A nurse is evaluating the outcomes of nursing interventions for a client with anxiety disorder. What is a possible positive outcome?
Increased risk of depression.
Reduced adherence to medical treatment.
Development of coping skills.
Impairment in personal domains.
The Correct Answer is C
"Development of coping skills."
Choice A rationale:
Increased risk of depression is not a positive outcome of nursing interventions. The goal is to alleviate symptoms and improve the client's well-being, not to introduce new mental health challenges.
Choice B rationale:
Reduced adherence to medical treatment is a negative outcome. It suggests that the client's anxiety might be interfering with their ability to follow recommended treatments, which is undesirable.
Choice C rationale:
This is the correct choice. Developing coping skills is a positive outcome. It indicates that the client is learning effective ways to manage their anxiety, enhancing their overall quality of life.
Choice D rationale:
Impairment in personal domains is a negative outcome. Nursing interventions aim to improve functioning and minimize impairment, so this choice contradicts the therapeutic goals.
Generalized anxiety disorder (GAD)
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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 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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