A nurse is counseling a client with an anxiety disorder by using ...

[saraeharris]

A nurse is counseling a client with an anxiety disorder by using cognitive therapy strategies.
 
  She
  gives the client a homework assignment to keep a diary in which he records the symptoms of anxiety
  he experiences and the events that transpired just before the onset of symptoms. The rationale for
  this strategy is
  a. to keep the client intellectually occupied to prevent dwelling on physiologic
  phenomena.
  b. to link symptoms with precipitating events, which provides a basis for discussion
  and reframing.
  c. that anxiety gives rise to automatic, negative cognitions that must be analyzed.
  d. that antecedent events have less to do with the anxiety onset than internal events.

Question 2

An assessment question that would be highly appropriate to ask a client with possible generalized
  anxiety disorder would be
 
  a. Have you been a victim of a crime or seen someone badly injured or killed?
  b. Do you feel especially uncomfortable in social situations involving people?
  c. Do you repeatedly do certain things over and over again?
  d. Do you find it difficult to control your worrying?

[yuyiding]

Answer to Question 1

ANS: B
Reframing is necessary for change. It permits the client to see situations in a new way and move
away from the use of automatic, negative thinking. The other options are not reasonable
explanations of the use of a diary to support cognitive reframing.

Answer to Question 2

ANS: D
Clients with generalized anxiety disorder frequently engage in excessive worrying. They are less
likely to engage in ritualistic behavior, fear social situations, or have been involved in a highly
traumatic event.