A nurse is preparing to teach a client who has moderate anxiety about what to expect after their upcoming cardiac catheterization. Which of the following actions should the nurse plan to take?
Provide detailed explanations to the client.
Use short, simple sentences when speaking to the client.
Avoid asking the client questions.
Show a 30-minute teaching video to the client.
The Correct Answer is B
Choice A reason: Providing detailed explanations to a client with moderate anxiety might overwhelm them and exacerbate their anxiety. While information is important, too much detail can be counterproductive in this context.
Choice B reason: Using short, simple sentences can help ensure that the client with moderate anxiety comprehends the information without becoming overwhelmed. This approach is conducive to learning and retention, especially when the client is anxious.
Choice C reason: Avoiding asking the client questions may seem like a way to reduce stress, but it can actually hinder engagement and understanding. Questions can help clarify the client's comprehension and provide them with a sense of involvement in their care.
Choice D reason: Showing a 30-minute teaching video might be informative, but it could be too lengthy for a client with moderate anxiety. The client may benefit more from interactive and personalized teaching methods that allow for breaks and questions as needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Watching television before bedtime can be stimulating and interfere with the ability to fall asleep. The blue light emitted by screens can also disrupt the body's natural sleep-wake cycle.
Choice B reason: Regular exercise, particularly when done earlier in the day, can help reduce anxiety and improve sleep quality. However, it's important to avoid vigorous exercise close to bedtime as it can be too stimulating.
Choice C reason: Consuming the evening meal too close to bedtime can cause indigestion and interfere with sleep. It's better to finish eating at least 2-3 hours before going to bed.
Choice D reason: Taking long naps, especially later in the day, can make it more difficult to fall asleep at night. If naps are necessary, they should be short and not too close to bedtime.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"}}
Explanation
Indicates potential Improvement a. Hygiene b. Food intake c. Rapid change in mood
Indicates potential worsening a. Giving away car b. Condition of skin on right hand
Choice A: Giving away car
This could be a sign of the client’s worsening condition. Giving away possessions can sometimes be a sign of suicidal ideation. It’s important to monitor this behavior and report it to the healthcare provider.
Choice B: Hygiene
The client showered without prompting on the third day, which is an improvement from the first day when they declined to shower. Improved personal hygiene can be a sign of improvement in a client with obsessive-compulsive disorder.
Choice C: Food intake
The client ate 75% of their meals on the third day, which is an improvement from the first day when they refused to eat. Increased food intake can indicate an improvement in the client’s condition2.
Choice D: Condition of skin on right hand
The client’s hands remain reddened with a 1 cm x 1 cm area of peeling skin noted on the center of the right palm. This could indicate a worsening condition, as it may be a result of excessive handwashing, a common compulsion in OCD.
Choice E: Rapid change in mood
The client’s affect rapidly changed throughout the afternoon and early evening; the client is now talkative and appears content. This could indicate an improvement in the client’s condition, as they are engaging more with others and showing more positive emotions.
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