A nurse is planning care for a client with a phobia.
Which nursing intervention is appropriate for this client?
Encouraging the client to face their fear gradually.
Administering benzodiazepines as needed for acute anxiety.
Providing psychoeducation about the causes and effects of phobias.
Teaching the client relaxation techniques to manage anxiety.
Teaching the client relaxation techniques to manage anxiety.
The Correct Answer is A
Choice A rationale:
Encouraging the client to face their fear gradually is an appropriate nursing intervention for a client with a phobia. This approach is consistent with exposure therapy, which is a widely recognized and effective treatment for phobias. Exposure therapy involves gradually exposing the client to the feared object or situation in a controlled and supportive environment. By doing so, the client can learn to confront and manage their fear over time. This approach is evidence-based and helps the client build resilience and reduce anxiety.
Choice B rationale:
Administering benzodiazepines as needed for acute anxiety (Choice B) is not the first-line treatment for phobias. While benzodiazepines can provide temporary relief from anxiety symptoms, they do not address the underlying phobia and can lead to dependence and tolerance with prolonged use. Moreover, they are generally reserved for acute anxiety episodes and not considered a primary treatment for phobias.
Choice C rationale:
Providing psychoeducation about the causes and effects of phobias (Choice C) is a valuable component of treatment, but it alone may not be sufficient. Psychoeducation can help clients understand the nature of their phobia and reduce stigma, but it should be combined with evidence-based therapies like exposure therapy for comprehensive care.
Choice D rationale:
Teaching the client relaxation techniques to manage anxiety (Choice D) can be a helpful adjunct to treatment, but it is not the primary intervention for phobias. Relaxation techniques can be part of a broader strategy to reduce anxiety, but the client also needs exposure therapy or cognitive-behavioral therapy to address the phobia directly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["The correct answer is 30 mL\/hour.\r\n\r\nStep 1 is to calculate the total amount of norepinephrine in the IV bag:\r\n4 mg norepinephrine \u00f7 1000 mL = 0.004 mg\/mL\r\n\r\nStep 2 is to convert the patient's weight from pounds to kilograms:\r\n176 pounds \u00f7 2.2 = 80 kilograms\r\n\r\nStep 3 is to calculate the total amount of norepinephrine the patient will receive per minute:\r\n2 mcg\/min \u00d7 60 min = 120 mcg\/min\r\n\r\nStep 4 is to convert micrograms (mcg) to milligrams (mg):\r\n120 mcg \u00f7 1000 = 0.12 mg\r\n\r\nStep 5 is to calculate the total volume of norepinephrine needed per hour:\r\n0.12 mg \u00f7 0.004 mg\/mL = 30 mL\/hour\r\n\r\nTherefore"," the nurse should program the infusion pump to deliver 30 mL\/hour."]
Explanation
The correct answer is 30 mL/hour.
Step 1 is to calculate the total amount of norepinephrine in the IV bag: 4 mg norepinephrine ÷ 1000 mL = 0.004 mg/mL
Step 2 is to convert the patient's weight from pounds to kilograms: 176 pounds ÷ 2.2 = 80 kilograms
Step 3 is to calculate the total amount of norepinephrine the patient will receive per minute: 2 mcg/min × 60 min = 120 mcg/min
Step 4 is to convert micrograms (mcg) to milligrams (mg): 120 mcg ÷ 1000 = 0.12 mg
Step 5 is to calculate the total volume of norepinephrine needed per hour: 0.12 mg ÷ 0.004 mg/mL = 30 mL/hour
Therefore, the nurse should program the infusion pump to deliver 30 mL/hour.
Correct Answer is D
Explanation
Choice A rationale:
Aspirin is not typically contraindicated in a client who has taken sildenafil unless there are specific contraindications or allergies. Aspirin is often used in the management of acute chest pain to help prevent blood clot formation.
Choice B rationale:
Heparin is not contraindicated solely because the client has taken sildenafil. Heparin is an anticoagulant commonly used in various clinical settings, including the management of certain cardiac conditions.
Choice C rationale:
Morphine is not necessarily contraindicated based solely on the client's use of sildenafil. Morphine can be used to relieve chest pain in some cases of acute coronary syndrome. However, its use should be carefully evaluated based on the client's overall clinical presentation.
Choice D rationale:
Nitroglycerin should be withheld in this scenario. Sildenafil is a medication used to treat erectile dysfunction and pulmonary arterial hypertension. It can potentiate the vasodilatory effects of nitroglycerin, leading to a severe drop in blood pressure. Concomitant use of nitroglycerin and sildenafil is contraindicated due to the risk of significant hypotension, which can be life-threatening.
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