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 D

Explanation

Choice A rationale:

Blocking the effects of adrenaline is not the mechanism of action for anxiolytics. Anxiolytics primarily target neurotransmitter systems in the brain, not adrenaline (also known as epinephrine) pathways.

Choice B rationale:

Increasing the availability of neurotransmitters is not the primary mechanism of anxiolytics. While neurotransmitters are involved, anxiolytics like benzodiazepines and SSRIs focus on specific neurotransmitter systems, such as GABA (gamma-aminobutyric acid) and serotonin, rather than merely increasing neurotransmitter availability.

Choice C rationale:

Modulating the activity of glutamate is not the primary mechanism of anxiolytics. Glutamate is an excitatory neurotransmitter, and its modulation is more relevant to agents used in conditions like schizophrenia, rather than anxiety disorders.

Choice D rationale:

Enhancing the activity of serotonin and norepinephrine is the correct mechanism of anxiolytics. Medications like SSRIs (Selective Serotonin Reuptake Inhibitors) and SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) work by increasing the levels of these neurotransmitters in the brain. Serotonin and norepinephrine play critical roles in mood regulation and anxiety modulation.

A. Deep breathing. B. Vigorous exercise. C. Hyperventilation. D. Guided imagery.

Correct Answer is ["A","D"]

Explanation

Choice A rationale:

Deep breathing is an appropriate relaxation technique for a client with anxiety disorder. It involves taking slow, deep breaths to activate the body's relaxation response. Deep breathing helps reduce the sympathetic nervous system's activity, leading to a calmer state. This technique is effective in lowering heart rate and blood pressure.

Choice D rationale:

Guided imagery is another suitable relaxation technique. It involves using mental visualization to create calming and peaceful images in the mind. Guided imagery can divert the client's attention away from stressors, promoting relaxation. This technique has been shown to reduce anxiety and promote a sense of well-being.

Choice B rationale:

Vigorous exercise is not typically recommended as a relaxation technique for individuals with anxiety disorder. While regular exercise has many benefits for mental health, intense exercise might actually increase physiological arousal and exacerbate anxiety symptoms.

Choice C rationale:

Hyperventilation is an inappropriate technique for relaxation. It involves rapid and shallow breathing, which can lead to an imbalance in oxygen and carbon dioxide levels, resulting in dizziness, tingling sensations, and increased anxiety. This technique is counterproductive and can trigger panic attacks.

Choice E rationale:

Critical thinking exercises are not commonly used as relaxation techniques. These exercises engage the mind in problem-solving activities, which might not be suitable for promoting immediate relaxation. Instead, the focus should be on techniques that calm the body and mind.

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

Correct Answer is D

Explanation

(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.

Correct Answer is ["A","D"]

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

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

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

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

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

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