A client is seeking treatment for a specific phobia. The nurse in the anxiety disorders clinic documents that the client's anxiety is related to exposure to the phobic object. Which is a realistic outcome for anxiety self-control in this situation?

Avoid the feared object whenever possible

Face the feared object without supportive assistance

State that the fear of the object is unrealistic and inappropriate

Practice relaxation techniques and report decreased physiological sensations associated with thoughts of the feared object

Answer and Explanation

The Correct Answer is D

D. Relaxation techniques, such as deep breathing, progressive muscle relaxation, or mindfulness exercises, can help reduce physiological arousal and anxiety symptoms associated with thoughts of the feared object.

A. Avoidance is a common coping mechanism for individuals with specific phobias. While avoidance may provide temporary relief from anxiety, it does not address the underlying fear and can perpetuate the phobia over time.

B. Facing the feared object without any support or guidance may be overwhelming and could potentially exacerbate anxiety rather than promote self-control.

C. While cognitive restructuring and challenging irrational beliefs about the feared object are important components of cognitive-behavioral therapy for specific phobias, simply stating that the fear is unrealistic and inappropriate may not be sufficient for anxiety self-control.

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Correct Answer is C

Explanation

C. Consistent unit routines are essential for clients in the manic phase of bipolar disorder. Maintaining a structured environment with predictable routines can help stabilize mood, reduce agitation, and provide a sense of security for the client.

A. Mania is characterized by heightened activity, impulsivity, and sometimes agitation. Providing a stimulating environment may exacerbate these symptoms and increase the risk of escalating behaviors or agitation.

B. While it may be necessary to provide a safe and quiet space for the client if they become agitated or overwhelmed, scheduling daily seclusion times implies isolation, which can worsen feelings of loneliness or distress.

D. Excessive daytime napping can disrupt the client's sleep-wake cycle and exacerbate symptoms of mania.

A. "You really need to follow the rules of the unit and get out of bed." B. "Let me know when you feel ready to get up." C. "You should rest until you feel able to join the group." D. "I will help you get ready and then you can rest after activities."

Correct Answer is D

Explanation

D. By offering assistance with getting ready and framing participation in activities as a manageable task, the nurse can help the client overcome feelings of inertia and initiate engagement. It acknowledges the client's current difficulties while providing gentle encouragement to participate in the unit's programs.

A. This response may come across as dismissive of the client's feelings and struggles. It may also increase feelings of guilt or inadequacy in the client, potentially worsening their depressive symptoms.

B. It offers support without pressure and allows the client to take the initiative when they feel comfortable to engage in activities. However, it may not provide enough encouragement or assistance for the client to overcome their depressive symptoms and initiate activity.

C. Encouraging prolonged withdrawal from activities without offering support or motivation to engage may contribute to further isolation and exacerbate depressive symptoms.

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A client is seeking treatment for a specific phobia. The nurse in the anxiety disorders clinic documents that the client's anxiety is related to exposure to the phobic object. Which is a realistic outcome for anxiety self-control in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?

Correct Answer is C

Explanation

A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following client statements should the nurse consider administering alprazolam?

A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?

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The client with schizophrenia believes the student nurses are there to spy on the clients. The client is suffering from which of the following symptoms?

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A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain to the nursing staff about the client's disruptive behaviors. Which of the following initial actions should the nurse take?