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Which of the following interventions is most appropriate for a client experiencing severe anxiety?
- A. Encourage the client to talk about their feelings.
- B. Provide a quiet and calm environment.
- C. Encourage the client to exercise vigorously.
- D. Encourage the client to participate in group activities.
Correct Answer: B
Rationale: In cases of severe anxiety, creating a quiet and calm environment is crucial as it can help reduce stimulation and promote relaxation. This environment can provide a sense of safety and security, which are essential for individuals experiencing heightened anxiety levels. Encouraging the client to talk about their feelings may not be suitable during severe anxiety as it can further escalate distress by focusing on the source of anxiety. Vigorous exercise and group activities may not be appropriate initially, as they can increase arousal levels rather than promoting a sense of calm needed to manage severe anxiety.
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A client with bipolar disorder is in the manic phase. Which nursing intervention should the nurse implement to ensure the client's safety?
- A. Provide a structured environment with minimal stimuli.
- B. Encourage the client to participate in group activities.
- C. Monitor the client closely for signs of exhaustion.
- D. Encourage the client to rest and sleep as needed.
Correct Answer: A
Rationale: During the manic phase of bipolar disorder, individuals may engage in impulsive behaviors that can put them at risk of harm. Providing a structured environment with minimal stimuli can help reduce the risk of injury by minimizing triggers for impulsive actions. This intervention promotes a safe and controlled setting for the client, which is crucial in managing the symptoms of mania. Encouraging the client to participate in group activities (Choice B) may increase stimuli and potentially exacerbate manic symptoms. Monitoring for signs of exhaustion (Choice C) is important but does not directly address the safety concerns related to impulsive behaviors during mania. Encouraging the client to rest and sleep as needed (Choice D) may be challenging during the manic phase when individuals typically experience decreased need for sleep.
A client with generalized anxiety disorder is prescribed buspirone (Buspar). Which statement by the client indicates an accurate understanding of the medication?
- A. I should take this medication as needed for anxiety.
- B. I need to avoid eating aged cheeses.
- C. It may take several weeks for this medication to take effect.
- D. I can stop taking this medication abruptly if I feel better.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which client action is an example of the defense mechanism of sublimation?
- A. A woman channels her energy into a new hobby after a breakup.
- B. A man redirects his anger from work into a workout routine.
- C. A student focuses on studying to avoid thinking about a recent argument.
- D. An athlete channels competitive impulses into a successful sports career.
Correct Answer: B
Rationale: Sublimation is a defense mechanism where unacceptable impulses are redirected into socially acceptable activities. In this scenario, the man redirects his anger from work into a workout routine, which is a positive and constructive way of managing his emotions. Choices A, C, and D do not fully align with sublimation as they do not involve redirecting unacceptable impulses into socially acceptable outlets, unlike the man's action in choice B.
When evaluating a client's progress in psychotherapy, which outcome is appropriate for the client?
- A. The client will identify triggers for anxiety.
- B. The client will develop coping strategies.
- C. The client will decrease avoidance behaviors.
- D. The client will express feelings of anger.
Correct Answer: A
Rationale: In psychotherapy, identifying triggers for anxiety is a crucial step towards understanding and managing one's anxiety symptoms. By recognizing these triggers, clients can work on developing coping strategies and addressing the root cause of their anxiety, leading to improved mental health outcomes. Decreasing avoidance behaviors and expressing feelings of anger are also important aspects of therapy. However, identifying triggers for anxiety is a more specific and foundational goal in addressing anxiety disorders, making it the most appropriate outcome to evaluate a client's progress in psychotherapy.
A client with generalized anxiety disorder is prescribed buspirone (Buspar). Which statement by the client indicates a need for further teaching?
- A. I should avoid driving while taking this medication.
- B. I can stop taking this medication abruptly if I feel better.
- C. It may take several weeks for this medication to take effect.
- D. I should avoid using this medication during pregnancy.
Correct Answer: B
Rationale: The correct answer is B. Clients should not stop taking buspirone (Buspar) abruptly as it may cause withdrawal symptoms. Choice A is correct as buspirone can cause dizziness and drowsiness, so avoiding driving is important. Choice C is also accurate because buspirone may take several weeks to reach its full effectiveness. Choice D is valid as buspirone is not recommended during pregnancy due to potential risks to the fetus.