A client with anxiety disorder expresses concerns about medication side effects. Which statement by the nurse is appropriate?

"You should take your medication regardless of the side effects.".

"Side effects are minimal and won't affect you much.".

"I understand your concerns. Let's discuss the potential side effects so you're prepared.".

"You're overthinking the side effects. It's not a big deal.".

Answer and Explanation

The Correct Answer is C

"I understand your concerns. Let's discuss the potential side effects so you're prepared."

Choice A rationale:

This choice suggests a directive approach that disregards the client's apprehensions. Anxiety disorders often involve heightened sensitivity, and this response might exacerbate the client's distress.

Choice B rationale:

Choice B downplays the significance of side effects, which may undermine the client's worries. While some side effects might indeed be minimal, it's essential to address the client's concerns more empathetically.

Choice C rationale:

This is the appropriate response. Acknowledging the client's concerns and offering to discuss potential side effects in a supportive manner is a therapeutic approach. It promotes open communication, empowers the client, and helps them make informed decisions.

Choice D rationale:

Choice D dismisses the client's worries and could invalidate their feelings. It's important to avoid belittling the client's concerns, as it may hinder the development of a trusting nurse-client relationship.

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Correct Answer is C

Explanation

"Development of coping skills."

Choice A rationale:

Increased risk of depression is not a positive outcome of nursing interventions. The goal is to alleviate symptoms and improve the client's well-being, not to introduce new mental health challenges.

Choice B rationale:

Reduced adherence to medical treatment is a negative outcome. It suggests that the client's anxiety might be interfering with their ability to follow recommended treatments, which is undesirable.

Choice C rationale:

This is the correct choice. Developing coping skills is a positive outcome. It indicates that the client is learning effective ways to manage their anxiety, enhancing their overall quality of life.

Choice D rationale:

Impairment in personal domains is a negative outcome. Nursing interventions aim to improve functioning and minimize impairment, so this choice contradicts the therapeutic goals.

Generalized anxiety disorder (GAD)

A. "Tell me about your favorite hobbies.". B. "You should avoid situations that make you anxious.". C. "Why do you feel this way?". D. "Anxiety is not a big deal, everyone feels it sometimes.".

Correct Answer is A

Explanation

Choice A rationale:

Asking the client about their favorite hobbies is an appropriate statement during the assessment. This open-ended question encourages the client to talk about positive and enjoyable aspects of their life, providing insight into their interests and potential sources of relaxation. It also helps build rapport and trust between the nurse and the client.

Choice B rationale:

Advising the client to avoid anxiety-inducing situations oversimplifies anxiety management. Avoidance can reinforce anxiety and prevent the client from developing effective coping strategies. Encouraging gradual exposure to manageable stressors is often a more helpful approach.

Choice C rationale:

Asking "Why do you feel this way?" can be perceived as confrontational and may put the client on the defensive. It might hinder open communication and prevent the client from fully expressing their feelings. Instead, using more open-ended and nonjudgmental questions is recommended.

Choice D rationale:

Minimizing anxiety by stating that "Anxiety is not a big deal, everyone feels it sometimes" is dismissive of the client's emotions. It invalidates their experience and fails to acknowledge the impact anxiety may have on their well-being. Providing empathy and understanding is crucial in therapeutic communication.

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A client with anxiety disorder expresses concerns about medication side effects. Which statement by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating the outcomes of nursing interventions for a client with anxiety disorder. What is a possible positive outcome?

Correct Answer is C

Explanation

A nurse is assessing a client's level of anxiety and coping mechanisms. Which statement by the nurse is appropriate during the assessment?

Correct Answer is A

Explanation

A nurse is implementing nursing interventions for a client with anxiety disorder. Which intervention is aimed at promoting coping skills and enhancing self-esteem?

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