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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 ["B","C","D"]

Explanation

Choice A rationale:

Asking the client to explain what she is hearing may not be helpful, as the client's perception of the hallucinations may not match reality.

Choice B rationale:

Conveying empathy is important to establish a therapeutic relationship and provide emotional support.

Choice C rationale:

Encouraging the client to listen to music through headphones can help distract from auditory hallucinations.

Choice D rationale:

Speaking simply and clearly when communicating helps the client understand and process information more effectively.

Choice E rationale:

Using therapeutic touch might not be appropriate for all clients and should be based on the client's preferences and comfort level.

A. Is limited to clients who are in an acute care setting B. Provides financial assistance for clients in need C. Is available for clients who have a serious illness D. Is not appropriate for clients still receiving curative treatments

Correct Answer is C

Explanation

Choice A rationale:

Palliative care is not limited to acute care settings and can be provided in various healthcare settings.

Choice B rationale:

While palliative care aims to improve overall well-being, it does not provide financial assistance.

Choice C rationale:

Palliative care focuses on providing relief from symptoms and improving the quality of life for individuals with serious illnesses, regardless of whether they are receiving curative treatments.

Choice D rationale:

Palliative care can be provided alongside curative treatments to address symptoms and enhance quality of life.

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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?

Nursing Test Bank

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