A nurse is caring for a client who is experiencing a crisis related to anxiety. Which of the following actions should the nurse take? (Select all that apply).
Develop a flexible crisis intervention plan.
Identify the cause of the anxiety.
Validate the client’s feelings.
Establish rapport with the client.
Avoid eye contact to prevent escalation of anxiety.
Correct Answer : A,B,C,D
Choice A reason:
Developing a flexible crisis intervention plan is essential in managing a client’s anxiety crisis. Flexibility allows the nurse to adapt the plan to the client’s changing needs and circumstances, ensuring that the interventions remain effective and appropriate.
Choice B reason:
Identifying the cause of the anxiety is crucial for effective intervention. Understanding the underlying factors contributing to the client’s anxiety helps the nurse address the root of the problem and develop targeted strategies to alleviate the client’s distress.
Choice C reason:
Validating the client’s feelings is an important therapeutic technique. It helps the client feel understood and supported, which can reduce anxiety and build trust between the client and the nurse. Validation acknowledges the client’s emotions without judgment.
Choice D reason:
Establishing rapport with the client is fundamental in any therapeutic relationship. Building rapport fosters trust and open communication, which are essential for effective crisis intervention. A strong therapeutic relationship can help the client feel more secure and supported.
Choice E reason:
Avoiding eye contact is not recommended as it can be perceived as dismissive or disinterested. Maintaining appropriate eye contact shows that the nurse is engaged and attentive, which can help reassure the client and reduce anxiety. It is important to balance eye contact to avoid making the client feel uncomfortable.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Putting the client in a quiet room can help reduce external stimuli and may be beneficial in managing anxiety. However, it does not address the immediate need for support and reassurance. The presence of a nurse can provide a sense of safety and help the client feel more secure during a highly anxious state.
Choice B reason:
Teaching the client deep breathing techniques is an effective strategy for managing anxiety. However, in the immediate aftermath of a traumatic event, the client may not be able to focus on learning new techniques. Providing immediate support and reassurance is more critical at this stage.
Choice C reason:
Remaining with the client is the most appropriate immediate intervention. The nurse’s presence can provide comfort, reassurance, and a sense of safety, which are crucial in managing acute anxiety. This approach helps to stabilize the client and allows for further assessment and intervention once the client is calmer.
Choice D reason:
Encouraging the client to talk about their feelings and concerns is an important part of anxiety management, but it may not be the best immediate intervention in a severe state of anxiety. Initially, the client may need more direct support and reassurance before they are able to articulate their feelings effectively. Once the client is calmer, discussing their feelings can be beneficial.
Correct Answer is ["A","E"]
Explanation
Choice A reason:
Anhedonia, or the inability to experience pleasure, is a negative symptom of schizophrenia. Negative symptoms reflect a decrease or loss of normal functions and are often more challenging to treat than positive symptoms.
Choice B reason:
Hallucinations are positive symptoms of schizophrenia. Positive symptoms involve the presence of abnormal behaviors or experiences, such as hearing voices or seeing things that are not there.
Choice C reason:
Poor judgment is not classified as a negative symptom of schizophrenia. It can be a feature of cognitive impairment associated with the disorder but is not specifically a negative symptom.
Choice D reason:
Delusions are positive symptoms of schizophrenia. They involve false beliefs that are not based in reality, such as believing one has special powers or is being persecuted.
Choice E reason:
Blunt affect, or reduced emotional expression, is a negative symptom of schizophrenia. It involves a lack of emotional responsiveness and is indicative of the diminished capacity to express emotions.
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