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 A

Explanation

A. Sudden change in the client's behavior increases the risk of suicidal behavior and hence requires observation and exploration.
B. Reward the client for her change in behavior: Positive reinforcement can be helpful, but it’s
essential to focus on evidence-based interventions rather than rewards.
C. Open communication is valuable, but it’s essential to approach this conversation with sensitivity. The client may not fully understand the reasons for their sudden change in behavior.

D. Sudden change in the client's behavior increases the risk of suicidal behavior and hence requires observation and exploration. It is therefore, not safe to discharge teh client at this point

A. Ask the client if she has considered harming her newborn. B. Anticipate a prescription by the provider for an antidepressant. C. Assist the family to identify prior use of positive coping skills in family crises. D. Reinforce postpartum and newborn care discharge teaching.

Correct Answer is B

Explanation

B. PPD requires timely intervention, and antidepressant medications can be effective in managing symptoms. Anticipating a prescription allows the nurse to prepare for the next steps in the client’s care.

A. While assessing for suicidal or harmful thoughts is essential, it is not the priority in this situation. The client’s symptoms (feeling “down,” sadness, lack of energy, and wanting to cry) are indicative of postpartum depression (PPD), and addressing her emotional well-being is the immediate concern.

C. While coping skills are important, focusing on the family’s coping mechanisms is not the priority at this moment. The client’s individual needs related to PPD take precedence.

D. Although postpartum and newborn care education is essential, it is not the priority when the client is experiencing symptoms of depression. Addressing the client’s emotional state and ensuring appropriate treatment are more urgent.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling "down" and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?

Correct Answer is B

Explanation

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