not address the immediate needs of the client upon admission.

D. Exploring alternative coping strategies with the client involves brainstorming and discussing various techniques or approaches to managing obsessive-compulsive symptoms. However, identification of triggers is a priority.

A. "This medication will decrease your symptoms of OCD." B. "This medication may cause excessive salivation." C. "You may experience dizziness upon standing while taking this medication:" D. "You can stop taking the medication if the adverse effects are bothersome."

Correct Answer is C

Explanation

A. Haloperidol is not typically used to treat obsessive-compulsive disorder (OCD), which is a separate psychiatric condition with distinct symptoms and treatment approaches.

B. This is not a common side effect of haloperidol.

C. Haloperidol can cause orthostatic hypotension, which can lead to dizziness upon standing.

D. Abruptly stopping antipsychotic medication, such as haloperidol, can lead to withdrawal symptoms and a worsening of psychiatric symptoms.

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A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has schizophrenia and is to begin taking haloperidol. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

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