A long-term care facility resident with generalized anxiety disorder (GAD) enters the dining room and discovers that a visitor is sitting in her regular seat. The resident becomes agitated and insists that she cannot eat unless she sits in her chair

Which response is most appropriate?
a. Instruct the visitor to move.
b. Reassure the resident that she can sit in her regular spot at supper.
c. Remind the resident that she will be hun-gry if she does not eat.
d. Insist that the resident eat.


B
A calm approach and reassurance will help the anxious patient to mimic the nurse's behavior. Asking the visitor to move, telling the resident that she will go hungry, or insisting that the resi-dent eat are not therapeutic and will not help in reducing the patient's anxiety.

Nursing

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A member of the women's group asks the nurse why raising her arms is necessary. What is the nurse's best response? A) "It helps to spread out the fat that makes up your breast." B) "It allows you to simultaneously assess for pain." C) "It will help to observe for dimpling more closely." D) "This is what the American Cancer Society recommends."

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The client's spouse asks the nurse what the family can do in the home environment to promote healthy sleep. Which response by the nurse would be most appropriate? A) "It is basically up to your husband to focus on promoting his own sleep." B) "You might consider a glass of wine about 30 minutes before he is ready to go to bed." C) "Remember to keep stimulating activities at a minimum before he goes to bed." D) "Give him a spicy snack with a warm cup of tea at night before bedtime."

Nursing