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

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.

Choice A rationale:

Establishing a therapeutic relationship is essential for effective care, but it is not directly aimed at promoting coping skills and enhancing self-esteem. It's a foundational aspect of nursing care, focusing on building trust and rapport with the client.

Choice B rationale:

Teaching relaxation techniques is the correct intervention for promoting coping skills and enhancing self-esteem. Relaxation techniques, such as deep breathing, progressive muscle relaxation, and mindfulness, empower clients to manage their anxiety and build self-confidence.

Choice C rationale:

Providing a safe environment is important in a clinical setting, but it doesn't directly address promoting coping skills or enhancing self-esteem. This intervention contributes to the client's overall well-being and sense of security.

Choice D rationale:

Referring to support groups can be valuable for clients with anxiety disorders, but it doesn't directly involve teaching coping skills or enhancing self-esteem. Support groups provide social connections and a platform for shared experiences.