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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
"I understand your concerns. Let's discuss the potential side effects so you're prepared."
Choice A rationale:
This choice suggests a directive approach that disregards the client's apprehensions. Anxiety disorders often involve heightened sensitivity, and this response might exacerbate the client's distress.
Choice B rationale:
Choice B downplays the significance of side effects, which may undermine the client's worries. While some side effects might indeed be minimal, it's essential to address the client's concerns more empathetically.
Choice C rationale:
This is the appropriate response. Acknowledging the client's concerns and offering to discuss potential side effects in a supportive manner is a therapeutic approach. It promotes open communication, empowers the client, and helps them make informed decisions.
Choice D rationale:
Choice D dismisses the client's worries and could invalidate their feelings. It's important to avoid belittling the client's concerns, as it may hinder the development of a trusting nurse-client relationship.
Correct Answer is C
Explanation
Choice C rationale:
Responding with empathy and validation, such as acknowledging the client's concerns about starting therapy, is appropriate communication. It demonstrates the nurse's understanding of the client's feelings and helps establish a supportive and trusting relationship. Many individuals with anxiety disorder have reservations about therapy, and addressing their concerns can alleviate some of their apprehensions.
Choice A rationale:
Suggesting that "Therapy won't really help, but you should try it anyway" is discouraging and undermines the potential benefits of therapy. It may lead to decreased motivation and engagement in the therapeutic process.
Choice B rationale:
Instructing the client to solely rely on medications oversimplifies treatment and disregards the potential effectiveness of therapy and other coping strategies. Medications can be a part of the treatment plan, but a comprehensive approach is usually recommended.
Choice D rationale:
Advising the client to rely on friends and family for support instead of seeking professional help minimizes the importance of therapeutic interventions. While social support is valuable, it is not a substitute for evidence-based treatments for anxiety disorder.
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