Psychiatric Assessment and Fundamentals Q 43
When planning the discharge of a client with chronic anxiety, Nurse Chris evaluates achievement of the discharge maintenance goals. Which goal would be A. The client eliminates all anxiety from daily situations. appropriately having been included in the plan of care requiring evaluation?
A. The client eliminates all anxiety from daily situations.
B. The client ignores feelings of anxiety.
C. The client identifies anxiety-producing situations.
D. The client maintains contact with a crisis counselor.
Correct Answer: C. The client identifies anxiety-producing situations
Recognizing situations that produce anxiety allows the client to prepare to cope with anxiety or avoid specific stimulus. Observe for increasing anxiety. Assume a calm manner, decrease environmental stimulation, and provide temporary isolation as indicated. Early detection and intervention facilitate modifying a client’s behavior by changing the environment and the client’s interaction with it, to minimize the spread of anxiety.
Option A: 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. Therapeutic skills need to be directed toward putting the client at ease, because the nurse who is a stranger may pose a threat to the highly anxious client.
Option B: Encourage the client to talk about traumatic experiences under non-threatening conditions. Help the client work through feelings of guilt related to the traumatic event. Help the client understand that this was an event to which most people would have responded in like manner. Support the client during flashbacks of the experience.
Option D: Teach signs and symptoms of escalating anxiety, and ways to interrupt its progression (e.g., relaxation techniques, deep- breathing exercises, physical exercises, brisk walks, jogging, meditation). So the client can start using relaxation techniques; gives the client confidence in having control over his anxiety.