Question

A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse?

Answer 1

Correct Answers:

You should identify how you react to stressful events.

Rationale :

🟢 Identifying personal reactions to stressful events is crucial in preventing relapse in depression because it allows the client to recognize early warning signs and implement healthy coping strategies promptly. Self-awareness helps in modifying negative thought patterns and seeking help before symptoms worsen.

🟢 Understanding triggers and developing appropriate coping mechanisms are key components of relapse prevention plans in depression management.

🟢 Systematic desensitization is a behavioral therapy technique primarily used for phobias and anxiety, not depression relapse prevention.

🟢 Antidepressant medications typically take 2–4 weeks to show therapeutic effects, so expecting improvement in a few days is misleading.

🟢 Snapping a rubber band is sometimes used in behavioral modification for intrusive thoughts, but it is not an evidence-based method for depression relapse prevention.

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Answer 2

Correct Answers:

It can take several weeks before you notice an effect from the medication.

Rationale :

🟢 Buspirone is a non-benzodiazepine anxiolytic used for generalized anxiety disorder (GAD) that works by affecting serotonin and dopamine receptors. Its therapeutic effect is gradual, often taking 2 to 4 weeks to become noticeable, so clients should be educated to continue taking it consistently even if symptoms do not improve immediately.

🟢 Buspirone has a low risk of dependence or withdrawal, making it safer for long-term use compared to benzodiazepines .

🟢 There are no dietary restrictions with buspirone (unlike MAOIs, which require avoidance of tyramine-rich foods, not leafy greens).

🟢 Missed doses should be taken as soon as remembered unless it is almost time for the next dose; doubling doses is unsafe .

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Answer 3

Correct Answers:

Systematic desensitization.

Rationale :

🟢 Systematic desensitization is the preferred behavioral strategy for phobias, including elevator phobia. It involves gradual exposure to the feared stimulus (e.g., elevators) while using relaxation techniques to reduce the anxiety response. Over time, repeated exposure in a controlled and supportive environment helps the client associate the stimulus with calmness rather than fear.

🟢 Response prevention is used more for compulsive behaviors (e.g., in OCD), while thought stopping is used for intrusive or obsessive thoughts, not phobias.

🟢 Flooding, which involves immediate and intense exposure to the feared stimulus, can increase anxiety and is generally not the first-line approach for phobias due to its high-stress potential.

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Answer 4

Correct Answers:

Low tolerance for frustration.

Rationale :

⭐ Low tolerance for frustration is a significant risk factor for becoming a perpetrator of child abuse, as individuals with poor frustration control often respond to stress with aggression or anger.

⭐ Survivors of childhood physical abuse may have impaired coping mechanisms, making them more likely to repeat abusive patterns, especially when overwhelmed by stress.

⭐ Emotional dysregulation and difficulty controlling anger are common in individuals with a history of abuse, increasing the likelihood of violent or impulsive reactions toward children.

⭐ Psychological trauma from past abuse can alter stress responses, making such individuals more prone to reactive, abusive behaviors when faced with parenting challenges.

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Answer 5

Correct Answers:

Place the client's mattress on the bedroom floor.

Rationale :

🔷 Placing the mattress on the floor reduces the risk of falls and injuries if the client attempts to wander or gets out of bed during the night.

🔷 Clients with Alzheimer’s disease who wander are at high risk for falls and fractures; safety modifications in the home environment are essential.

🔷 Keeping the mattress on the floor also provides a safe, low-level sleeping surface, promoting injury prevention without restricting mobility.

🔷 Fall-prevention strategies are a key aspect of home safety education for families caring for clients with cognitive impairment.

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Answer 6

Correct Answers:

Unable to make simple decisions

Rationale :

💠 Clients with dependent personality disorder demonstrate an excessive need to be taken care of and often rely on others to make even simple decisions for them.

💠 They typically show submissive and clinging behaviors, fearing separation or disapproval from those they depend on.

💠 Decision-making difficulty stems from a strong lack of self-confidence and fear of making mistakes without guidance.

💠 Recognizing this behavior helps nurses provide supportive guidance while encouraging gradual independence in decision-making.

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Answer 7

Correct Answers:

Hypokalemia

Rationale :

🔶 Hypokalemia is common in clients with bulimia nervosa due to frequent vomiting or laxative use, which leads to excessive potassium loss.

🔶 Repeated purging disrupts electrolyte balance, increasing the risk of cardiac dysrhythmias and muscle weakness.

🔶 Monitoring potassium levels is critical in bulimia management to prevent severe cardiac complications.

🔶 Early recognition and correction of electrolyte imbalances are essential parts of nursing care for clients with eating disorders.

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Answer 8

Correct Answers:

"Bulimia nervosa is difficult to notice because a person might be of average or ideal body weight."

Rationale :

🌟 Clients with bulimia nervosa often maintain an average or ideal body weight, making the disorder harder to detect compared to anorexia nervosa, where significant weight loss is evident.

🌟 The condition is characterized by binge eating followed by compensatory behaviors (vomiting, laxative use, or excessive exercise), which can maintain body weight within normal ranges.

🌟 Hidden physical complications such as electrolyte imbalances, dental erosion, and esophageal irritation occur despite normal weight.

🌟 Early recognition requires careful assessment of behavioral patterns and psychological distress rather than relying solely on body weight.

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Answer 9

Correct Answers:

"The client is just like my parent, who never could quit drinking."

Rationale :

🔶 Countertransference occurs when a nurse transfers personal feelings or experiences onto a client, often based on unresolved past relationships.

🔶 Comparing the client to a parent with alcohol use disorder shows the nurse is allowing personal history to influence professional judgment.

🔶 This emotional involvement can impair therapeutic boundaries and affect the quality of care provided.

🔶 Nurses must maintain self-awareness and objectivity to avoid bias and provide appropriate therapeutic support.

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Answer 10

Correct Answers:

Use a calm, clear tone when speaking to the client.

Rationale :

💎 Clients with schizophrenia who display hostile verbal outbursts benefit from interactions that are calm, clear, and nonthreatening, which helps reduce anxiety and agitation.

💎 A calm communication style promotes feelings of safety and trust, preventing escalation of hostility.

💎 Clear, concise instructions help clients with thought disorganization process information more effectively.

💎 Maintaining a therapeutic, non-confrontational approach is essential for de-escalating hostility and fostering cooperation.

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QLexNursing

1 :
A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse?

2 :
A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for buspirone. Which of the following information should the nurse include?

3 :
A nurse is caring for a client who has a phobia of elevators. Which of the following behavioral strategies should the nurse plan to use to decrease anxiety?

4 :
A nurse is collecting data from a client who experienced physical abuse as a child. Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?

5 :
A nurse is reinforcing teaching about home care with the family of a client who has Alzheimer's disease and wanders at night. Which of the following instructions should the nurse include?

6 :
A charge nurse is reinforcing teaching with a newly licensed nurse about the clinical manifestations of dependent personality disorder. Which of the following manifestations should the nurse include in the teaching?

7 :
A nurse is collecting data for a health history from a client who has bulimia nervosa. Which of the following laboratory findings should the nurse expect?

8 :
A nurse is participating in a community program about eating disorders. Which of the following information about bulimia nervosa should the nurse include in the presentation?

9 :
A nurse is discussing the care of a client who has alcohol use disorder with another nurse. Which of the following statements should the nurse identify as an indication of countertransference?

10 :
A nurse is contributing to the plan of care for a client who has schizophrenia. The client often directs brief, hostile verbal outbursts toward the staff. Which of the following interventions should the nurse recommend?

QLexNursing

1 : A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse?

2 : A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for buspirone. Which of the following information should the nurse include?

3 : A nurse is caring for a client who has a phobia of elevators. Which of the following behavioral strategies should the nurse plan to use to decrease anxiety?

4 : A nurse is collecting data from a client who experienced physical abuse as a child. Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?

5 : A nurse is reinforcing teaching about home care with the family of a client who has Alzheimer's disease and wanders at night. Which of the following instructions should the nurse include?

6 : A charge nurse is reinforcing teaching with a newly licensed nurse about the clinical manifestations of dependent personality disorder. Which of the following manifestations should the nurse include in the teaching?

7 : A nurse is collecting data for a health history from a client who has bulimia nervosa. Which of the following laboratory findings should the nurse expect?

8 : A nurse is participating in a community program about eating disorders. Which of the following information about bulimia nervosa should the nurse include in the presentation?

9 : A nurse is discussing the care of a client who has alcohol use disorder with another nurse. Which of the following statements should the nurse identify as an indication of countertransference?

10 : A nurse is contributing to the plan of care for a client who has schizophrenia. The client often directs brief, hostile verbal outbursts toward the staff. Which of the following interventions should the nurse recommend?

1 :
A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse?

2 :
A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for buspirone. Which of the following information should the nurse include?

3 :
A nurse is caring for a client who has a phobia of elevators. Which of the following behavioral strategies should the nurse plan to use to decrease anxiety?

4 :
A nurse is collecting data from a client who experienced physical abuse as a child. Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?

5 :
A nurse is reinforcing teaching about home care with the family of a client who has Alzheimer's disease and wanders at night. Which of the following instructions should the nurse include?

6 :
A charge nurse is reinforcing teaching with a newly licensed nurse about the clinical manifestations of dependent personality disorder. Which of the following manifestations should the nurse include in the teaching?

7 :
A nurse is collecting data for a health history from a client who has bulimia nervosa. Which of the following laboratory findings should the nurse expect?

8 :
A nurse is participating in a community program about eating disorders. Which of the following information about bulimia nervosa should the nurse include in the presentation?

9 :
A nurse is discussing the care of a client who has alcohol use disorder with another nurse. Which of the following statements should the nurse identify as an indication of countertransference?

10 :
A nurse is contributing to the plan of care for a client who has schizophrenia. The client often directs brief, hostile verbal outbursts toward the staff. Which of the following interventions should the nurse recommend?