Nokea
A client who reports moderate to severe anxiety requires intervention. What technique(s) suggested by the nurse would be helpful in assisting this client in the management of anxiety? Select all that apply.
- A. Use rapid respirations
- B. Take a cool shower or bath
- C. Visualize a relaxing place
- D. Listen to music
- E. Smoke a cigarette
- F. Progressively tighten muscles
Correct Answer: C,D
Rationale: Visualizing a relaxing place is using imagery to relax the client. Listening to music can be a distraction and help to lessen anxiety-provoking stimuli. Slow breathing, taking a warm shower, avoiding alcohol and nicotine, and progressively relaxing muscle groups are additional techniques that are helpful to decrease anxiety.
You may also like to solve these questions
What is a side effect of beta-adrenergic blockers?
- A. Sedation
- B. Hyperglycemia
- C. Bradycardia
- D. Addiction
Correct Answer: C
Rationale: Major side effects of beta-adrenergic blocking agents include bradycardia and elevated blood glucose levels. They do not cause sedation, hyperglycemia, or addiction.
Following the death of a spouse, a client is prescribed a short-term use of lorazepam. Which is the best rationale to support taking this medication at bedtime?
- A. Deters the client from driving under the influence
- B. Prevents nightmares and obsessive thoughts
- C. Induces drowsiness and sleep
- D. Causes dizziness and lightheadedness
Correct Answer: C
Rationale: Antianxiety drugs such as lorazepam can cause drowsiness and induce sleep. Because many clients with anxiety disorders also have insomnia, taking the medication at bedtime will promote sleep. Nightmares and obsessive thoughts may be decreased through the induction of sleep. Using the drug at bedtime is not for the purpose of deterring driving. This drug can cause dizziness and light-headedness in some clients.
Which provides the best data to support the diagnosis of anxiety disorder in clients of any age? Select all that apply.
- A. Magnetic resonance imaging (MRI)
- B. Computed tomography (CT scan)
- C. Presenting symptoms
- D. Client history
- E. Prescription list
- F. Over-the-counter medications
Correct Answer: C,D
Rationale: Diagnosing of most clients with anxiety disorders is based on presenting symptoms and client history. MRI and CT scans can be done to rule out brain pathology and other physiologic causes. Alcohol, prescription drugs, as well as over-the-counter drugs can alter findings or contribute to symptoms presented but are not the best data to base a diagnosis of anxiety disorder.
The client who is waiting to be transported to the operating room tells the nurse of a fear of waking up during the operation. The client is visibly upset with sweaty palms, wringing of the hands, and increased heart rate. Which is the best action to be taken by the nurse?
- A. Postpone the surgery until another day/time.
- B. Allow the family to spend time with the client.
- C. Contact chaplain services and request a visit from clergy.
- D. Stay with the client until anesthesiologist evaluates situation.
Correct Answer: D
Rationale: The primary goal for nursing management of this client is to restore comfort. The nurse should validate the client's feelings, remain present, and share concerns with the anesthesiologist. If the client's fear cannot be calmed, the surgery may need to be postponed. Allowing the client to spend time with the family may be helpful but does not address the fear of anesthesia. The presence of clergy may be calming for a client with spiritual needs. Restoring calm and comfort to the client is important prior to procedures.
The Beer's List is helpful in providing the nurse with a quick reference on potential risks and benefits for which likely group of clients?
- A. Infants and children
- B. Older adults
- C. Chemically dependent
- D. Complex medical problem clients
Correct Answer: B
Rationale: Beer's criterion has been used to identify drugs that may be inappropriately prescribed, ineffective, or cause adverse drug reactions in older adult clients. The Beer's criteria are very useful and help determine risk-associated situations for older adults and specific drugs that may be problematic. Chemical dependency and complex medical problems are not a consideration.