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The nurse is teaching a client with an anxiety disorder ways to manage anxiety. The nurse suggests which of the following schedules for practicing stress management techniques?
- A. Practice the techniques each morning and night as part of a daily routine.
- B. Use the techniques as needed when experiencing severe anxiety.
- C. Practice the techniques when relatively calm.
- D. Expect to practice the techniques when meeting with a therapist.
Correct Answer: C
Rationale: Practicing stress management techniques when calm allows the client to master them effectively before anxiety escalates.
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The nurse plans to teach a client about dietary modifications to manage diabetes. Teaching would be most effective if the client displayed which one of the following characteristics?
- A. Focusing only on immediate task
- B. Faster rate of speech
- C. Narrowed perceptual field
- D. Heightened focus
Correct Answer: D
Rationale: Mild anxiety enhances focus and learning ability, making it the optimal state for effective teaching.
When teaching a client with generalized anxiety disorder, which is the highest priority for the nurse to teach the client to avoid?
- A. Caffeine
- B. High-fat foods
- C. Refined sugars
- D. Sodium
Correct Answer: A
Rationale: Caffeine exacerbates anxiety symptoms, making it the highest priority to avoid in managing generalized anxiety disorder.
The nursing student understands correctly when identifying which objective is appropriate for all clients with anxiety disorders?
- A. The client will experience reduced anxiety and accept the fact that underlying conflicts cannot be treated.
- B. The client will experience reduced anxiety and develop alternative responses to anxiety-provoking situations.
- C. The client will experience reduced anxiety and learn to control primitive impulses.
- D. The client will experience reduced anxiety and strive for insight through Psychoanalysis.
Correct Answer: B
Rationale: Developing alternative responses to anxiety-provoking situations is a key objective for managing anxiety disorders effectively.
Which of the following would be key points for the nurse to remember when working with persons who are suffering from anxiety disorders?
- A. It is important for the nurse to fix the client's problems.
- B. Remember to practice techniques to manage stress and anxiety in your own life.
- C. If you have any uncomfortable feelings, do not tell anyone about them.
- D. Remember that only people who suffer from anxiety disorders have stress that can interfere with daily life and work.
Correct Answer: B
Rationale: Nurses must manage their own stress to provide effective care, as stress is universal, not exclusive to those with anxiety disorders.
A client who suffers from frequent panic attacks describes the attack as feeling disconnected from himself. The nurse notes in the client's chart that the client reports experiencing.
- A. hallucinations.
- B. depersonalization.
- C. derealization.
- D. denial.
Correct Answer: B
Rationale: Feeling disconnected from oneself during a panic attack is depersonalization, a common symptom of panic.