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 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.

A. Fluoxetine. B. Alprazolam. C. Propranolol. D. Gabapentin. E. Diphenhydramine.

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

Explanation

Choice A rationale:

Fluoxetine is an example of an SSRI (Selective Serotonin Reuptake Inhibitor), which is commonly prescribed for anxiety disorders and depression. It increases serotonin levels in the brain, helping to alleviate anxiety symptoms.

Choice B rationale:

Alprazolam is a benzodiazepine that enhances the effects of GABA, a neurotransmitter that reduces brain activity, leading to sedative and anxiolytic effects. It's used to treat anxiety disorders, although it can be habit-forming and is usually prescribed for short-term use.

Choice C rationale:

Propranolol is a beta-blocker that primarily treats hypertension and certain cardiac conditions, but it can also be used to manage the physical symptoms of anxiety, such as rapid heart rate and tremors.

Choice D rationale:

Gabapentin is not a first-line treatment for anxiety disorders, but it's sometimes used off-label to manage anxiety symptoms. It modulates the release of certain neurotransmitters, which can have a calming effect.

Choice E rationale:

Diphenhydramine is an antihistamine commonly used for allergies and as a sleep aid. It's not a standard pharmacological treatment for anxiety disorders.

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

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.

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

Explanation

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

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

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

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

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?