The nurse is preparing for the arrival of a new client at a drug ...

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The nurse is preparing for the arrival of a new client at a drug abusers' residential treatment center and prepares to explain to the client that the emphasis of the center is on group and social interaction, and that rules and expectations are
 
  mediated by peer pressure. The most likely focus of therapy of this residential center is: 1. Milieu therapy
  2. Aversion conditioning
  3. Systematic desensitization
  4. Cognitive-behavioral therapy

Question 2

The nurse is collecting data on a 7-year-old child who is suspected of having episodes of absence seizures.
 
  Which of the following questions to the mother will assist in providing information that will identify the symptoms associated with these types of seizures? 1. Does twitching occur in the face and neck?
  2. Does the muscle twitching occur on one side of the body?
  3. Does the muscle twitching occur on both sides of the body?
  4. Does the child have a blank expression during these episodes?

[chevyboi1976]

Answer to Question 1

1

Rationale: Milieu therapy, or therapeutic community, has as its focus a living, learning, or working environment. Such therapy may be based on any number of therapeutic modalities, from structured behavioral therapy to spontaneous, humanistically oriented approaches. Its character-istics include an emphasis on group and social interaction, and rules and expectations that are mediated by peer pressure. Systematic desensitization is a form of behavior modification therapy that involves increased exposure to an object or situation that causes anxiety. Exposure to the object increases until the anxiety about the object ceases. Cognitive-behavioral therapy is used to help clients identify and examine dysfunctional thoughts, as well as identify and examine values and beliefs that maintain these thoughts. In aversion conditioning, a stimulus attractive to the client is paired with an unpleasant event in an attempt to endow it with negative properties.

Answer to Question 2

4

Rationale: Absence seizures are very brief episodes of altered awareness. There is no muscle activity except eyelid fluttering or twitching. The child has a blank facial expression. These sei-zures last only 5 to 10 seconds but may occur one after another several times a day. Myoclonic seizures are brief, random contractions of a muscle group that can occur on one or both sides of the body. Simple partial seizures consist of twitching of an extremity, the face, or the neck, or the sensation of twitching or numbness in an extremity, the face, or the neck.

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Excellent

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TYSM