The advanced practice nurse is planning to use systematic ...

[aabwk4]

The advanced practice nurse is planning to use systematic desensitization with a client who has agoraphobia. The initial step the nurse will plan is to:
 
  1. Define the phobic stimulus
  2. Define a hierarchy of symptoms
  3. Expose the client to the stimulus
  4. Incorporate relaxation teaching

Question 2

An evening staff nurse was raped 6 months ago while walking to the train station. She immedi-ately returned to work and did not focus on the incident.
 
  Recently, the nurse has been having nightmares and difficulty communicating with her boy-friend. An appropriate outcome for treatment is that the nurse will:
  1. Develop improved coping skills
  2. Participate in a rape support group
  3. Verbalize her anger toward her boyfriend
  4. Learn how to protect herself from rape

[jazzlynnnnn]

Answer to Question 1

ANS: 1
The phobic stimulus must be defined before beginning the systematic desensitization process. Options 2, 3, and 4 are follow-up steps in the process.

Answer to Question 2

ANS: 2
Participation in a support group is recommended for clients experiencing PTSD. 1. There is no evidence that the nurse has poor coping skills. 3. There is no evidence that the nurse is angry with her boyfriend. 4. This outcome implies that the nurse is, in part, responsible for the rape.