Which method would the nurse expect to be used successfully with a client who has a phobia
about closed spaces?
A. Desensitization
B. Contracting
C. Role Playing
D. Assertiveness Training
A. Desensitization
Desensitization is a method that is used successfully with a client who has phobias. Contracting,
role playing, and assertiveness training are all useful general behavioral approaches, but these
types of techniques are not as successful as desensitization.
Which problem would the nurse anticipate when working with a client who has a phobia of
black cats?
A. Denying that phobia exists
B. Anger toward the feared object
,C. Anxiety when discussing the phobia.
D. Distortion of reality when completing daily routines.
C. Anxiety when discussing the phobia
Discussion of the feared object triggers anxiety and an emotional response to the object.
Which developmental conflict is a college student attempting to resole when they struggle with
indecision about an academic major according to Erikson's psychosocial stages of
development?
A. Initiative versus guilt
B. Integrity versus despair
C. Industry versus inferiority
D. Identity versus role confusion
D. Identity Versus Role Confusion
The client is demonstrating a search for self and has not resolved the developmental conflict of
adolescence, identity versus role confusion. Initiative versus guilt is the developmental conflict
of early childhood. Integrity versus despair is the developmental conflict of old age. Industry
versus inferiority is the developmental conflict of middle childhood.
Which nursing intervention would be indicated for a client with an anxiety disorder?
, A. Encouraging suppression of anger by the client.
B. Promoting Verbalization of feelings by the client
C. Limiting involvement of the client's family during the acute phase
D. Explaining why the client should accept the psychological factors that are precipitating the
anxiety.
B. Promoting verbalizaiton of feelings by the client
Which guideline would the nurse use when developing a plan of care for a client with an
obsessive-compulsive disorder about ritualistic behavior?
a. it is under conscious control
b. It is used primarily for secondary gains
c. It helps the client focus on the inability to cope with reality
d. It helps the client control the level of anxiety the client is experiencing
D. It helps the client control the level of anxiety the client experiencing.
Which behavior would the nurse assess for in a client with a generalized anxiety disorder to
determine the effectiveness of therapy?
a. Participating in activities
b. Learning how to avoid anxiety
c. Taking medications as prescribed
d. Recognizing when anxiety is developing
D. Recognizing when anxiety is developing
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