Which of the following are NOT nursing interventions for people with anxiety disorders? Select all that apply.
Observe the patient's nonverbal communication for data on the patient's thoughts and feelings.
Maximize stimuli to create diversion from the anxiety.
Discourage activities, as activities might only increase a patient's anxiety level.
Document only positive changes in behavior.
Encourage the patient to verbalize all thoughts and feelings.
Observe for signs of suicidal thoughts.
Correct Answer : B,C,D
Choice A reason: Observing nonverbal communication is a valid nursing intervention for assessing a patient's anxiety level.
Choice B reason: Maximizing stimuli can overwhelm a patient with anxiety and is not a recommended intervention.
Choice C reason: Discouraging activities is not recommended as activities can be a form of therapy for anxiety disorders.
Choice D reason: Documenting only positive changes is not appropriate as all changes, positive or negative, should be documented for a comprehensive understanding of the patient's condition.
Choice E reason: Encouraging patients to verbalize thoughts and feelings is a therapeutic intervention that can help manage anxiety.
Choice F reason: Observing for signs of suicidal thoughts is crucial as anxiety disorders can increase the risk of suicide.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Clients with OCD often engage in compulsive behaviors, such as cleaning, to manage their anxiety levels. Recognizing this can help the nurse provide appropriate support and interventions.
Choice B reason: While the tasks may seem useful, the compulsive nature of the behavior is driven by anxiety rather than a focus on productivity.
Choice C reason: The behavior is not about limiting social interaction; it is a manifestation of the client's OCD.
Choice D reason: The behavior is not intended to manipulate or control others but is a symptom of the client's OCD.
Correct Answer is D
Explanation
Choice A reason: Fecal impaction typically presents with the inability to pass stool and may not be associated with the absence of bowel sounds.
Choice B reason: Incisional infection is usually indicated by localized redness, warmth, and possible discharge, not necessarily by the absence of bowel sounds or flatus.
Choice C reason: Health care-associated Clostridium difficile often presents with diarrhea, not the absence of bowel sounds or flatus.
Choice D reason: Paralytic ileus is characterized by impaired intestinal motility and transit, absence of the passage of flatus, diminished bowel sounds, abdominal distension, and intestinal dilatation, fitting the symptoms described.

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