A nurse is caring for a client with anxiety disorder who is prescribed anxiolytic medication. What is the mechanism of action of anxiolytics?

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.

Choice A rationale:

Fluoxetine is an example of an SSRI (Selective Serotonin Reuptake Inhibitor), which is commonly prescribed for anxiety disorders and depression. It increases serotonin levels in the brain, helping to alleviate anxiety symptoms.

Choice B rationale:

Alprazolam is a benzodiazepine that enhances the effects of GABA, a neurotransmitter that reduces brain activity, leading to sedative and anxiolytic effects. It's used to treat anxiety disorders, although it can be habit-forming and is usually prescribed for short-term use.

Choice C rationale:

Propranolol is a beta-blocker that primarily treats hypertension and certain cardiac conditions, but it can also be used to manage the physical symptoms of anxiety, such as rapid heart rate and tremors.

Choice D rationale:

Gabapentin is not a first-line treatment for anxiety disorders, but it's sometimes used off-label to manage anxiety symptoms. It modulates the release of certain neurotransmitters, which can have a calming effect.

Choice E rationale:

Diphenhydramine is an antihistamine commonly used for allergies and as a sleep aid. It's not a standard pharmacological treatment for anxiety disorders.