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Which of the following are reasons that the nurse must understand why and how anxiety behaviors work? Select all that apply.
- A. To provide better care for the client
- B. To help understand the role anxiety plays in performing nursing responsibilities
- C. To help the nurse to mask his or her own feelings of anxiety
- D. So the nurse can identify that his or her own needs are more important than the clients
- E. To help nurses to function at a high level
Correct Answer: A,B,E
Rationale: Understanding anxiety improves client care, informs nursing responsibilities, and supports high-level functioning, without prioritizing the nurse's needs.
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A client experiences panic attacks when confronted with riding in elevators. The therapist is teaching the client ways to relax while incrementally exposing the client to getting on an elevator. This technique is called
- A. systematic desensitization.
- B. flooding.
- C. cognitive restructuring.
- D. exposure therapy.
Correct Answer: A
Rationale: Systematic desensitization involves gradual exposure to a phobia in a safe setting to reduce anxiety, unlike rapid flooding or cognitive techniques.
The nurse enters the client's room and finds the client anxiously pacing the floor. The client begins shouting at the nurse, 'Get out of my room!' The best intervention by the nurse would be to
- A. approach the client and ask, 'What's wrong?'
- B. call for help and say, 'Calm down.'
- C. turn and walk away from the room without saying anything.
- D. stand at the doorway and say, 'You seem upset.'
Correct Answer: D
Rationale: Standing at a distance and acknowledging the client's distress maintains safety and encourages communication without escalating anxiety.
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.
Which of the following statements about the use of defense mechanisms in persons with anxiety disorders are accurate? Select all that apply.
- A. Defense mechanisms are a human's attempt to reduce anxiety.
- B. Persons are usually aware when they are using defense mechanisms.
- C. Defense mechanisms can be harmful when overused.
- D. Defense mechanisms are cognitive distortions.
- E. The use of defense mechanisms should be avoided.
- F. Defense mechanisms can control the awareness of anxiety.
Correct Answer: A,C,D,F
Rationale: Defense mechanisms are unconscious cognitive distortions used to reduce anxiety, but overuse can hinder emotional growth and problem-solving.
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.