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 ["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.

A. Blocking the effects of adrenaline. B. Increasing the availability of neurotransmitters. C. Modulating the activity of glutamate. D. Enhancing the activity of serotonin and norepinephrine.

Correct Answer is D

Explanation

Choice A rationale:

Blocking the effects of adrenaline is not the mechanism of action for anxiolytics. Anxiolytics primarily target neurotransmitter systems in the brain, not adrenaline (also known as epinephrine) pathways.

Choice B rationale:

Increasing the availability of neurotransmitters is not the primary mechanism of anxiolytics. While neurotransmitters are involved, anxiolytics like benzodiazepines and SSRIs focus on specific neurotransmitter systems, such as GABA (gamma-aminobutyric acid) and serotonin, rather than merely increasing neurotransmitter availability.

Choice C rationale:

Modulating the activity of glutamate is not the primary mechanism of anxiolytics. Glutamate is an excitatory neurotransmitter, and its modulation is more relevant to agents used in conditions like schizophrenia, rather than anxiety disorders.

Choice D rationale:

Enhancing the activity of serotonin and norepinephrine is the correct mechanism of anxiolytics. Medications like SSRIs (Selective Serotonin Reuptake Inhibitors) and SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) work by increasing the levels of these neurotransmitters in the brain. Serotonin and norepinephrine play critical roles in mood regulation and anxiety modulation.

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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

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

Correct Answer is D

Explanation

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 medication side effects. Which statement by the nurse is appropriate?

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

(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.

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

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?