A client with anxiety disorder expresses concerns about starting therapy. Which response by the nurse demonstrates appropriate communication?

"Therapy won't really help, but you should try it anyway.".

"Don't worry, just take your medications as prescribed.".

"It's understandable to feel nervous about starting therapy. Many people have similar concerns.".

"You should rely on your friends and family for support instead.".

Answer and Explanation

The Correct Answer is C

Choice C rationale:

Responding with empathy and validation, such as acknowledging the client's concerns about starting therapy, is appropriate communication. It demonstrates the nurse's understanding of the client's feelings and helps establish a supportive and trusting relationship. Many individuals with anxiety disorder have reservations about therapy, and addressing their concerns can alleviate some of their apprehensions.

Choice A rationale:

Suggesting that "Therapy won't really help, but you should try it anyway" is discouraging and undermines the potential benefits of therapy. It may lead to decreased motivation and engagement in the therapeutic process.

Choice B rationale:

Instructing the client to solely rely on medications oversimplifies treatment and disregards the potential effectiveness of therapy and other coping strategies. Medications can be a part of the treatment plan, but a comprehensive approach is usually recommended.

Choice D rationale:

Advising the client to rely on friends and family for support instead of seeking professional help minimizes the importance of therapeutic interventions. While social support is valuable, it is not a substitute for evidence-based treatments for anxiety disorder.

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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.

A. Increased risk of depression. B. Reduced adherence to medical treatment. C. Development of coping skills. D. Impairment in personal domains.

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)

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A client with anxiety disorder expresses concerns about starting therapy. Which response by the nurse demonstrates appropriate communication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

(Select all that apply): A nurse is educating a client with anxiety disorder about pharmacological treatments. Which of the following are examples of pharmacological treatments for anxiety disorders? Select all that apply.

A nurse is establishing a therapeutic relationship with a client with anxiety disorder. What is the primary goal of this intervention?

A client with anxiety disorder expresses concerns about starting therapy. Which response by the nurse demonstrates appropriate communication?

A nurse is caring for a client with anxiety disorder who is prescribed anxiolytic medication. What is the mechanism of action of anxiolytics?

(Select all that apply):A nurse is providing education to a client with anxiety disorder. Which of the following are appropriate techniques for relaxation that the nurse might teach the client? Select all that apply.

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

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

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