Personality and Mood Disorders Q 91
It would be most helpful for the nurse to deal with a client with severe anxiety by:
A. Give specific instructions using speak in concise statements.
B. Ask the client to identify the cause of her anxiety.
C. Explain in detail the plan of care developed.
D. Urge the client to focus on what the nurse is saying.
Correct Answer: A. Give specific instructions using speak in concise statements.
The client has narrowed the perceptual field. Lengthy explanations cannot be followed by the client. Maintain a calm, non-threatening manner while working with the client. Anxiety is contagious and may be transferred from health care provider to client or vice versa. The client develops a feeling of security in presence of a calm staff person.
Option B: The client will not be able to identify the cause of anxiety. Establish and maintain a trusting relationship by listening to the client; displaying warmth, answering questions directly, offering unconditional acceptance; being available and respecting the client’s use of personal space.
Option C: Move the client to a quiet area with minimal stimuli such as a small room or seclusion area (dim lighting, few people, and so on.) Anxious behavior escalates by external stimuli. A smaller or secluded area enhances a sense of security as compared to a large area which can make the client feel lost and panicked.
Option D: The client has difficulty concentrating and will not be able to focus. Remain with the client at all times when levels of anxiety are high (severe or panic); reassure the client of his or her safety and security. The client’s safety is utmost priority. A highly anxious client should not be left alone as his anxiety will escalate.