A nurse on a mental health unit is leading a group therapy session for a group of clients. Which of the following statements should the nurse expect from a client who has an anxiety disorder?

"I check my breasts for lumps every day, but I'm still really scared about getting breast cancer."

"I have had several negative pregnancy tests, but I know they are all wrong."

"I double-check my pills because I think the pharmacist may be putting poison in them."

"I feel really nervous when my partner goes to work, and I am home alone during the day."

Answer and Explanation

The Correct Answer is A

A reason: "I check my breasts for lumps every day, but I'm still really scared about getting breast cancer." This statement reflects excessive worry and fear, which are characteristic of an anxiety disorder. The client's behavior of frequent checking and ongoing fear is consistent with health-related anxiety.

B reason: "I have had several negative pregnancy tests, but I know they are all wrong." This statement suggests a possible delusion, which is more indicative of a psychotic disorder rather than an anxiety disorder.

C reason: "I double-check my pills because I think the pharmacist may be putting poison in them." This statement indicates paranoia, which is more characteristic of a psychotic disorder rather than an anxiety disorder.

D reason: "I feel really nervous when my partner goes to work, and I am home alone during the day." While this statement reflects anxiety, it is less specific to an anxiety disorder and could be associated with general situational stress. The first statement better captures the ongoing, irrational fear typical of anxiety disorders.

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Correct Answer is D

Explanation

A reason: "I agree with you. I'm sure this will never happen again." Agreeing with the parent without further investigation is inappropriate and does not address the potential risk to the child. The nurse should gather more information to assess the situation fully.

B reason: "This is awful. You should file charges against your partner." Suggesting that the parent file charges is premature without understanding the full context of the situation. The nurse's role is to gather information, assess the risk, and take appropriate protective actions.

C reason: "This is clearly child endangerment. I will have to call the police." While the nurse has a responsibility to report suspected child abuse, it is important to gather more information first. This response could escalate the situation without a thorough assessment.

D reason: "I'd like to know more about what happened. Let's sit and talk." This response is appropriate as it allows the nurse to gather more information about the situation in a non-confrontational manner. It helps build rapport with the parent while assessing the child's safety.

A. Use detailed explanations when providing education to the client. B. Maintain a stimulating environment for the client. C. Provide the client with a structured schedule of daily activities. D. Limit time for rituals to 30 minutes each day.

Correct Answer is C

Explanation

A reason: Use detailed explanations when providing education to the client. While providing clear and concise explanations is important, overly detailed explanations may overwhelm a client with OCD. Simplifying communication can be more effective in reducing anxiety.

B reason: Maintain a stimulating environment for the client. A stimulating environment can increase anxiety and trigger obsessive-compulsive behaviors in clients with OCD. A calm and structured environment is more beneficial.

C reason: Provide the client with a structured schedule of daily activities. A structured schedule helps clients with OCD manage their time and reduces the likelihood of engaging in compulsive behaviors. It provides a sense of predictability and control, which can reduce anxiety.

D reason: Limit time for rituals to 30 minutes each day. While limiting the time for rituals is a goal, setting such a specific limit might initially increase anxiety. A more gradual approach to reducing ritual time, integrated within a structured schedule, is often more effective.

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A nurse on a mental health unit is leading a group therapy session for a group of clients. Which of the following statements should the nurse expect from a client who has an anxiety disorder?

Nursing Test Bank

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