Which of the following is a priority when caring for a highly anxious patient?
Implement strict limit-setting to control behavior.
Increase environmental stimuli to distract the patient.
Provide support and a therapeutic milieu.
Provide more freedom to promote self-expression.
The Correct Answer is C
Choice A reason: While limit-setting is important, it should not be overly strict as it can increase anxiety in patients who are already highly anxious.
Choice B reason: Increasing environmental stimuli may overwhelm a highly anxious patient rather than help them.
Choice C reason: Providing support and a therapeutic milieu offers a safe and structured environment, which can help reduce anxiety and promote healing.
Choice D reason: More freedom can be beneficial, but it must be balanced with the need for a supportive and structured environment for a highly anxious patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Extending the scheduled time could reinforce the client's resistance to discussing feelings until the end of the session, which is not therapeutic.
Choice B reason: Ending at the scheduled time maintains boundaries and structure, which are important in the therapeutic relationship, especially with clients who have personality disorders.
Choice C reason: Arranging for another nurse to continue the interview may disrupt the continuity of care and the therapeutic relationship.
Choice D reason: Setting an extra meeting time could be considered if the client's needs are urgent, but it is not the best option in this scenario as it may reinforce avoidance behaviors.
Correct Answer is C
Explanation
Choice A reason: While individuals with obsessive-compulsive personality disorder may seek advice, it is not typically to an excessive amount, and this does not capture the essence of the disorder.
Choice B reason: Using physical appearance to gain attention is not a characteristic of obsessive-compulsive personality disorder; it is more associated with histrionic personality disorder.
Choice C reason: Being preoccupied with order and following rigid rules is a core feature of obsessive-compulsive personality disorder, reflecting a need for control and perfectionism.
Choice D reason: Believing one's achievements are superior to others is indicative of narcissistic personality disorder, not obsessive-compulsive personality disorder.
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