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 D

Explanation

Choice A reason: Explaining a legal obligation to share information is not accurate in this context.

Choice B reason: Advising the client that her supervisor will be informed is not necessary or appropriate.

Choice C reason: Telling the client her coworkers' opinions should not matter does not address the confidentiality concern.

Choice D reason: The correct answer is d) because informing the client that the information will be shared with the treatment team addresses the need for confidentiality while ensuring the team has the necessary information for treatment.

A. Refer the case to the facility's ethics committee. B. Document the client's refusal of the medication in the medical record. C. Administer the medication by another route. D. Inform the client that due to her involuntary admission, she cannot refuse a sedative.

Correct Answer is B

Explanation

Choice A reason: Referring the case to the ethics committee is not the immediate action required.

Choice B reason: The correct answer is b) because documenting the client's refusal ensures that it is noted in the medical record and appropriate follow-up actions can be taken.

Choice C reason: Administering the medication by another route without consent is not appropriate.

Choice D reason: Informing the client that she cannot refuse medication due to involuntary admission is not accurate; clients retain certain rights even when involuntarily admitted.

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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 nurse is caring for a client who was admitted to the mental health unit for treatment. The client states, "I am a nurse on the medical-surgical unit, and I don't want my coworkers to know." Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is administering oral sedative to a client who is receiving care following an involuntary admission. The client states, "I'm not taking any more medication." Which of the following actions should the nurse perform?

Correct Answer is B

Explanation

A charge nurse is discussing examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select the 3 that apply.)

A nurse delegates a licensed practical nurse (LPN) to perform suicide precautions. Which of the following actions by the LPN indicates to the nurse that they require further education?

A nurse is preparing to administer diazepam 4 mg IV bolus stat. Available is diazepam injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)

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?

A nurse performed these actions while caring for patients in an inpatient psychiatric unit. Which action violated patients' rights?

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