A nurse is implementing nursing interventions for a client with anxiety disorder. Which intervention is aimed at promoting coping skills and enhancing self-esteem?
Establishing a therapeutic relationship.
Teaching relaxation techniques.
Providing a safe environment.
Referring to support groups.
The Correct Answer is B
Choice A rationale:
Establishing a therapeutic relationship is essential for effective care, but it is not directly aimed at promoting coping skills and enhancing self-esteem. It's a foundational aspect of nursing care, focusing on building trust and rapport with the client.
Choice B rationale:
Teaching relaxation techniques is the correct intervention for promoting coping skills and enhancing self-esteem. Relaxation techniques, such as deep breathing, progressive muscle relaxation, and mindfulness, empower clients to manage their anxiety and build self-confidence.
Choice C rationale:
Providing a safe environment is important in a clinical setting, but it doesn't directly address promoting coping skills or enhancing self-esteem. This intervention contributes to the client's overall well-being and sense of security.
Choice D rationale:
Referring to support groups can be valuable for clients with anxiety disorders, but it doesn't directly involve teaching coping skills or enhancing self-esteem. Support groups provide social connections and a platform for shared experiences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale:
Fluoxetine is an example of an SSRI (Selective Serotonin Reuptake Inhibitor), which is commonly prescribed for anxiety disorders and depression. It increases serotonin levels in the brain, helping to alleviate anxiety symptoms.
Choice B rationale:
Alprazolam is a benzodiazepine that enhances the effects of GABA, a neurotransmitter that reduces brain activity, leading to sedative and anxiolytic effects. It's used to treat anxiety disorders, although it can be habit-forming and is usually prescribed for short-term use.
Choice C rationale:
Propranolol is a beta-blocker that primarily treats hypertension and certain cardiac conditions, but it can also be used to manage the physical symptoms of anxiety, such as rapid heart rate and tremors.
Choice D rationale:
Gabapentin is not a first-line treatment for anxiety disorders, but it's sometimes used off-label to manage anxiety symptoms. It modulates the release of certain neurotransmitters, which can have a calming effect.
Choice E rationale:
Diphenhydramine is an antihistamine commonly used for allergies and as a sleep aid. It's not a standard pharmacological treatment for anxiety disorders.
Correct Answer is D
Explanation
Choice A rationale:
Blocking the effects of adrenaline is not the mechanism of action for anxiolytics. Anxiolytics primarily target neurotransmitter systems in the brain, not adrenaline (also known as epinephrine) pathways.
Choice B rationale:
Increasing the availability of neurotransmitters is not the primary mechanism of anxiolytics. While neurotransmitters are involved, anxiolytics like benzodiazepines and SSRIs focus on specific neurotransmitter systems, such as GABA (gamma-aminobutyric acid) and serotonin, rather than merely increasing neurotransmitter availability.
Choice C rationale:
Modulating the activity of glutamate is not the primary mechanism of anxiolytics. Glutamate is an excitatory neurotransmitter, and its modulation is more relevant to agents used in conditions like schizophrenia, rather than anxiety disorders.
Choice D rationale:
Enhancing the activity of serotonin and norepinephrine is the correct mechanism of anxiolytics. Medications like SSRIs (Selective Serotonin Reuptake Inhibitors) and SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) work by increasing the levels of these neurotransmitters in the brain. Serotonin and norepinephrine play critical roles in mood regulation and anxiety modulation.
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