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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Correct Answer is A

Explanation

Choice A reason: Holding the infant with head and shoulders slightly elevated helps prevent aspiration during feeding.

Choice B reason: Using the syringe plunger to push formula can increase the risk of aspiration and is not recommended.

Choice C reason: Microwaving formula can create hot spots and is not a safe method to warm formula.

Choice D reason: Measuring and discarding residual gastric contents is not typically recommended for routine feeding and can lead to improper assessment.

A. Severe motor dysfunction determines the extent of successful habilitation. B. Continued development of the brain lesion determines the child's outcome. C. Brain damage with CP is not progressive but does have a variable course. D. CP is one of the most common permanent physical disabilities in children.

Correct Answer is C

Explanation

Choice A reason: Severe motor dysfunction does influence the extent of successful habilitation, but it does not fully answer the mother’s concern regarding the progression of CP. The focus should be on reassuring the mother about the non-progressive nature of CP.

Choice B reason: The development of the brain lesion is already established in CP and does not continue to develop; thus, it does not determine the child's future outcome. The brain lesion's presence from birth does not change over time.

Choice C reason: Brain damage associated with CP is non-progressive, meaning it does not worsen over time. However, the symptoms and functional impairments can vary and fluctuate, which might make it seem as though the condition is changing.

Choice D reason: While it’s true that CP is one of the most common permanent physical disabilities in children, it doesn’t provide specific information about the progression of the disease. The mother needs to understand that the brain damage itself is not progressive.

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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

The nurse is preparing to administer a formula feeding by nasogastric tube (NGT) to a 2-month-old. Which intervention should the nurse implement?

Correct Answer is A

Explanation

The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation?

Correct Answer is C

Explanation

A client newly diagnosed with diabetes mellitus suddenly becomes confused and weak. Which intervention(s) should the nurse implement? Select all that apply.

The nurse is providing a nutrition class to a group of postmenopausal clients. Which food should the nurse emphasize to this group?

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

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