Nursing care Of Clients With Anxiety And Depression Quiz

It is important to instruct the victim NOT to bathe and shower before going to the Emergency department of the local hospital.

Individuals with specific phobias, such as claustrophobia, often resort to avoidance as a coping mechanism to manage their fear. Avoidance involves staying away from situations or objects that trigger anxiety or distress. In the case of claustrophobia, individuals may avoid enclosed spaces, such as elevators or small rooms, to prevent feeling trapped or panicked. This behavior allows them to temporarily alleviate their fear and maintain a sense of control. Therefore, the statement is true.

The most beneficial nursing intervention in the case of a client admitting to domestic violence and abuse is to identify resources for shelter and safety of the victim. This is because the priority in such situations is to ensure the safety and well-being of the victim. By providing information about resources for shelter, the nurse can help the victim find a safe place to go and escape the abusive situation. This intervention can potentially save the victim from further harm and provide them with the support they need to address the abuse.

A depressed client who undergoes a series of electroconvulsive therapy (ECT) treatments is likely to experience headache and short-term memory loss immediately after the procedure. ECT involves passing electrical currents through the brain to induce controlled seizures, which can cause side effects such as headache due to the stimulation of brain tissue. Additionally, the procedure can affect memory temporarily, leading to short-term memory loss.

The client is experiencing loss due to the recent death of her husband and is expressing feelings of hopelessness. The best therapeutic response by the nurse (3) is one that attempts to translate words into feelings.

Frequent panic attacks can significantly impact a person's daily life and mental well-being. If left untreated, these panic attacks can lead to the development of agoraphobia, which is a fear of leaving one's home or safe environment. By treating panic attacks as soon as possible, the likelihood of the client developing such fears and becoming reclusive is decreased. Therefore, it is important to address and manage panic attacks promptly to prevent further negative consequences.

Agoraphobia is the fear of being alone in open or public places where escape might be difficult. The phobia includes a sense of fear, helplessness, or embarrassment if a phobic attack occurs. Avoidance of such situations usually results in reduced social interaction. Two other conditions are phobias concerned with the fear of blood and close-in places. Hypochondriasis is a condition where the client is preoccupied with their health.

The correct option (4) explores the client’s thoughts and feelings directly. Using a nonjudgmental and supportive attitude, the nurse reassures the client that her feelings are normal and may be expressed in this safe care environment. Option 1 places the client’s feelings on hold, and option 2 blocks further communication. Option 3 is likely to increase the client’s fear.

Displacement is the transfer of feelings or reactions from one object to another, usually, one that is safer, such as a person who is angry with a spouse but yells at the dog instead of dealing with the anger. Diffusion and decompensation are not recognized as coping mechanisms. Denial is the refusal to acknowledge the reality of threatening situations despite factual evidence.

Following Malow's hierarchy of needs, the nurse should first assess the airway and prepare to treat injuries to the neck area. Failure to do so could be life threatening. Other interventions may follow after the client has received medical intervention for physical injuries.

The person experiencing mania lacks insight and judgment, has poor impulse control, and is highly excitable. A quiet, firm approach while distracting the client by walking to her room, achieves the goal of preserving her psychological integrity and having her be appropriately dressed. The subject of the question is the client's inappropriate dress, and recognizing this makes option (3) preferable to insisting on different behaviors or confronting the client with an option that may have no meaning for her.

Clients who are depressed may be at higher risk for suicide. When clients make statements that suggest extreme despair, the best action for the nurse is to ask the client directly about whether a specific plan for suicide has been formed.

Assessment of the client's statement requires validation that the client's physical condition is stable by taking vital signs. Giving fluids may also be required, but the nursing assessment should precede any intervention. Oxygen therapy requires a physician's order.

The plan of care for a client with a suicide attempt must reflect action by the nurse that will promote the client’s safety. Constant observation status (one on one) is the best immediate intervention.

If a client is left alone with severe anxiety after a traumatic experience, he or she may feel abandoned and become overwhelmed. Putting the client in a quiet room may be indicated, but the nurse must also stay with the client. It is not possible to teach the client or encourage conversation until the client's anxiety level has decreased. Noting that the client's condition involves "severe" anxiety will direct you to the most important intervention which is to stay with the client.

Mania is a mood characterized by excitement, euphoria, hyperactivity, excessive energy, decreased need for sleep, and impaired ability to concentrate or complete a single train of thought. The mood may be elevated, expansive, or irritable. Using Maslow's hierarchy of needs, nonstop activity and poor nutritional intake are physiologic needs requiring immediate intervention.

This client's behavior could be interpreted as unhappy or resistant (choices 1, 2, or 4), but in doing so, the nurse is making a value judgment and fails to recognize the symptoms of depression and potential risk for suicide. The nurse should stay with the client until the assessment is complete and potentially life-threatening conditions have been identified and addressed.

Focusing and verbalizing are therapeutic communication techniques that help relook at what the client is really saying. The correct option (2) is the only one that reflects the use of this therapeutic communication technique.

Constipation can be related to inadequate food intake, lack of exercise and dehydration. In this case, urinary retention is most likely due to medication; therefore option (4) is the best response as it addresses side effects of antidepressant medication.

Clients with anxiety disorder should abstain from or limit their intake of caffeine, chocolate, or alcohol as these products have the potential of increasing anxiety. Options 1, 3, & 4 are similar as they are concerned with monitoring or limiting physical activity. Option (2) best focuses on the concern expressed by the mother than the daughter stashes food and eats things that worsen anxious behavior.

The description of this client's behavior matches Obsessive-Compulsive Disorder (OCD), an anxiety disorder. Anxiety disorders can be effectively treated with behaviorally-based treatments (1,2&3) and antianxiety medication. Although diazepam (Valium) is an antianxiety medication, it's used as a tranquilizer as described above is limited to emergency situations and would not be considered the best treatment option for the general management of OCD.

The person experiencing mania is overactive, full of energy, lacks concentration, and has poor impulse control. The client needs an activity that allows the use of excess energy but not endanger others in the process, making ping-pong a good choice for the manic client. The other options require concentration and are passive, which could lead to increased frustration for this client.

Making assumptions about behavior patterns is inappropriate. Delaying or avoiding discussion about concerns puts the needs of the provider ahead of the client. The best way to determine if domestic violence and abuse are occurring is to ask directly.

Interventions for the client with manipulative behavior includes setting clear, consistent, and enforceable limits on manipulative behavior. The client should be made aware of the consequences of exceeding the limits set in a nonpunitive manner. By focusing on the subject of the client's manipulative behavior and recalling that power struggles need to be avoided, you can determine which interventions are correct.

All diagnoses (1 - 5) are acceptable as the client with bipolar disorder may intensely experience both manic and depressive stages of the disorder.