A client relates that she has been under increased stress at work ...

[Diane]

A client relates that she has been under increased stress at work and that the only way she knows how to manage her anxiety is by drinking two or three glasses of wine each evening.
 
  The nurse suggests she stop drinking because of the negative effects of alcohol consumption. Which of the following statements explains why this may be difficult for the client?
  A) She is probably physically dependent on alcohol.
  B) Drinking alcohol is more socially acceptable than is taking medications.
  C) She may have no coping mechanism with which to replace drinking alcohol.
  D) A few glasses of wine each night is not necessarily a problem.

Question 2

A nurse therapist is conducting a session with a group of clients in which he is teaching them to utilize relaxation techniques to alleviate anxiety. Relaxation techniques help clients with anxiety disorders because they do what?
 
  A) Reduce autonomic arousal
  B) Increase sympathetic stimulation
  C) Release cortisol
  D) Increase metabolic rate

[guyanai]

Answer to Question 1

Ans: C
Feedback:
Clients learn to reduce the anxiety they feel in either functional or dysfunctional ways. The nurse first explores with the client what techniques the client has used in the past and helps the client identify and enhance those strategies that are most beneficial. The nurse and client identify maladaptive coping strategies such as social withdrawal or alcohol use and replace them with adaptive strategies that suit the client's personal, cultural, and spiritual values. The nurse should not ask the client to give up coping mechanisms, even maladaptive ones, without offering other adaptive mechanisms. The client may or may not have a physical dependence on alcohol.

Answer to Question 2

Ans: A
Feedback:
Regularly inducing the relaxation response reduces the general level of autonomic arousal in anxious clients. It lowers blood pressure, heart rate, metabolic rate, and oxygen demands. This physiological effect may result from effects on the production of cortisol, a hormone the body releases in response to stress. Cortisol is helpful during the fight-or-flight response, but its prolonged presence in chronically anxious or stressed clients can inhibit the immune system and have other deleterious effects on the body.

[Diane]

Thank you

[guyanai]

No problemo