A client with GAD states, "I'm always worried that something bad will happen. I can't control my thoughts." What is the nurse's appropriate response?
"You should try to distract yourself from these thoughts.”
"Everyone experiences worry, so there's no need to be concerned.”
"It sounds like you're feeling overwhelmed by your thoughts.”
"Don't worry; things will get better soon.”
The Correct Answer is C
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.
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 D
Explanation
Choice D rationale:
Responding with "I understand you're having trouble focusing" is how the nurse should appropriately respond. This response acknowledges the client's experience and shows understanding of their symptoms. It encourages further communication and allows the client to express their feelings. It's important to address the client's restlessness, difficulty concentrating, and racing thoughts rather than attributing them to tiredness (Choice C) or suggesting keeping busy (Choice B), which may not address the underlying anxiety.
Choice A rationale:
Responding with "You seem to be experiencing a lot of physical symptoms" might overlook the underlying anxiety and focus solely on the physical aspects, missing the opportunity to explore the client's emotional state and provide appropriate support.
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