Which activity would be a constructive outlet for tension and anxiety while enhancing self-esteem for a patient with adjustment disorder with anxious mood?
a. Knitting scarves for a homeless shelter
b. Painting a "paint-by-number" scenic picture
c. Working on a large, colorful picture puzzle
d. Engaging in regular, age-appropriate physical exercise
ANS: D
Physical exercise may assist in relieving tension and promoting feelings of well-being. Knit-ting is tedious and requires steadiness, which the patient may not have if symptoms of anxi-ety include jitteriness. Painting requires fine motor coordination, not always present if a pa-tient is anxious. Some patients find puzzles frustrating and become even more tense while working on one.
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