Which of the following are NOT nursing interventions for people with anxiety disorders? Select all that apply.

Observe the patient's nonverbal communication for data on the patient's thoughts and feelings.

Maximize stimuli to create diversion from the anxiety.

Discourage activities, as activities might only increase a patient's anxiety level.

Document only positive changes in behavior.

Encourage the patient to verbalize all thoughts and feelings.

Observe for signs of suicidal thoughts.

Answer and Explanation

Correct Answer : B,C,D

Choice A reason: Observing nonverbal communication is a valid nursing intervention for assessing a patient's anxiety level.

Choice B reason: Maximizing stimuli can overwhelm a patient with anxiety and is not a recommended intervention.

Choice C reason: Discouraging activities is not recommended as activities can be a form of therapy for anxiety disorders.

Choice D reason: Documenting only positive changes is not appropriate as all changes, positive or negative, should be documented for a comprehensive understanding of the patient's condition.

Choice E reason: Encouraging patients to verbalize thoughts and feelings is a therapeutic intervention that can help manage anxiety.

Choice F reason: Observing for signs of suicidal thoughts is crucial as anxiety disorders can increase the risk of suicide.

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Correct Answer is A

Explanation

Choice A reason: An illusion is a misinterpretation of a real external stimulus. Mr. S is mistaking the cracks in the plaster for snakes, which is an illusion.

Choice B reason: A flashback is a vivid memory of a traumatic event that feels like it is happening again. This does not describe Mr. S's experience.

Choice C reason: A hallucination is a sensory experience of something that does not exist outside the mind. Since Mr. S is misinterpreting an actual visual stimulus (the cracks), it is not a hallucination.

Choice D reason: A delusion is a firmly held false belief resistant to reason or confrontation with actual fact. Mr. S's belief is based on a misinterpretation of a visual stimulus, not a delusion.

A. Provision of home care. B. Decision for surgery until transfer to surgery. C. Admission to PACU until recovery. D. Transfer to surgery until transfer to PACU.

Correct Answer is C

Explanation

Choice A reason: Provision of home care is not part of the immediate postoperative phase described during preoperative teaching.

Choice B reason: The decision for surgery until transfer to surgery is part of the preoperative phase, not the postoperative phase.

Choice C reason: Admission to the Post Anesthesia Care Unit (PACU) until recovery is the correct description of the postoperative phase, where the patient is monitored as they recover from anesthesia.

Choice D reason: Transfer to surgery until transfer to PACU describes the transition from preoperative to intraoperative phases, not the postoperative phase.

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Which of the following are NOT nursing interventions for people with anxiety disorders? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Mr. S states, "Look at the snakes on the ceiling!" You see some cracks in the plaster. Mr. S is experiencing a/an:

Correct Answer is A

Explanation

Which of these would the nurse state to describe the postoperative phase of surgery to the patient during preoperative teaching?

Correct Answer is C

Explanation

A nurse is reinforcing discharge teaching with an older adult client who has peripheral artery disease (PAD). Which of the following instructions should the nurse include in the teaching?

The nurse is reinforcing teaching provided to a patient with Raynaud's disease. Which measure should the nurse include to prevent an attack?

A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, "I'm being kept in this prison against my will. Please try to get me out." Which of the following responses should the nurse make?

A nurse is reinforcing teaching with a client who is preoperative following abdominal surgery about deep breathing and coughing exercises. Which of the following client statements should indicate to the nurse an understanding of the instructions?

Which of the following are NOT nursing interventions for people with anxiety disorders? Select all that apply.

Which of the following responses to anxiety is a cause for concern?

The nurse is preparing to teach about the long-term complications for patients diagnosed with diabetes. Which finding is accurate?