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

Prescribe medication for immediate relief.

Educate the client about various relaxation techniques.

Assist the client in challenging irrational thoughts.

Develop measurable and realistic outcomes.

Answer and Explanation

The Correct Answer is C

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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Correct Answer is B

Explanation

Choice A rationale:

Establishing a therapeutic relationship is essential for effective care, but it is not directly aimed at promoting coping skills and enhancing self-esteem. It's a foundational aspect of nursing care, focusing on building trust and rapport with the client.

Choice B rationale:

Teaching relaxation techniques is the correct intervention for promoting coping skills and enhancing self-esteem. Relaxation techniques, such as deep breathing, progressive muscle relaxation, and mindfulness, empower clients to manage their anxiety and build self-confidence.

Choice C rationale:

Providing a safe environment is important in a clinical setting, but it doesn't directly address promoting coping skills or enhancing self-esteem. This intervention contributes to the client's overall well-being and sense of security.

Choice D rationale:

Referring to support groups can be valuable for clients with anxiety disorders, but it doesn't directly involve teaching coping skills or enhancing self-esteem. Support groups provide social connections and a platform for shared experiences.

A. Fluoxetine. B. Alprazolam. C. Propranolol. D. Gabapentin. E. Diphenhydramine.

Correct Answer is ["A","B","C","D"]

Explanation

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.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is implementing nursing interventions for a client with anxiety disorder. Which intervention is aimed at promoting coping skills and enhancing self-esteem?

Correct Answer is B

Explanation

(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.

Correct Answer is ["A","B","C","D"]

Explanation

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

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

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

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

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

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

(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.