During the implementation phase, what holistic nursing intervention might be effective for a client experiencing anxiety?
Increasing the client's medication dose without prescriber consultation.
Ignoring the client's feelings to prevent reinforcement.
Encouraging daily physical exercise tailored to the client’s interests.
Focusing solely on teaching deep breathing exercises.
The Correct Answer is C
Choice A reason: Increasing medication without prescriber consultation is unsafe and violates scope of practice. It risks adverse effects and undermines collaborative care.
Choice B reason: Ignoring feelings invalidates the client’s experience and worsens anxiety. Therapeutic communication requires acknowledgment and support, not avoidance.
Choice C reason: Encouraging daily physical exercise tailored to interests is effective because it reduces anxiety through endorphin release, improves sleep, and enhances self-efficacy. Tailoring to interests increases adherence and enjoyment.
Choice D reason: Focusing solely on deep breathing is too narrow. While beneficial, anxiety management requires a multimodal approach including lifestyle, coping strategies, and psychosocial support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Acknowledging concerns validates the client’s lived experience and demonstrates cultural humility. Exploring trust-building strategies fosters rapport and empowers the client to engage in care.
Choice B reason: Referral may be helpful but is not the immediate priority. It risks deflecting responsibility and may not be feasible. Building trust within the current therapeutic relationship is essential.
Choice C reason: Dismissing cultural concerns is harmful and perpetuates stigma. It invalidates the client’s perspective and undermines trust.
Choice D reason: Claiming all biases are eliminated is inaccurate and dismissive. Biases persist, and acknowledging them is critical to building credibility and trust.
Correct Answer is D
Explanation
Choice A reason: Scapegoating external factors is a maladaptive coping mechanism. It shifts responsibility away from the individual, prevents constructive problem-solving, and can damage relationships.
Choice B reason: Projecting feelings onto others is also maladaptive. It externalizes internal stress and creates interpersonal conflict, worsening the situation rather than managing it.
Choice C reason: Avoidance by ignoring the stressor may provide temporary relief but does not promote effective coping. The stressor remains unresolved, and avoidance can lead to increased anxiety or poor outcomes.
Choice D reason: Relaxation techniques are effective for managing eustress because they reduce physiological arousal, promote calmness, and help the client maintain focus. Eustress is positive stress that motivates growth, and relaxation techniques ensure it does not escalate into distress.
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