(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.

"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)

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.