A client with a diagnosis of agoraphobia is preparing to go on a ...

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A client with a diagnosis of agoraphobia is preparing to go on a walk around the block as part of her treatment regimen.
 
  The care team has taught the client a number of relaxation techniques that she can use to inhibit her anxiety prior to and during her time in public. This client has received what?
 
  A) Systematic desensitization
  B) Aversion therapy
  C) Therapeutic lifestyle change counseling (TLC)
  D) Assertiveness training

Question 2

A 41-year-old male client on a psychiatricmental health unit was admitted 10 days earlier with a diagnosis of major depression.
 
  Despite the client's wife bringing in several changes of clothes, the client has been wearing the same outfit for several consecutive days and has not showered or shaved. How should the nurse respond?
 
  A) Assist the client with a shower.
  B) Have the client's wife bathe and shave him.
  C) Encourage the client to shower and shave.
  D) Implement aversion therapy to promote the client's hygiene.

[kjohnson]

Answer to Question 1

Ans: A
Systematic desensitization eliminates the client's fears or anxieties by stressing relaxation techniques that inhibit anxious responses. Aversion therapy promotes change by exposure to unpleasant stimuli, and TLC utilizes motivational behavioral techniques to implement necessary lifestyle changes. Assertiveness training provides tools for managing relationships and interactions with others.

Answer to Question 2

Ans: C
Nursing interventions surrounding client hygiene would focus on promoting participation rather than personally performing the activities. Aversion therapy is not warranted to encourage hygiene.