A nurse is caring for a client who has a phobia of elevators. Which of the following behavioral strategies should the nurse plan to use to decrease anxiety?
Response prevention.
Systematic desensitization.
Thought stopping.
Flooding.
The Correct Answer is B
Choice A reason: Response prevention is a technique often used in the treatment of obsessive-compulsive disorder (OCD). This approach involves preventing the client from engaging in the compulsive behavior they typically perform in response to an anxiety-producing obsession. While effective for OCD, this technique is not typically used for treating specific phobias like the fear of elevators.
Choice B reason: Systematic desensitization is an effective behavioral strategy for decreasing anxiety related to specific phobias. This method involves gradually exposing the client to the feared object or situation—in this case, elevators—in a controlled and progressive manner while teaching relaxation techniques. By slowly and systematically confronting the phobia, the client can learn to reduce their anxiety response over time. This approach helps them manage their fear more effectively and builds their confidence in facing the phobic situation.
Choice C reason: Thought stopping is a cognitive-behavioral technique used to interrupt and prevent distressing thoughts. The client is trained to recognize these thoughts and use a specific action or command, such as saying "Stop" out loud, to halt the negative thought process. While this technique can be helpful for managing anxiety and intrusive thoughts, it is not the primary behavioral strategy for treating specific phobias.
Choice D reason: Flooding, also known as exposure therapy, involves exposing the client to the phobic situation in an intense and prolonged manner until their anxiety diminishes. This approach can be effective but is often overwhelming and can cause significant distress. It requires careful supervision and is not typically the first-line treatment for specific phobias due to the potential for causing trauma or exacerbating the fear.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Serum creatinine levels are commonly used to assess kidney function. While kidney function is important, it does not specifically evaluate nutritional status. Chronic alcohol use can impact multiple organs, but thiamine deficiency is a more direct concern related to nutritional status in these patients.
Choice B reason: Thiamine (vitamin B1) deficiency is a well-known complication of chronic alcohol use disorder. Alcohol interferes with the absorption and utilization of thiamine, leading to deficiencies that can cause severe neurological problems, such as Wernicke's encephalopathy and Korsakoff's syndrome. Monitoring thiamine levels is crucial in assessing and managing the nutritional status of clients with chronic alcohol use disorder.
Choice C reason: Urinalysis is a basic test that can provide information about kidney function and the presence of infections, among other things. However, it is not specifically useful in evaluating the nutritional status of a client with chronic alcohol use disorder. Nutritional deficiencies would not be directly assessed through a routine urinalysis.
Choice D reason: Erythrocyte sedimentation rate (ESR) is a non-specific marker of inflammation and is used to detect inflammatory conditions. While it can provide information on inflammatory processes, it does not directly assess nutritional status. The nutritional impact of chronic alcohol use disorder is more accurately evaluated by specific nutrient levels, such as thiamine.
Correct Answer is B
Explanation
Choice A reason: Extreme fatigue for several weeks is not a common side effect associated with the implantation of a vagus nerve stimulator. While patients may experience some discomfort and mild fatigue immediately following surgery, it is typically short-term. Prolonged extreme fatigue is not a standard outcome and would warrant further medical evaluation if it occurs.
Choice B reason: Hoarseness or changes in voice is a common side effect after the implantation of a vagus nerve stimulator. The stimulator affects the vagus nerve, which is close to the vocal cords. As a result, stimulation can lead to changes in voice, including hoarseness. Patients should be informed of this potential side effect so they are not alarmed if it occurs.
Choice C reason: It is unrealistic to expect depression to improve within 72 hours after the implantation of a vagus nerve stimulator. While this treatment can be effective for certain individuals with treatment-resistant depression, it generally takes several weeks to months for patients to notice significant improvement in their symptoms. Setting realistic expectations is crucial for patient adherence and satisfaction with the treatment.
Choice D reason: Patients should not assume they can schedule an appointment at any time to turn off the device. The vagus nerve stimulator is implanted as part of a treatment plan, and any changes to its operation should be thoroughly discussed with and managed by the healthcare provider. Turning off the device without proper consultation can impact the effectiveness of the treatment and the patient’s overall health.
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