A client with GAD states, "I'm always worried that something bad will happen. I can't control my thoughts." How should the nurse respond?
"Try not to think about it too much.".
"You're likely overthinking things; just relax.".
"It seems like you're experiencing a lot of anxiety.".
"Don't worry; these thoughts will pass soon.".
The Correct Answer is C
Choice A rationale:
"Try not to think about it too much." This response might invalidate the client's feelings and minimize their experience. It fails to address the client's concerns and could potentially increase their anxiety.
Choice B rationale:
"You're likely overthinking things; just relax." This response oversimplifies the client's experience and doesn't acknowledge the severity of their anxiety. It might come across as dismissive and unhelpful.
Choice C rationale:
"It seems like you're experiencing a lot of anxiety." This response validates the client's feelings and directly addresses their statement. It shows empathy and understanding, creating a supportive environment for further discussion about their anxiety.
Choice D rationale:
"Don't worry; these thoughts will pass soon." This response might be misleading and inaccurate. It doesn't provide any substantial help for managing the client's anxiety and could create false expectations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"GAD predominantly affects men." GAD actually affects both men and women, with a higher prevalence in women. This statement is inaccurate and gender-biased.
Choice B rationale:
"GAD symptoms are always temporary and go away on their own." GAD symptoms are persistent and chronic without intervention. This option provides misleading information that could lead to misunderstanding and lack of appropriate treatment.
Choice C rationale:
"GAD involves excessive and uncontrollable worry about various aspects of life." This statement accurately describes a core characteristic of Generalized Anxiety Disorder. People with GAD experience pervasive worry that is difficult to control and often extends beyond specific triggers.
Choice D rationale:
"GAD is primarily caused by physical health issues." While physical health issues can contribute to anxiety, GAD is a complex condition influenced by various factors including genetics, brain chemistry, and life experiences. This option oversimplifies the disorder's etiology.
Panic Disorder
Correct Answer is C
Explanation
Choice C rationale:
Responding with "It sounds like you're feeling overwhelmed by your thoughts" is the nurse's appropriate response. This response reflects therapeutic communication by acknowledging the client's feelings and demonstrating empathy. It validates the client's experience and opens the door for further exploration of their worries. It also avoids downplaying the client's concerns (Choice B) or giving false reassurance (Choice D), both of which are unhelpful in this situation.
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