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

"Development of coping skills."

Choice A rationale:

Increased risk of depression is not a positive outcome of nursing interventions. The goal is to alleviate symptoms and improve the client's well-being, not to introduce new mental health challenges.

Choice B rationale:

Reduced adherence to medical treatment is a negative outcome. It suggests that the client's anxiety might be interfering with their ability to follow recommended treatments, which is undesirable.

Choice C rationale:

This is the correct choice. Developing coping skills is a positive outcome. It indicates that the client is learning effective ways to manage their anxiety, enhancing their overall quality of life.

Choice D rationale:

Impairment in personal domains is a negative outcome. Nursing interventions aim to improve functioning and minimize impairment, so this choice contradicts the therapeutic goals.

Generalized anxiety disorder (GAD)

A. Prescribe medication for immediate relief. B. Educate the client about various relaxation techniques. C. Assist the client in challenging irrational thoughts. D. Develop measurable and realistic outcomes.

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.

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

Correct Answer is C

Explanation

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

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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?