A client refuses to go on a cruise to the Bahamas with his spouse ...

[jc611]

A client refuses to go on a cruise to the Bahamas with his spouse because of fearing that the cruise ship will sink and all will drown.
 
  Using a cognitive theory perspective, the nurse should use which of these statements to explain to the spouse the etiology of this fear? A. Your spouse may be unable to resolve internal conflicts, which result in projected anxiety.
  B. Your spouse may be experiencing a distorted and unrealistic appraisal of the situation.
  C. Your spouse may have a genetic predisposition to overreacting to potential danger.
  D. Your spouse may have high levels of brain chemicals that may distort thinking.

Question 2

Which treatment should a nurse identify as most appropriate for clients diagnosed with generalized anxiety disorder (GAD)?
 
  A. Long-term treatment with diazepam (Valium)
  B. Acute symptom control with citalopram (Celexa)
  C. Long-term treatment with buspirone (BuSpar)
  D. Acute symptom control with ziprasidone (Geodon)

[stano32]

Answer to Question 1

B
The nurse should explain that from a cognitive perspective the client is experiencing a distorted and unrealistic appraisal of the situation. From a cognitive perspective, fear is described as the result of faulty cognitions.

Answer to Question 2

C
The nurse should identify that an appropriate treatment for clients diagnosed with GAD is long-term treatment with buspirone. Buspirone is an anxiolytic medication that is effective in 60 to 80 of clients with GAD. It takes 10 to 14 days for alleviation of symptoms but does not have the dependency concerns of other anxiolytics.