A nurse is teaching a client who has a fear of heights about the use of systematic desensitization as a method of behavioral therapy. Which of the following client statements indicates an understanding of the teaching?

"I will be asked to imitate my therapist's actions around heights."

"I will snap a rubber band on my wrist when heights scare me."

"I will need to stand on a very high place until I am calm."

"I will slowly be exposed to places of increasing height."

Answer and Explanation

The Correct Answer is D

Choice A reason: Systematic desensitization does not involve imitating the therapist's actions.

Choice B reason: Snapping a rubber band on the wrist is a different behavioral technique (aversion therapy), not systematic desensitization.

Choice C reason: Standing on a very high place until calm is not systematic desensitization, which involves gradual exposure.

Choice D reason: The correct answer is d) because systematic desensitization involves gradually increasing exposure to the feared stimulus (heights) to reduce the fear response.

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Correct Answer is C

Explanation

Choice A reason: Hypotension and venous pooling in the extremities are not typical of autonomic dysreflexia. Autonomic dysreflexia usually results in hypertension due to an exaggerated autonomic response to a stimulus such as a full bladder. This condition is characterized by severe, uncontrolled hypertension rather than hypotension.

Choice B reason: While pain and a burning sensation upon urination and hematuria can be related to a urinary tract infection or bladder issue, they are not specific to autonomic dysreflexia. Autonomic dysreflexia presents with symptoms that result from the body's exaggerated response to the stimulus, such as severe headache and sweating.

Choice C reason: The correct answer is c) because profuse diaphoresis (sweating) and a severe, pounding headache are hallmark signs of autonomic dysreflexia. This condition occurs in individuals with spinal cord injuries at or above the T6 level and is triggered by stimuli like a full bladder, causing a dangerous rise in blood pressure and severe autonomic responses.

Choice D reason: Reports of chest pain and shortness of breath are not typical signs of autonomic dysreflexia. While these symptoms may be concerning, they are not the primary indicators of this specific condition. The severe headache and sweating are more indicative of autonomic dysreflexia.

A. "What were the bad things that came from your marriage?" B. "What did you learn from your marriage to help you in the future?" C. "Did you have any romantic relationships prior to your marriage?" D. "Only you can understand how your marriage has negatively affected you."

Correct Answer is B

Explanation

Choice A reason: Focusing on the bad things does not support cognitive reframing, which aims to find positive aspects or learning experiences.

Choice B reason: The correct answer is b) because cognitive reframing involves looking at situations from a different perspective, focusing on what can be learned and how it can be used positively in the future.

Choice C reason: Asking about prior relationships does not address the client's statement about the marriage.

Choice D reason: Stating that only the client can understand the impact does not support cognitive reframing.

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A nurse is teaching a client who has a fear of heights about the use of systematic desensitization as a method of behavioral therapy. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?

Correct Answer is C

Explanation

A nurse is caring for a client who is receiving cognitive behavioral therapy. The client tells the nurse, "Nothing good ever came from my marriage." To best support cognitive reframing, which of the following responses should the nurse offer?

Correct Answer is B

Explanation

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