A client who reports moderate to severe anxiety requires intervention. What technique(s) suggested by the nurse would be helpful in assisting this client in the management of anxiety? Select all that apply.

Listen to music

Take a cool shower or bath

Progressively tighten muscles

Use rapid respirations

Visualize a relaxing place

Smoke a cigarette

Answer and Explanation

Correct Answer : A,B,C,E

A. Listen to music: Music therapy is a well-established technique to promote relaxation and lower stress levels. It can help shift focus away from anxious thoughts and create a calming environment.
B. Take a cool shower or bath: A cool shower provides sensory stimulation that can ground the individual and redirect anxious energy. This strategy can help soothe the nervous system and reduce arousal.
C. Progressively tighten muscles: Progressive muscle relaxation involves tensing and relaxing muscle groups to relieve physical tension. It is effective in reducing anxiety by promoting body awareness and calm.
D. Use rapid respirations: Rapid breathing worsens anxiety symptoms and may lead to hyperventilation. Controlled, deep breathing is preferred as it activates the parasympathetic nervous system and calms the body.
E. Visualize a relaxing place: Guided imagery or visualization helps transport the mind to a peaceful setting, which reduces stress and promotes mental relaxation. It is often used in cognitive-behavioral therapy for anxiety.
F. Smoke a cigarette: Nicotine is a stimulant and while some individuals may feel a temporary sense of relaxation, smoking introduces harmful substances and reinforces maladaptive coping. It also increases cardiovascular strain, which can worsen anxiety symptoms over time.

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Correct Answer is D

Explanation

A. Administer the medications and then notify the health care provider: Administering digoxin with a heart rate below 60 bpm can worsen bradycardia and lead to complications like heart block. The drug should be withheld first.
B. Administer atropine to speed the heart rate and then administer the digoxin: Atropine is not given prophylactically without a provider's order. It is used in emergency settings for symptomatic bradycardia, not as a pre-treatment for digoxin.
C. Administer the medication and inform the charge nurse about the rate: This does not follow safe medication guidelines. Administering digoxin without addressing the low heart rate may lead to serious adverse effects.
D. Withhold the medication and notify the health care provider of the heart rate: This is the safest and most appropriate action. Digoxin should be withheld if the apical pulse is below 60 bpm, and the provider must be informed for further evaluation.

A. "Everything will be fine. Your family is here for you." B. "Don't cry: you have the best team of doctors." C. "Tell me what concerns you most." D. "Would you like something to calm your nerves?"

Correct Answer is C

Explanation

A. "Everything will be fine. Your family is here for you.": This response offers reassurance but does not address or validate the client's specific fears. It may feel dismissive of their emotional distress.
B. "Don't cry: you have the best team of doctors.": Although supportive in intent, this response ignores the client’s emotional expression and can shut down open communication about their fears.
C. "Tell me what concerns you most.": This therapeutic response invites the client to express their feelings and fears openly. It helps build trust and allows the nurse to offer emotional support tailored to the client’s needs.
D. "Would you like something to calm your nerves?": Offering medication may be appropriate later, but it bypasses the opportunity to first explore the client's anxiety through conversation and emotional support.

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A client who reports moderate to severe anxiety requires intervention. What technique(s) suggested by the nurse would be helpful in assisting this client in the management of anxiety? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer digoxin to a client with heart failure. The nurse obtains an apical pulse rate for 1 minute and determines a rate of 52 beats/minute. What is the first action by the nurse?

Correct Answer is D

Explanation

A client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA) immediately following confirmed diagnosis of acute myocardial infarction. The client is overtly anxious and crying. Which response by the nurse is most appropriate?

Correct Answer is C

Explanation

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