A client with generalized anxiety disorder does not want to communicate with friends, smokes 2 to 3 packages of cigarettes a day, and describes difficulty concentrating at work. Which coping strategy should the nurse include in the plan of care?

Focus on small achievable tasks, not taxing problems.

Relax and reduce the amount of effort to solve the problem.

Analyze past hurts and resentments to identify the source.

Concentrate on and ventilate emotions when distressed.

Answer and Explanation

The Correct Answer is A

Choice A reason: Focusing on small achievable tasks helps the client experience a sense of accomplishment and reduce anxiety. It provides structure and manageable goals, which can improve concentration and reduce overwhelming feelings.

Choice B reason: Relaxing and reducing the effort to solve the problem may help to some extent, but it is not a comprehensive coping strategy and does not address the client's avoidance behaviors and concentration difficulties.

Choice C reason: Analyzing past hurts and resentments is more aligned with psychotherapy rather than an immediate coping strategy for generalized anxiety disorder.

Choice D reason: Concentrating on and ventilating emotions when distressed might provide temporary relief but does not address the broader issue of managing anxiety and improving function.

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Free Nursing Study Resources

Correct Answer is ["C","D","E"]

Explanation

Choice A reason: Keeping the room brightly lit while providing care may help with orientation but is not a specific instruction related to stroke care.

Choice B reason: Minimizing verbal interaction with the client is not advisable. Communication is essential in assessing the client's neurological status.

Choice C reason: Monitoring for change in speech is important as speech difficulties can indicate a worsening of the stroke or other neurological issues.

Choice D reason: Avoiding dropping side rails or abruptly closing the door helps minimize unnecessary stimulation and agitation, which can be beneficial for a client experiencing a stroke.

Choice E reason: Reporting any change in level of consciousness is critical as it can indicate changes in the client's condition that require immediate medical attention.

A. Call for an assistant. B. Close the room door. C. Finish the procedure. D. Respond to the code.

Correct Answer is A

Explanation

Choice A reason: Calling for an assistant allows the nurse to ensure the client receiving tracheostomy care is safe and monitored while responding to the code blue, which is a priority emergency situation.

Choice B reason: Closing the room door does not address the need for assistance with the ongoing procedure and the emergency.

Choice C reason: Finishing the procedure may delay the nurse's response to the code blue, which requires immediate attention.

Choice D reason: Responding to the code without ensuring the current client is safe can lead to potential complications during tracheostomy care.

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A client with generalized anxiety disorder does not want to communicate with friends, smokes 2 to 3 packages of cigarettes a day, and describes difficulty concentrating at work. Which coping strategy should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted during the acute phase of a stroke. The nurse observes that the client is restless and unable to follow instructions. Which instruction(s) should the nurse provide the unlicensed assistive personnel (UAP) who is assisting with the care of the client? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

The nurse is performing tracheostomy care for a client when a code blue is called for another client on the unit who experiences a cardiopulmonary arrest. Which action should the nurse take?

Correct Answer is A

Explanation

After a scheduled downtime, the computer documentation system fails to restart. Which action should the nurse take first?

Which assessment technique provides the most useful data when the nurse is concerned about possible urinary retention?

A female client is taking alendronate, a bisphosphonate, for postmenopausal osteoporosis. The client tells the nurse that she is experiencing jaw pain. How should the nurse respond?

A postoperative client returns to the nursing unit following a ureterolithotomy via a flank incision. Which potential problem has the highest priority when planning nursing care for this client?

The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel (UAP). Which activity should the nurse assign to the UAP?

A client who fell and broke a wrist is admitted for 24-hour observation after emergency orthopedic surgery. The healthcare provider prescribes discharge in the morning. Which finding(s) should the nurse use to evaluate the client's status for discharge from the hospital? Select all that apply.