A nurse is assisting a client who is working on the technique of systematic desensitization. Which statement made by the nurse best uses the principle of technique?
“I can see you are anxious. Let's stop for a minute."
“Use the deep breathing techniques we practiced yesterday."
"What is the worst that will happen if you confront this fear?"
“Tell me how you are feeling right now."
The Correct Answer is B
A. “I can see you are anxious. Let's stop for a minute." This option interrupts the exposure process. In systematic desensitization, the goal is to continue exposure while employing relaxation techniques, so stopping would not promote the gradual reduction of anxiety.
B. “Use the deep breathing techniques we practiced yesterday."This statement encourages the client to utilize a relaxation technique (deep breathing) while facing their fear, which is the core of systematic desensitization. By practicing relaxation in the presence of the feared stimulus, the client learns to associate the stimulus with calmness rather than anxiety.
C. "What is the worst that will happen if you confront this fear?" This option uses a form of cognitive restructuring, which is more aligned with cognitive-behavioral therapy (CBT) rather than systematic desensitization. This focuses on changing thought patterns rather than gradually exposing the person to their fear while inducing relaxation.
D. “Tell me how you are feeling right now." While it is important for the client to reflect on their feelings, this option does not promote relaxation or directly help the client manage their anxiety response during exposure. It focuses more on emotional processing rather than applying the desensitization technique.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
When discussing culturally competent care at a nursing staff inservice, the nurse should include information about the importance of focusing on clients’ cultures when providing care. Culture plays a significant role in determining when a client will seek medical care and how they will respond to treatment. Nonverbal communication is important in many cultures and can provide valuable information about a client’s needs and preferences. Nurses should strive to provide care that is respectful of and responsive to clients’ cultural beliefs and practices, rather than expecting clients to adapt to the care provided.
● “Culture plays no role in determining when a client will seek medical care.” This statement is incorrect because culture can play a significant role in determining when and how a client seeks medical care. Cultural beliefs and practices can influence a client’s understanding of health and illness, their attitudes towards healthcare providers, and their willingness to seek and adhere to treatment.
● “Nonverbal communication is important in few cultures.” This statement is incorrect because nonverbal communication is important in many cultures. Nonverbal cues such as body language, facial expressions, and gestures can convey important information about a client’s emotions, needs, and preferences. Understanding and responding to nonverbal communication can help nurses provide culturally competent care.
● “Nurses should expect clients to adapt to the care provided regardless of culture.” This statement is incorrect because it is not culturally competent to expect clients to adapt to the care provided without considering their cultural beliefs and practices. Nurses should strive to provide care that is respectful of and responsive to clients’ cultural beliefs and practices. This may involve adapting the care provided to meet the unique needs of each client.
Correct Answer is C
Explanation
This definition highlights the importance of positive relationships, effective coping strategies, a positive self-concept, and emotional stability in determining mental health.
The others are incorrect:
1. It is not easy to determine if a person is mentally healthy or mentally ill: Assessing mental health and diagnosing mental illness requires a comprehensive evaluation by trained professionals. Mental health is a complex and multifaceted aspect of overall well-being that involves various factors, and determining someone's mental health status is not a simple or straightforward process.
2. Persons who engage in fantasies are mentally ill: Engaging in fantasies is not necessarily indicative of mental illness. Fantasies can be a normal part of human imagination and creativity. However, the context and intensity of fantasies, along with other psychological and behavioral indicators, would need to be considered in a comprehensive assessment to determine if there are any underlying mental health concerns.
3. Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures: Cultural norms and values vary across societies, and what may be deemed acceptable or unacceptable behavior can differ significantly. There is no
universal standard for judging the acceptability of behavior across all cultures. Cultural relativism recognizes that behaviors and norms should be understood within their cultural context.
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