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 B

Explanation

Choice A reason: Giving half the dose of metoprolol is inappropriate without a medical order, as it may reduce therapeutic efficacy. The client’s vital signs (BP 132/78, HR 86) are stable, indicating no need to alter the prescribed dose, which is intended to manage hypertension and heart failure.

Choice B reason: Metoprolol, a beta-blocker, reduces heart rate and blood pressure in hypertension and heart failure. The client’s vital signs (BP 132/78, HR 86) are within acceptable ranges, indicating the full 25 mg dose is safe and appropriate to maintain therapeutic control of their condition.

Choice C reason: Delaying the dose until the pulse is below 60 is unnecessary, as the client’s heart rate of 86 is not bradycardic. Metoprolol is indicated for heart rates above 60 in heart failure and hypertension, and withholding it could worsen blood pressure control.

Choice D reason: Omitting the dose due to a pulse of 86 is inappropriate, as this heart rate is not dangerously low. Metoprolol is prescribed to manage hypertension and heart failure, and withholding it without clinical justification could lead to uncontrolled symptoms or disease progression.

A. The potential for dependence and tolerance B. It should be taken first thing in the morning with food C. The importance of discontinuing immediately if addiction is suspected D. Increased caffeine consumption will increase the effectiveness

Correct Answer is A

Explanation

Choice A reason: Benzodiazepines enhance GABA activity, leading to rapid anxiety relief but with a high risk of tolerance and dependence. Teaching about this risk is critical to ensure the client understands the need for medical supervision, potential withdrawal symptoms, and strategies to prevent misuse or long-term dependency.

Choice B reason: Taking benzodiazepines with food may reduce gastrointestinal upset, but the timing is not critical for efficacy. This instruction is less urgent than addressing dependence, as benzodiazepines are effective regardless of meal timing, and the primary concern is their addictive potential.

Choice C reason: Discontinuing benzodiazepines abruptly can cause severe withdrawal symptoms, including seizures, due to their effect on GABA receptors. This is dangerous advice, as gradual tapering under medical supervision is required, making this choice incorrect and less critical than teaching about dependence risks.

Choice D reason: Increased caffeine consumption can counteract benzodiazepine effects by stimulating the central nervous system, potentially worsening anxiety. This is incorrect advice, as it could reduce the medication’s efficacy and exacerbate symptoms, making it less relevant than educating about dependence and tolerance risks.

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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 nurse is preparing to administer metoprolol 25 mg PO to a client with a history of hypertension and heart failure. The client’s vital signs are: BP 132/78 mm Hg, HR 86 beats per minute, and respiratory rate 18 breaths per minute. Which action should the nurse take?

Correct Answer is B

Explanation

What should the nurse plan to teach as a priority for a client who is taking a benzodiazepine daily for anxiety?

Correct Answer is A

Explanation

The nurse is caring for a client experiencing mania who is pacing, cannot sit, with pressured speech. Which meal will the nurse provide to best meet the nutritional needs of this client?

A nurse is caring for a client who suddenly develops atrial fibrillation with a ventricular rate of 150 beats per minute. The nurse should assess the client for which of the following priority signs and symptoms associated with this dysrhythmia?

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 with depression is prescribed phenelzine (Nardil). The client says to the nurse, “I will need to watch my diet with this medication. What food options should I avoid?” Which of the following is the correct response by the nurse?

Which of the four classes of medications used for Generalized Anxiety Disorder (GAD) is considered the safest because of low incidence of side effects and lack of physiological dependence?

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

A client with schizophrenia is prescribed risperidone. The nurse observes muscle stiffness and a shuffling gait. What is the most likely cause of these symptoms?

What is the significance about the cardiac rhythm shown below?