How should a nurse best describe the major maladaptive client ...

[kellyjaisingh]

How should a nurse best describe the major maladaptive client response to panic disorder?
 
  A. Clients overuse medical care because of physical symptoms.
  B. Clients use illegal drugs to ease symptoms.
  C. Clients perceive having no control over life situations.
  D. Clients develop compulsions to deal with anxiety.

Question 2

A nurse has been caring for a client diagnosed with generalized anxiety disorder (GAD). Which of the following nursing interventions would address this client's symptoms? Select all that apply.
 
  A. Encourage the client to recognize the signs of escalating anxiety.
  B. Encourage the client to avoid any situation that causes stress.
  C. Encourage the client to employ newly learned relaxation techniques.
  D. Encourage the client to cognitively reframe thoughts about situations that generate anxiety.
  E. Encourage the client to avoid caffeinated products.

[ansleighelindsey]

Answer to Question 1

ANS: C
The major maladaptive client response to panic disorder is the perception of having no control over life situations, which leads to nonparticipation in decision making and doubts regarding role performance.

Answer to Question 2

ANS: A, C, D, E
Nursing interventions that address GAD symptoms should include encouraging the client to recognize signs of escalating anxiety, to employ relaxation techniques, to cognitively reframe thoughts about anxiety-provoking situations, and to avoid caffeinated products. Avoiding situations that cause stress is not an appropriate intervention, because avoidance does not help the client overcome anxiety. Stress is a component of life and is not easily evaded.