Teaching Strategies for Clients with Mild to Moderate Anxiety

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Questions and Answers

Which teaching strategies should the nurse practice when educating clients with mild to moderate anxiety?

  • Maintain a calm, nonthreatening manner and create an atmosphere of low stimuli.
  • Encourage the client to verbalize thoughts and feelings, and reinforce reality by focusing on the 'here and now'.
  • Limit the length of class time and the amount of provided information, and create an environment free from hazardous objects.
  • All of the above. (correct)

Which mental health diagnosis would a nurse suspect for a recently discharged veteran reporting symptoms of recurring intrusive thoughts, insomnia, and hypervigilance?

  • Posttraumatic stress disorder (correct)
  • Narcolepsy
  • Trichotillomania disorder
  • Obsessive compulsive disorder

What should the nurse recommend as an effective, nonpharmacological therapy for managing a client's symptoms of anxiety related to being in crowds?

  • Family systems therapy
  • Psychoanalytical therapy
  • Electroconvulsive therapy (ECT)
  • Cognitive behavioral therapy (CBT) (correct)

Which of the following is a common defense mechanism used by individuals with anxiety disorders?

<p>Displacement (C)</p> Signup and view all the answers

Which of the following medications is commonly used to treat anxiety disorders?

<p>Antidepressants (D)</p> Signup and view all the answers

Which of the following is a therapeutic technique used to build a strong nurse-client relationship in the context of mental health care?

<p>Maintaining professional boundaries (C)</p> Signup and view all the answers

A paranoid individual who cannot accept his guilt demonstrates which of the following defense mechanisms?

<p>Denial (B)</p> Signup and view all the answers

Which is the MOST appropriate nursing intervention for a client with suspicions?

<p>Use a non-judgmental and consistent approach (C)</p> Signup and view all the answers

An appropriate nursing intervention for a client who was seen tilting his head as if listening to someone would be to:

<p>Address him by name to ask if he is hearing voices again (C)</p> Signup and view all the answers

Which of the following statements is TRUE of manic reactions?

<p>An attempt towards warding off feelings of underlying depression (A)</p> Signup and view all the answers

Which defense mechanism is demonstrated by a paranoid individual who cannot accept their own guilt?

<p>Denial (C)</p> Signup and view all the answers

Which of the following is an appropriate nursing intervention for a client experiencing a manic episode?

<p>Use a non-judgmental and consistent approach (B)</p> Signup and view all the answers

Which of the following is the primary mechanism by which anticonvulsants like valproic acid (Depakene®) help reduce manic and impulsive behavior?

<p>Increasing the levels of gamma-aminobutyric acid (GABA), thereby inhibiting neurotransmission in the CNS (A)</p> Signup and view all the answers

Which of the following medications, if prescribed for occasional anxiety in a hospitalized client, should the nurse question regarding its effectiveness for prn (as-needed) use?

<p>Buspirone (Buspar®) (A)</p> Signup and view all the answers

Which of the following medications are the nurse most likely to assess for extrapyramidal symptoms (EPS) in clients taking on an inpatient psychiatric unit?

<p>Risperidone (Risperdal®), haloperidol (Haldol®), and ziprasidone (Geodon®) (C)</p> Signup and view all the answers

Which of the following is the most appropriate nursing intervention for a client exhibiting occasional anxiety in the hospital?

<p>Recommend the client practice deep breathing exercises (B)</p> Signup and view all the answers

Which of the following is a common defense mechanism used by clients in psychiatric settings?

<p>Projection (A)</p> Signup and view all the answers

Which of the following therapeutic approaches is most often used in the treatment of severe, treatment-resistant depression?

<p>Electroconvulsive therapy (ECT) (D)</p> Signup and view all the answers

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