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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Evaluation is the final step of the nursing process, where the nurse determines the effectiveness of the nursing care provided.

Choice B reason: Assessment is the correct part of the nursing process for the mental status examination, as it involves collecting data about the patient.

Choice C reason: Planning involves setting goals and choosing appropriate nursing actions based on the assessment data.

Choice D reason: Implementation is the step where the nurse carries out the planned interventions.

A. Thinking/content of thought B. Mood and affect C. Judgment D. Perception

Correct Answer is D

Explanation

Choice A reason: Thinking/content of thought refers to the logical process of thought and coherence, not directly to the experience of reality.

Choice B reason: Mood and affect pertain to the emotional state and its expression, not the perception of reality.

Choice C reason: Judgment involves decision-making abilities and the evaluation of situations, not the perception of reality.

Choice D reason: Perception is the component that deals with how a person experiences reality, including any hallucinations or delusions they may have.

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Which of the following are NOT nursing interventions for people with anxiety disorders? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The mental status examination takes place during which part of the nursing process?

Correct Answer is B

Explanation

Which component of the Mental Health Status Examination focuses on the way a person experiences reality?

Correct Answer is D

Explanation

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