A nurse is caring for a client who experiences severe anxiety when going to work. The nurse should identify that which of the following areas of the autonomic nervous system is stimulated when the client goes to work?
Sympathetic nervous system
Limbic system
Parasympathetic nervous system
Vagus nerve
The Correct Answer is A
A. The sympathetic nervous system is responsible for the "fight or flight" response, which is triggered during times of anxiety, stress, or fear. It increases heart rate, blood pressure, and prepares the body to respond to perceived threats, which aligns with the client's severe anxiety going to work.
B. The limbic system plays a role in emotion and memory but is not directly responsible for the physiological changes associated with anxiety.
C. The parasympathetic nervous system is responsible for "rest and digest" functions, counteracting the sympathetic nervous system’s responses during relaxation, not during anxiety.
D. The vagus nerve is part of the parasympathetic system and is not primarily responsible for the acute anxiety response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Isolating the client is not helpful and may increase anxiety, potentially worsening the compulsive behaviors.
B. Setting strict limits can lead to resistance and increased anxiety, making compulsive behaviors more difficult to manage.
C. Confronting the client about the senseless nature of their compulsions is not effective and may increase anxiety, making the behaviors more intense. Instead, it is important to provide support and understanding while working with the client to reduce the impact of OCD on daily functioning.
D. Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals allows the nurse to balance the need to manage the behavior with the need to provide structure and care.
Correct Answer is A
Explanation
A. Helping the client identify anxiety triggers is a crucial step in managing chronic anxiety. This allows the client to develop coping strategies and minimize stressors.
B. Repressing feelings of anxiety is not a healthy coping mechanism. Acknowledging and addressing anxiety through appropriate strategies is essential.
C. While contacting a counselor is beneficial, weekly contact is not typically needed for chronic anxiety management unless specified by the care plan.
D. It is unrealistic to eliminate all stress and anxiety. The goal is to manage and cope with these feelings, not to eliminate them completely.
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