Author Question: A client with generalized anxiety disorder states that he is worried about his marriage. He never ... (Read 24 times)

nautica902 · **on:** Jul 19, 2018

A client with generalized anxiety disorder states that he is worried about his marriage. He never feels like he has control over his relationship despite trying so hard to be a good husband.

He adds that he is terrified of divorce. Which response by the nurse is most therapeutic?
A) It sounds to me like you're doing a great job in your marriage.
B) Your worries are a feature of your anxiety disorder. Tell yourself that you have nothing to worry about.
C) Has something changed at home that is causing you to worry?
D) Try your best to focus on the positive features of your marriage.

Question 2

A client has presented to the emergency department distraught over his recent and worsening flashbacks and feelings of unreality. These symptoms are associated with which of the following?

A) Post-traumatic stress disorder (PTSD)
B) Schizophrenia
C) Agoraphobia
D) Obsessive-compulsive disorder (OCD)

uniquea123 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: C
Feedback:
The nurse begins an assessment by simply asking the client if he or she is currently feeling anxious or worried or has experienced these feelings recently. The nurse also asks the client about obsessive thinking patterns, worrying, compulsions and repetitive activity, specific phobias, and exposure to traumatic events. Once the nurse has determined that signs and symptoms of anxiety do exist, he or she assesses the possible underlying causes and inquires about family history, recent life events, current stress level, personal history of anxiety, medical and medication history, history of substance abuse, and other possible causes of the anxiety.

Answer to Question 2

Ans: A
Feedback:
Symptoms of PTSD include generalized anxiety, dissociation, intrusive thoughts or images of the trauma, flashbacks, nightmares, and other sleep disturbances. Additionally, the person feels a need to avoid situations or stimuli that elicit recollections of the trauma.