The best goal for a client learning a relaxation technique is that the client will

Experience anxiety without feeling overwhelmed

Suppress anxious feelings

Confront the source of anxiety directly

Report absence of all anxiety symptoms

Answer and Explanation

The Correct Answer is A

Choice A reason: Relaxation techniques, such as deep breathing or progressive muscle relaxation, modulate the autonomic nervous system, reducing sympathetic arousal. This allows the client to experience anxiety without overwhelming physiological or emotional responses, promoting better coping and emotional regulation, which is a realistic and therapeutic goal.

Choice B reason: Suppressing anxious feelings is not a realistic goal, as anxiety is a natural response. Relaxation techniques aim to manage, not eliminate, anxiety by reducing its intensity. Suppression can lead to emotional avoidance, potentially worsening underlying psychological conditions and hindering effective coping strategies.

Choice C reason: Confronting the source of anxiety directly is a goal of cognitive-behavioral therapy, not relaxation techniques. These techniques focus on physiological calming rather than addressing root causes, which requires structured therapeutic intervention, making this an inappropriate goal for relaxation training.

Choice D reason: Reporting the absence of all anxiety symptoms is unrealistic, as anxiety is a normal human emotion. Relaxation techniques aim to reduce the intensity and impact of anxiety, not eliminate it entirely, making this goal unattainable and less relevant for clients learning these methods.

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Correct Answer is A

Explanation

Choice A reason: Setting limits on aggressive behavior during mania ensures safety by addressing the immediate threat. Mania involves elevated mood and impulsivity, which can lead to harmful actions. Clear boundaries reduce escalation, protect others, and help de-escalate the client’s heightened state without immediate medication or isolation.

Choice B reason: Offering a group on coping skills is inappropriate during acute mania with threatening behavior, as the client’s impulsivity and agitation impair their ability to engage in group therapy. Safety and de-escalation are priorities before addressing long-term coping strategies.

Choice C reason: Administering PRN medications, such as antipsychotics or benzodiazepines, may help calm mania but is not the initial action. Setting limits addresses immediate safety concerns first, allowing for safer medication administration if needed, as medications take time to act.

Choice D reason: Insisting on a “time-out” may escalate agitation in a manic client, as isolation can increase feelings of persecution or agitation. This approach is less effective than setting clear, calm limits to de-escalate threatening behavior and ensure unit safety.

A. We will be sure our family member is eating well and maintaining their weight. B. We will eat our evening meals together with no exceptions. C. We will negotiate resolutions to family conflicts. D. We will spend less time discussing troublesome family members.

Correct Answer is A

Explanation

Choice A reason: Anorexia nervosa involves severe food restriction, leading to malnutrition and weight loss. Ensuring the client eats well and maintains weight directly addresses the core physiological issue, promoting recovery by restoring nutritional balance and supporting organ function, which is critical for effective treatment and long-term health.

Choice B reason: Eating meals together may foster a supportive environment but does not ensure nutritional adequacy or weight maintenance. It may provide emotional support, but without specific focus on the client’s dietary intake and weight restoration, it is less effective in addressing the primary physiological needs of anorexia nervosa.

Choice C reason: Negotiating family conflicts can reduce stress, which may exacerbate anorexia nervosa symptoms. However, it does not directly address the client’s nutritional or weight restoration needs, which are the primary focus in anorexia treatment. Emotional health is secondary to physical recovery in effective education.

Choice D reason: Reducing discussion about troublesome family members may decrease emotional tension but does not address the core issue of anorexia nervosa, which is severe food restriction and weight loss. This approach lacks direct impact on the physiological aspects of recovery, making it less relevant to effective education.

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The best goal for a client learning a relaxation technique is that the client will

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is manic threatens others on the unit. Which would be the initial nursing action in response to this behavior?

Correct Answer is A

Explanation

The nurse provides education to a client's family diagnosed with anorexia nervosa. Which statement would indicate that the education was effective?

Correct Answer is A

Explanation

A client with generalized anxiety disorder is prescribed buspirone. Which side effect should the nurse include in the client’s education?

The nurse is providing discharge instructions to a client who is prescribed lisinopril, an ACE inhibitor. Which statement by the client demonstrates proper understanding of the discharge instructions?

A client who is prescribed lithium carbonate is being discharged from inpatient care. Which medication information should the nurse teach this client?

A client is experiencing a panic attack while in an inpatient group room. Which nursing interventions would promote the client's safety? (Select all that apply)

The nurse is assessing a client who has a history of right-sided heart failure. Which assessment finding(s) is/are most consistent with this client’s diagnosis? (Select all that apply)

A client with a long history of bulimia nervosa is seen in the emergency department. The client is seeing things that others do not see, is restless, and has dry mucous membranes. Which is most likely the cause of this client's symptoms?

A client prescribed lithium carbonate 300 mg twice daily three months ago comes to the emergency department with mental confusion, ataxia, excessive diluted urine (polyuria), and blurred vision. Which lithium level would the nurse expect?

A nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring. The nurse understands that the pacemaker is functioning properly when which of the following appears on the monitor strip?