Page 2246 - Saunders Comprehensive Review For NCLEX-RN

Test-Taking Strategy: Focus on the subject, involuntary admission. Use Maslow’s
Hierarchy of Needs theory. Safety is the priority if a physiological need does not
exist. This should direct you to the correct option. Also, note that the remaining
options are not always true of an involuntary admission.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Mental Health
Health Problem: Mental Health: Crisis
Priority Concepts: Interpersonal Violence; Safety
Reference: Varcarolis (2017), p. 63.

795. Answer: 4

Rationale: Cognitive behavioral therapy is used to help the client identify and
examine dysfunctional thoughts and to identify and examine values and beliefs that
maintain these thoughts. The remaining options, while therapeutic in certain
situations, are not the focus of cognitive behavioral therapy.
Test-Taking Strategy: Focus on the subject, the purpose of a cognitive behavioral
approach. Note the relationship of the word cognitive in the question and thoughts in
the correct option.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process—Planning
Content Area: Mental Health
Health Problem: Mental Health: Eating Disorders
Priority Concepts: Caregiving; Cognition
Reference: Varcarolis (2017), pp. 24, 318.

796. Answer: 1

Rationale: The first step in the 12-step program is to admit that a problem exists.
Substituting other activities for gambling may be a strategy, but it is not the first
step. The remaining options are not realistic strategies for the initial step in a 12-step
program.
Test-Taking Strategy: Focus on the subject, the first step in the 12-step program.
This will assist in directing you to the correct option.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Mental Health
Health Problem: Mental Health: Addictions
Priority Concepts: Addiction; Caregiving
Reference: Varcarolis (2017), pp. 318-319.

797. Answer: 1

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