Author Question: A client refuses to go on a cruise to the Bahamas with his spouse because of fearing that the cruise ... (Read 166 times)

jc611

  • Hero Member
  • *****
  • Posts: 552
A client refuses to go on a cruise to the Bahamas with his spouse because of fearing that the cruise ship will sink and all will drown.
 
  Using a cognitive theory perspective, the nurse should use which of these statements to explain to the spouse the etiology of this fear? A. Your spouse may be unable to resolve internal conflicts, which result in projected anxiety.
  B. Your spouse may be experiencing a distorted and unrealistic appraisal of the situation.
  C. Your spouse may have a genetic predisposition to overreacting to potential danger.
  D. Your spouse may have high levels of brain chemicals that may distort thinking.

Question 2

Which treatment should a nurse identify as most appropriate for clients diagnosed with generalized anxiety disorder (GAD)?
 
  A. Long-term treatment with diazepam (Valium)
  B. Acute symptom control with citalopram (Celexa)
  C. Long-term treatment with buspirone (BuSpar)
  D. Acute symptom control with ziprasidone (Geodon)



stano32

  • Sr. Member
  • ****
  • Posts: 339
Answer to Question 1

B
The nurse should explain that from a cognitive perspective the client is experiencing a distorted and unrealistic appraisal of the situation. From a cognitive perspective, fear is described as the result of faulty cognitions.

Answer to Question 2

C
The nurse should identify that an appropriate treatment for clients diagnosed with GAD is long-term treatment with buspirone. Buspirone is an anxiolytic medication that is effective in 60 to 80 of clients with GAD. It takes 10 to 14 days for alleviation of symptoms but does not have the dependency concerns of other anxiolytics.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

There are more bacteria in your mouth than there are people in the world.

Did you know?

Although not all of the following muscle groups are commonly used, intramuscular injections may be given into the abdominals, biceps, calves, deltoids, gluteals, laterals, pectorals, quadriceps, trapezoids, and triceps.

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

Did you know?

Long-term mental and physical effects from substance abuse include: paranoia, psychosis, immune deficiencies, and organ damage.

Did you know?

Today, nearly 8 out of 10 pregnant women living with HIV (about 1.1 million), receive antiretrovirals.

For a complete list of videos, visit our video library