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

"Tell me about your favorite hobbies.".

"You should avoid situations that make you anxious.".

"Why do you feel this way?".

"Anxiety is not a big deal, everyone feels it sometimes.".

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Asking the client about their favorite hobbies is an appropriate statement during the assessment. This open-ended question encourages the client to talk about positive and enjoyable aspects of their life, providing insight into their interests and potential sources of relaxation. It also helps build rapport and trust between the nurse and the client.

Choice B rationale:

Advising the client to avoid anxiety-inducing situations oversimplifies anxiety management. Avoidance can reinforce anxiety and prevent the client from developing effective coping strategies. Encouraging gradual exposure to manageable stressors is often a more helpful approach.

Choice C rationale:

Asking "Why do you feel this way?" can be perceived as confrontational and may put the client on the defensive. It might hinder open communication and prevent the client from fully expressing their feelings. Instead, using more open-ended and nonjudgmental questions is recommended.

Choice D rationale:

Minimizing anxiety by stating that "Anxiety is not a big deal, everyone feels it sometimes" is dismissive of the client's emotions. It invalidates their experience and fails to acknowledge the impact anxiety may have on their well-being. Providing empathy and understanding is crucial in therapeutic communication.

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Correct Answer is C

Explanation

Assist the client in challenging irrational thoughts.

Choice A rationale:

While medication may be a part of the treatment plan, the primary goal of establishing a therapeutic relationship is not to immediately prescribe medication. Building trust, rapport, and understanding the client's needs are initial priorities.

Choice B rationale:

Educating the client about relaxation techniques can be helpful, but the primary goal is to address the cognitive and emotional aspects of anxiety. Challenging irrational thoughts is a more central focus.

Choice C rationale:

The primary goal of establishing a therapeutic relationship with a client with anxiety disorder is to assist the client in challenging irrational thoughts. This involves identifying distorted thought patterns and helping the client reframe or replace these thoughts with more realistic and balanced ones.

Choice D rationale:

Developing measurable and realistic outcomes is an important aspect of the therapeutic process, but it is not the primary goal of establishing the therapeutic relationship. Measurable outcomes come after working through various therapeutic interventions.

A. Blocking the effects of adrenaline. B. Increasing the availability of neurotransmitters. C. Modulating the activity of glutamate. D. Enhancing the activity of serotonin and norepinephrine.

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.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

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

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 starting therapy. Which response by the nurse demonstrates appropriate communication?

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

(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 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?

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