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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.
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The nurse is teaching about postoperative wound care. As the wound is uncovered, the client begins mumbling, breathing rapidly, and trying to get out of bed, and the client does not respond when the nurse calls his name. Which of the following should be the nurse's first action?
- A. Ask the client to describe his feelings.
- B. Proceed with wound care quickly.
- C. Replace the dressing on the wound.
- D. Get the assistance of another nurse.
Correct Answer: C
Rationale: Replacing the dressing addresses severe anxiety by reducing stimuli and preventing wound contamination, prioritizing client comfort.
Which techniques would be most effective for a client who has situational phobias? Select all that apply.
- A. Flooding
- B. Reminding the person to calm down
- C. Systematic desensitization
- D. Assertiveness training
- E. Decatastrophizing
Correct Answer: A,C
Rationale: Flooding and systematic desensitization are behavioral therapies effective for phobias, unlike assertiveness training or decatastrophizing, which address general anxiety.
A client asks how his prescribed alprazolam (Xanax) helps his anxiety disorder. The nurse explains that antianxiety medications such as alprazolam affect the function of which neurotransmitter that is believed to be dysfunctional in anxiety disorders?
- A. Serotonin
- B. Norepinephrine
- C. GABA
- D. Dopamine
Correct Answer: C
Rationale: Alprazolam enhances GABA, a neurotransmitter that reduces anxiety by calming neural activity.
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.
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.