The nurse correctly teaches a client taking the Benzodiazepine Oxazepam (Serax) to avoid excessive intake of:

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Theoretical Basis for Behavior Modification Questions

Question 1 of 5

The nurse correctly teaches a client taking the Benzodiazepine Oxazepam (Serax) to avoid excessive intake of:

Correct Answer: B

Rationale: The correct answer is B: Coffee. Oxazepam is a benzodiazepine that can cause drowsiness and relaxation. Coffee contains caffeine which can counteract these effects, making the medication less effective. Avoiding excessive coffee intake ensures the desired therapeutic effects of Oxazepam. Choices A, C, and D are incorrect because they do not interact directly with Oxazepam or affect its effectiveness.

Question 2 of 5

The nurse asks a newly admitted client, "What can we do to help you?" What is the purpose of this therapeutic communication technique?

Correct Answer: C

Rationale: The correct answer is C: To explore a subject, idea, experience, or relationship. This therapeutic communication technique aims to encourage the client to express their thoughts, feelings, and needs freely. By asking the client how they can be helped, the nurse is inviting the client to discuss their concerns and preferences, allowing for a deeper exploration of their situation. This can help establish trust, build rapport, and facilitate a better understanding of the client's perspective. Choices A, B, and D are incorrect: A: Reframing the client's thoughts is not the primary purpose of this communication technique. B: Putting the client at ease is important, but not the main goal of asking this question. D: While showing active listening is essential, the main purpose of this question is to encourage the client to open up and share their concerns.

Question 3 of 5

Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?

Correct Answer: B

Rationale: The correct answer is B because it demonstrates empathy and validation of the client's experience without reinforcing the hallucinations. By acknowledging the client's reality while emphasizing the nurse's own perception, it helps the client feel understood and builds trust. Choice A is incorrect as it shifts the focus to the nurse's sister, minimizing the client's experience. Choice C is incorrect as it suggests avoidance rather than addressing the client's feelings. Choice D is incorrect as it dismisses the client's concerns and relies solely on medication without addressing the client's emotional needs.

Question 4 of 5

A group activity on an inpatient psychiatric unit is scheduled to begin at 1000. A patient, who was recently discharged from U.S. Marine Corps, arrives at 0945. Which analysis best explains this behavior?

Correct Answer: C

Rationale: The correct answer is C: The military culture values timeliness. The patient does not want to be late. The patient's behavior aligns with the values instilled in the U.S. Marine Corps, where punctuality is highly emphasized. This explains why the patient arrived early for the group activity, as being late goes against the core values of the military culture. A: The patient arriving early does not necessarily indicate a desire to lead the group. B: Securing a chair close to the group leader is not the most likely explanation for the patient's early arrival. D: The patient's behavior is more likely motivated by adherence to military values rather than seeking appreciation for self-importance. In summary, choice C is the best analysis as it directly relates the patient's behavior to their military background and the importance of timeliness in that culture.

Question 5 of 5

A patient in the emergency department shows a variety of psychiatric symptoms, including restlessness and anxiety. The patient says, "I feel sad because evil spirits have overtaken my mind." Which worldview is most applicable to this individual?

Correct Answer: D

Rationale: The correct answer is D: Indigenous/harmony. This worldview is most applicable because the patient's belief in evil spirits aligns with many indigenous cultures that attribute mental health issues to spiritual causes. In indigenous communities, maintaining harmony with nature and spiritual beings is essential for well-being. The patient's symptoms and explanation indicate a belief in the influence of spiritual forces on mental health. A: Eastern/balance focuses on achieving harmony within oneself and with the environment, but the patient's explanation is more about external evil spirits. B: Southern/holistic emphasizes interconnectedness of mind, body, and spirit, but the patient's belief in evil spirits is more specific to indigenous perspectives. C: Western/scientific relies on empirical evidence and medical explanations, which are not in line with the patient's spiritual explanation.

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