A nurse is caring for a client with delirium who is experiencing illusions. What environmental conditions should the nurse arrange for this client?

Have the client sit by the nurse's desk while awake in a room with the television on

Provide a well-lit room without glare or shadows and limit noise

Keep the room shadowy with soft lighting around the clock, and keep a radio on continuously

Light the room brightly around the clock and awaken hourly to check mental status

Answer and Explanation

The Correct Answer is B

B. This option promotes a calming and supportive environment that minimizes sensory stimuli and helps maintain orientation, reducing the risk of exacerbating symptoms of delirium and illusions.

A. Having the client sit by the nurse's desk may provide some supervision and reassurance, but keeping the television on can contribute to sensory overload and increase confusion, especially if the client is experiencing illusions.

C. Keeping the room shadowy with soft lighting and continuously playing a radio may create an environment that is disorienting and confusing for the client with delirium.

D. Maintaining bright lighting around the clock may disrupt the client's sleep-wake cycle and exacerbate symptoms of delirium. Interrupting the client's sleep by awakening hourly for mental status checks can also contribute to sleep deprivation and increase agitation and confusion

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Correct Answer is C

Explanation

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.

A. flooding. B. systematic desensitization. C. cognitive restructuring. D. combination therapy.

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.

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A nurse is caring for a client with delirium who is experiencing illusions. What environmental conditions should the nurse arrange for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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