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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

Explanation

Choice A rationale:

A 7-month-old infant with Down syndrome is less likely to use a spoon.

Choice B rationale:

Crawling short distances is a developmental milestone that can be expected at this age.

Choice C rationale:

Speaking five to eight words is not an appropriate milestone for a 7-month-old infant.

Choice D rationale:

Standing with assistance usually occurs around 9-12 months, which might be delayed in infants with Down syndrome.

A. "Your baby could be very large if you don't control your blood sugar level." B. "Your baby is at an increased risk for having high blood sugar levels after delivery." C. "You can expect to decrease your insulin dosage during the second and third trimesters. D. "You will have an increased risk for developing ketoacidosis during the first trimester."

Correct Answer is A

Explanation

Choice A rationale:

Poorly controlled blood sugar levels can lead to fetal overgrowth (macrosomia), which increases the risk of a large baby during delivery.

Choice B rationale:

High blood sugar levels after delivery are not specific to babies born to mothers with type 1 diabetes.

Choice C rationale:

Insulin dosage requirements often increase during the second and third trimesters due to insulin resistance, not decrease.

Choice D rationale:

The risk of ketoacidosis is not typically increased in the first trimester; rather, the focus is on controlling blood sugar levels to minimize risks to the developing fetus.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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