A client is exhibiting signs of severe anxiety, including hyperventilation, restlessness, and difficulty concentrating. Which communication approach should the nurse use to effectively support the client during this crisis?
Encourage the client to discuss all their worries in detail to process their feelings.
Provide extensive information about anxiety disorders and treatment options.
Use a calm, simple, and clear tone, offering brief and direct instructions.
Use rapid, reassuring statements to quickly calm the client down.
The Correct Answer is C
Choice A reason: When anxiety is severe, the client cannot focus or process complex discussions. Asking them to explore worries may overwhelm them further.
Choice B reason: Providing extensive information is inappropriate in crisis moments because the client’s concentration and comprehension are impaired.
Choice C reason: Clear, calm, and brief communication helps reduce overstimulation, provides structure, and reassures the client during high anxiety. This is the most therapeutic choice.
Choice D reason: Rapid statements can escalate the client’s sense of being overwhelmed, increasing anxiety rather than calming it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The phallic stage (ages 3–6) involves focus on genital awareness and resolving the Oedipus/Electra complex. This stage does not explain compulsive cleanliness or bathroom avoidance.
Choice B reason: The oral stage (birth–1 year) relates to feeding and oral gratification. Fixation here leads to dependency or oral habits such as smoking, not excessive handwashing.
Choice C reason: The latency stage (ages 6–12) emphasizes social development, friendships, and learning rather than obsessive cleanliness. It does not explain the observed behaviors.
Choice D reason: The anal stage (ages 1–3) centers around toilet training and control over elimination. Fixation here may cause compulsive behaviors like cleanliness, orderliness, or avoidance of bathroom-related tasks, making it the best explanation for the child’s behavior.
Correct Answer is D
Explanation
Choice A reason: Schizotypal disorder is characterized by eccentric behaviors, odd beliefs, and perceptual distortions. While social difficulties are common, the primary feature is not a lack of interest in relationships but unusual thought patterns and behaviors.
Choice B reason: Paranoid personality disorder involves pervasive distrust and suspicion of others. Clients often avoid relationships due to fear of being exploited, not because of a lack of interest in intimacy.
Choice C reason: Antisocial personality disorder is defined by disregard for others’ rights, impulsivity, and rule-breaking behaviors, not by withdrawal from sexual or social relationships.
Choice D reason: Schizoid disorder is marked by detachment from social relationships and a limited range of emotional expression, including little to no interest in sexual activity or partnerships, making this the best match.
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