A client diagnosed with an Anxiety Disorder tells a nurse that being in crowds creates thoughts of losing control and the need to suddenly leave. What should the nurse recommend as an effective, non-pharmacological therapy for managing the client’s symptoms of anxiety?
Cognitive Behavioral Therapy
Psychoanalytic therapy
Electroconvulsive (ECT) therapy
Family systems therapy
The Correct Answer is A
Choice A Reason:
Cognitive Behavioral Therapy
Cognitive Behavioral Therapy (CBT) is the most effective non-pharmacological treatment for anxiety disorders. CBT focuses on identifying and challenging negative thought patterns and behaviors that contribute to anxiety. It teaches clients practical skills to manage their anxiety, such as relaxation techniques, exposure therapy, and cognitive restructuring. Research has consistently shown that CBT can significantly reduce anxiety symptoms and improve overall functioning.
Choice B Reason:
Psychoanalytic therapy
Psychoanalytic therapy, based on the theories of Freud, aims to uncover unconscious conflicts and past experiences that influence current behavior. While it can be beneficial for some individuals, it is generally not considered the first-line treatment for anxiety disorders. Psychoanalytic therapy tends to be long-term and may not provide the immediate relief that clients with severe anxiety need.
Choice C Reason:
Electroconvulsive (ECT) therapy
Electroconvulsive therapy (ECT) involves the use of electrical currents to induce seizures in the brain and is primarily used to treat severe depression and certain other mental health conditions. It is not typically used as a treatment for anxiety disorders. ECT is considered a last-resort treatment when other therapies have failed, and it is not suitable for managing anxiety symptoms in most cases.
Choice D Reason:
Family systems therapy
Family systems therapy focuses on improving communication and relationships within the family unit. While it can be helpful for addressing family dynamics and support, it is not specifically designed to treat anxiety disorders. Family therapy may be used as an adjunct to other treatments, but it is not the primary approach for managing anxiety symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Aggressive and angry.
Aggressive and angry behavior is not indicative of apathy. Apathy is characterized by a lack of interest, enthusiasm, or concern. Aggression and anger are more likely to be associated with other symptoms of schizophrenia, such as paranoia or frustration, rather than apathy.
Choice B Reason:
Concerned over recent events.
Being concerned over recent events shows an active engagement with one’s environment and emotions. This is the opposite of apathy, which involves a lack of interest or concern. Therefore, this behavior does not align with the definition of apathy.
Choice C Reason:
Indifferent to their surroundings.
This is the correct response. Indifference to one’s surroundings is a clear sign of apathy. In schizophrenia, apathy is a common negative symptom and involves a diminished ability to initiate and sustain activities, including social interactions. This lack of interest or motivation is a key feature of apathy.
Choice D Reason:
Supportive in group.
Being supportive in a group setting indicates active participation and concern for others, which is not consistent with apathy. Apathy would manifest as a lack of engagement or interest in group activities and interactions.
Correct Answer is ["600"]
Explanation
Step 1: Identify the total volume to be infused.
- Total volume = 250 mL
Step 2: Identify the total time for infusion.
- Total time = 25 minutes
Step 3: Calculate the rate in mL per minute.
- Rate = Total volume ÷ Total time
- Rate = 250 mL ÷ 25 minutes
- Rate = 10 mL per minute
Step 4: Convert the rate to mL per hour.
- Since there are 60 minutes in an hour, multiply the rate by 60.
- Rate per hour = 10 mL per minute × 60
- Rate per hour = 600 mL per hour
The nurse should program the pump to infuse at a rate of 600 mL per hour.
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