Question

A nurse is planning care for a client who has generalized anxiety disorder? Which of the following interventions should the nurse include in the clients plan of care?

A. give the client detailed instructions
B. Reframe situations in a positive manner for the client
C. Speak in a brisk manner to the client
D. Avoid involving the client in problem solving

Answer 1

Reframing situations positively and providing detailed instructions are recommended interventions for a client with generalized anxiety disorder, supporting their cognitive coping strategies and managing anxiety.

Step-by-step explanation:

A nurse planning care for a client with generalized anxiety disorder should consider various interventions that are supportive and therapeutic. Based on the options provided:

• B. Reframe situations in a positive manner for the client is an intervention that incorporates cognitive strategies which are useful in managing anxiety. It involves helping clients to see situations from a less anxiety-provoking perspective.
• A. Giving the client detailed instructions may help in certain contexts, especially if they feel overwhelmed by too many choices or uncertainty.
• D. It is important to involve the client in problem solving to empower them and help build their coping skills; avoiding their involvement is generally not recommended.

Therefore, options A and B would be beneficial to include in the client's plan of care. However, speaking to a client in a brisk manner (C) could potentially increase anxiety, and not involving the client in problem solving (D) could hinder their sense of agency and mastery over their anxiety.