A nurse observes a client with GAD exhibiting restlessness, difficulty concentrating, and irritability. The client says, "I can't sit still, and my mind is racing." How should the nurse respond?
"You seem to be experiencing a lot of physical symptoms.".
"It's important to stay busy to keep your mind off things.".
"You're probably just tired; try to get some rest.".
"I understand you're having trouble focusing.".
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
"Personal history of trauma and abuse."
Choice A rationale:
While family history of physical illnesses can contribute to a client's overall health profile, it is not a priority when assessing a client specifically for generalized anxiety disorder (GAD)
Choice B rationale:
Prioritizing obtaining information about a personal history of trauma and abuse is crucial because such experiences can significantly contribute to the development of GAD. Trauma and abuse can lead to chronic worry, hypervigilance, and increased anxiety responses.
Choice C rationale:
While the level of physical activity can impact a person's well-being, it is not a primary focus when assessing for GAD. The client's anxiety symptoms and triggers should take precedence during the assessment.
Choice D rationale:
Inquiring about the preferred type of relaxation technique is relevant but not as high a priority as understanding potential trauma and abuse history. Addressing trauma-related issues is fundamental to developing an effective treatment plan for GAD.
Correct Answer is B
Explanation
Difficulty concentrating.
Choice A rationale:
Mood swings are not the primary characteristic of generalized anxiety disorder (GAD) GAD primarily involves excessive and persistent worry and anxiety, rather than mood swings.
Choice B rationale:
Difficulty concentrating is the primary characteristic of GAD. One of the core symptoms of GAD is the inability to focus or concentrate due to constant worry and anxiety. This cognitive impairment can significantly impact daily functioning.
Choice C rationale:
Muscle pain is not the primary characteristic of GAD. While muscle tension is a common symptom of GAD, it is not the main characteristic that distinguishes GAD from other disorders.
Choice D rationale:
Chest pain is not the primary characteristic of GAD. Chest pain might be associated with anxiety, but it's not the defining feature of GAD. GAD primarily involves excessive and uncontrollable worry.
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