Nokea
Which of the following are cognitive/behavioral therapy techniques that may be used effectively with anxious clients? Select all that apply.
- A. Positive reframing
- B. Decatastrophizing
- C. Assertiveness training
- D. Humor
- E. Unlearning
Correct Answer: A,B,C,E
Rationale: Positive reframing, decatastrophizing, assertiveness training, and unlearning are cognitive/behavioral techniques; humor is not.
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A client is currently experiencing a panic attack. Which of the following is the most appropriate response by the nurse?
- A. Just try to relax.
- B. There is nothing here to harm you.
- C. You are safe. Take a deep breath.
- D. What are you feeling right now?
Correct Answer: C
Rationale: Reassuring safety and guiding deep breathing help manage a panic attack by reducing anxiety and providing focus.
A nurse is working with a client to develop assertive communication skills. The nurse documents achievement of treatment outcomes when the client makes a statement such as.
- A. I'm sorry. I'm not picking this up very quickly.
- B. I feel upset when you interrupt me.
- C. You are pushing me too hard.
- D. I'm not going to let people push me around anymore.
Correct Answer: B
Rationale: Using 'I' statements to express feelings, like 'I feel upset,' demonstrates assertive communication, fostering self-assurance.
A client states, 'I will just die if I don't get this job.' The nurse then asks the client, 'What will be the worst that will happen if you don't get the job?' The nurse is using this response to
- A. appraise his situation more realistically.
- B. assist the client to make alternative plans for the future.
- C. assess if the client has health problems compounded by stress.
- D. clarify the client's meaning.
Correct Answer: A
Rationale: The nurse's question employs decatastrophizing to help the client realistically evaluate the situation and reduce exaggerated fears.
The nurse knows that which one of the following statements is true about stress and anxiety?
- A. All people handle stress in the same way.
- B. Stress is a person's reaction to anxiety.
- C. Anxiety occurs when a person has trouble dealing with life situations, problems, and goals.
- D. Stress is the wear and tear that life causes on the body.
Correct Answer: D
Rationale: Stress is defined as the wear and tear on the body caused by life's demands, while anxiety is a response to stress involving feelings of dread.
The nurse is educating a client and family about managing panic attacks after discharge from treatment. The nurse includes which of the following in the discharge teaching? Select all that apply.
- A. Continued development of positive coping skills
- B. Weaning off of medications as necessary
- C. Lessening the amount of daily responsibilities
- D. Continued practice of relaxation techniques
- E. Development of a regular exercise program
Correct Answer: A,D,E
Rationale: Positive coping skills, relaxation techniques, and regular exercise support long-term management of panic attacks.