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.".
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
"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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