The nurse is reviewing ways to foster effective coping skills with a client who has an anxiety disorder. What should the nurse include in the teaching? Select all that apply.

Learn about stress management education and join a support group.

Re-establish priorities and strike a healthy balance between work and play.

Avoid verbalizing or writing about feelings of anxiety.

Delay stressful tasks as desired.

Engage in a daily exercise program.

Answer and Explanation

Correct Answer : A,B,E

A. Learn about stress management education and join a support group: Education and peer support help clients understand anxiety and reduce isolation. These tools promote healthy coping strategies and improve long-term emotional resilience.
B. Re-establish priorities and strike a healthy balance between work and play: Balancing responsibilities with enjoyable activities reduces stress and prevents burnout. Prioritizing tasks allows clients to manage anxiety more effectively and feel more in control.
C. Avoid verbalizing or writing about feelings of anxiety: Avoidance can worsen anxiety over time. Verbalizing or journaling emotions allows clients to process and release anxious thoughts rather than suppressing them.
D. Delay stressful tasks as desired: Delaying tasks may provide short-term relief but can increase stress and anxiety later. Timely task completion supports a sense of accomplishment and reduces prolonged worry.
E. Engage in a daily exercise program: Regular physical activity helps regulate mood and lowers anxiety levels. Exercise reduces stress hormones and improves mental clarity, making it an effective coping strategy.

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Correct Answer is D

Explanation

A. Injection of a steroid into the joint space: Steroid injections reduce inflammation but are typically reserved for chronic conditions or severe joint inflammation. They are not an immediate first-line treatment for acute injuries like ankle sprains.
B. Elevation of the extremity: Elevation helps reduce swelling by promoting venous return, but it does not directly cause vasoconstriction. While beneficial, it works best in combination with cold therapy to reduce acute inflammation.
C. Warm compresses: Applying heat increases blood flow through vasodilation, which can worsen swelling in an acute injury. Warm compresses are more appropriate for chronic pain or stiffness, not fresh trauma.
D. Ice bag: Cold therapy causes local vasoconstriction, which helps limit bleeding and fluid accumulation. Applying an ice bag within the first 24–48 hours after injury effectively reduces swelling and pain by slowing the inflammatory process.

A. The client should have a bowel movement every day to avoid development of an intestinal obstruction. B. The client can develop a rectal fissure, which will increase pain levels. C. The client should not develop hemorrhoids. D. Straining engages the Valsalva maneuver, which can cause dangerous effects.

Correct Answer is D

Explanation

A. The client should have a bowel movement every day to avoid development of an intestinal obstruction: While regular bowel movements are important, going two days without one is not uncommon and does not usually lead to obstruction. The priority in heart failure is avoiding strain, not frequency alone.
B. The client can develop a rectal fissure, which will increase pain levels: Although rectal fissures can occur with hard stools, they are not the primary concern in a heart failure patient. The hemodynamic effects of straining pose a greater immediate risk.
C. The client should not develop hemorrhoids: Preventing hemorrhoids is beneficial but not critical in the context of heart failure. The concern with straining extends beyond local complications like hemorrhoids to systemic cardiovascular effects.
D. Straining engages the Valsalva maneuver, which can cause dangerous effects: The Valsalva maneuver increases intrathoracic pressure, reducing venous return and cardiac output. In clients with heart failure, this can trigger arrhythmias, syncope, or even cardiac decompensation, making stool softeners essential for prevention.

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The nurse is reviewing ways to foster effective coping skills with a client who has an anxiety disorder. What should the nurse include in the teaching? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client arrives in the orthopedic clinic with complaints of twisting the right ankle while playing softball. The nurse collects data including complaints of pain and swelling in the right ankle. What intervention will the nurse provide that will decrease vasodilation and reduce localized swelling?

Correct Answer is D

Explanation

A client with heart failure reports not having had a bowel movement in 2 days. Why would it be important for the nurse to obtain a prescription for a stool softener?

Correct Answer is D

Explanation

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