Which verbal intervention would be preferable to use with a ...

[ts19998]

Which verbal intervention would be preferable to use with a client who is experiencing severe to panic-level anxiety?
 
  1. I will stay with you and help you become calmer.
  2. You must stop pacing and wringing your hands.
  3. How can I help you get control of yourself?
  4. Let's talk about what was happening just before you got upset.

Question 2

The nurse is working with a client who has been diagnosed as having PTSD related to a combat situation. An initial outcome for the client is that he will:
 
  1. Verbalize feelings about the combat experience
  2. Repress memories and feelings about the experience
  3. Recognize that the symptoms are masking his fear
  4. Leave the military because symptoms are war related

[cadimas]

Answer to Question 1

ANS: 1
A client who is experiencing severe to panic-level anxiety requires brief, directive verbal inter-changes aimed at increasing feelings of safety and security. 2. Although brief and directive, this communication does nothing to increase feelings of security. 3. Severely anxious clients are not able to evaluate their situation and give direction to the nurse. 4. Severely anxious clients are not able to relate antecedent events to increasing anxiety.

Answer to Question 2

ANS: 1
Expressing feelings permits identification of feelings. This initial step makes it possible to devise effective ways to manage feelings more effectively. 2. This would be nontherapeutic. 3. The symptoms reflect unresolved feelings, not solely fear. 4. This will not help the disorder.