A nurse has been counseling a client with generalized anxiety ...

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A nurse has been counseling a client with generalized anxiety disorder to increase the client's
  anxiety self-control. The client has identified several stressful situations that cause physical and
  psychological manifestations of anxiety.
 
  The indicator the nurse should monitor relative to the
  Nursing Outcomes Classification outcome of anxiety self-control is
  a. plans coping strategies for stressful situations.
  b. identifies situations that precipitate hostility.
  c. refrains from destroying property.
  d. identifies alternatives to aggression.

Question 2

Two forms of therapy that call for the nurse to plan for an initial rise in client anxiety level are
 
  a. relaxation training and meditation.
  b. flooding and response prevention.
  c. anxiolytic therapy and -blocker use.
  d. modeling and cognitive restructuring.

[aprice35067]

Answer to Question 1

ANS: A
This indicator is directly related to having identified situations that precipitate anxiety. The other
options are indicators of aggression self-control.

Answer to Question 2

ANS: B
Flooding introduces a phobic client to the feared stimulus in continual large doses, and response
prevention requires a client with obsessive-compulsive disorder to avoid performing the ritual that
relieves anxiety. Both cause an initial rise in anxiety before the anxiety level is reduced. The goal of
options A and C is anxiety reduction without initial anxiety increase. Option D: Modeling will not
cause an initial rise in anxiety, and cognitive restructuring is performed in a nonthreatening way.

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TYSM

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