A nurse is planning care using systematic desensitization for a client who has severe claustrophobia. Which of the following interventions should the nurse include in the plan of care?

Identify the client's preferred relaxation technique to use prior to each step of the therapy.

Administer an anxiolytic medication 1 hr prior to the scheduled therapy session.

Expose the client to an excess amount of anxiety-inducing stimulus to extinguish the phobia.

Ask the client to snap a rubber band worn on the wrist to minimize anxiety when thinking about the phobia.

Answer and Explanation

The Correct Answer is A

A) Identify the client's preferred relaxation technique to use prior to each step of the therapy:
Systematic desensitization involves gradually exposing the client to the anxiety-inducing stimulus while using relaxation techniques to manage anxiety. Identifying the client's preferred relaxation technique is crucial to help them remain calm and reduce their phobia-related anxiety during each step of the therapy.

B) Administer an anxiolytic medication 1 hr prior to the scheduled therapy session:
While anxiolytic medications can help reduce anxiety, systematic desensitization typically relies on non-pharmacological methods to help the client gradually overcome their phobia. The goal is for the client to develop coping mechanisms without medication.

C) Expose the client to an excess amount of anxiety-inducing stimulus to extinguish the phobia:
Exposing the client to an excess amount of anxiety-inducing stimuli is not appropriate for systematic desensitization. This method, known as flooding, can overwhelm the client and increase their anxiety, potentially worsening the phobia rather than alleviating it.

D) Ask the client to snap a rubber band worn on the wrist to minimize anxiety when thinking about the phobia:
Snapping a rubber band on the wrist is a distraction technique that might provide temporary relief from anxiety. However, it is not a core component of systematic desensitization, which focuses on gradual exposure and the use of relaxation techniques to manage anxiety

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Correct Answer is C

Explanation

A) Apples:
Apples are generally considered safe for individuals with gastroesophageal reflux disease (GERD). They are low in acid and do not typically contribute to reflux symptoms, making them a suitable fruit choice.

B) Potatoes:
Potatoes are bland and non-acidic, making them a good option for individuals with GERD. They do not typically trigger reflux symptoms and can be included in a reflux-friendly diet.

C) Tomatoes:
Tomatoes are highly acidic and can significantly aggravate GERD symptoms. Their acidity can weaken the lower esophageal sphincter, allowing stomach acid to reflux into the esophagus, causing discomfort and heartburn.

D) Bananas:
Bananas are low in acid and often recommended for people with GERD. They are gentle on the stomach and do not usually cause reflux symptoms, making them a good dietary choice for managing GERD.

A. "I will remain in the hospital until my treatment is completed." B. "I will wear a surgical mask around my family." C. "I will need medication to treat my condition for the rest of my life." D. "I will need to provide a sputum specimen every 4 weeks until I test negative."

Correct Answer is D

Explanation

A) "I will remain in the hospital until my treatment is completed.": Hospitalization is not typically required for the entire duration of tuberculosis (TB) treatment. Most patients with TB can continue their treatment at home with proper medication and infection control measures, unless they have severe disease or complications.

B) "I will wear a surgical mask around my family.": A surgical mask is not sufficient to protect others from TB. Patients with active TB should wear an N95 respirator mask to reduce the risk of spreading the infection, especially in situations where close contact is unavoidable.

C) "I will need medication to treat my condition for the rest of my life.": TB treatment generally involves a course of medication lasting 6 to 9 months. Long-term, lifelong medication is not required; however, adherence to the full course of prescribed antibiotics is crucial to ensure the infection is fully eradicated.

D) "I will need to provide a sputum specimen every 4 weeks until I test negative.": Monitoring sputum samples every 4 weeks is a standard practice to assess the effectiveness of TB treatment and confirm that the patient is no longer infectious. This statement indicates an understanding of the ongoing evaluation needed during treatment.

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A nurse is planning care using systematic desensitization for a client who has severe claustrophobia. Which of the following interventions should the nurse include in the plan of care?

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