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A nurse is teaching a client who has gambling disorder about the use of cognitive reframing. Which of the following instructions should the nurse give the client?

"Perform deep-breathing exercises when you feel the urge to gamble."

"Use a journal to write down thoughts related to gambling."

"Reward yourself for not going to the casino for 1 week."

"Replace thoughts of gambling with positive self-statements."

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Deep breathing exercises can be a relaxation technique, but they don't directly address cognitive reframing.

Choice B rationale:

Using a journal to write down thoughts related to gambling can be useful for self-reflection, but it's not specifically a cognitive reframing technique.

Choice C rationale:

Rewarding oneself for not going to the casino can be part of a behavioral approach to managing gambling disorder, but it's not a cognitive reframing technique.

Choice D rationale:

Cognitive reframing involves identifying and replacing negative or distorted thoughts with positive and more rational thoughts. In the context of gambling disorder, this technique can help the client challenge and change the cognitive patterns that contribute to their gambling behavior.

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Correct Answer is C

Explanation

Choice A rationale:

Shaking the auto-injector is not recommended as it could disrupt the medication's effectiveness. Epinephrine auto-injectors contain two separate components that need to be mixed upon injection.

Choice B rationale:

Massaging the injection site after using the auto-injector can actually help disperse the medication and promote absorption and reduce pain and swelling.

Choice C rationale:

Injecting the medication into the top of the thigh is the correct administration site and technique for an epinephrine auto-injector. It's a large muscle area that allows for rapid absorption.

Choice D rationale:

Epinephrine auto-injectors should not be refrigerated, as extreme temperatures can affect their functionality. The client should store the device at room temperature away from light and heat sources.

A. Sertraline B. Vancomycin C. Topiramate D. Polyethylene glycol

Correct Answer is A

Explanation

Choice A rationale:

Sertraline is an antidepressant medication known as a selective serotonin reuptake inhibitor (SSRI). One of the potential side effects of SSRIs is sexual dysfunction, including erectile dysfunction.

Choice B rationale:

Vancomycin is an antibiotic and is not typically associated with erectile dysfunction.

Choice C rationale:

Topiramate is an anticonvulsant medication and is not typically associated with erectile dysfunction.

Choice D rationale:

Polyethylene glycol is a laxative and is not typically associated with erectile dysfunction.

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A nurse is teaching a client who has gambling disorder about the use of cognitive reframing. Which of the following instructions should the nurse give the client?

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