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Rationale:
3. “It has been difficult for you. How long has this been going on?” acknowledges feelings and attempts to collect more data.
1. “With whom have you shared your feelings of anxiety?” will not facilitate data collection about the extent of anxiety.
2. Anxiety is most often a response to a vague, nonspecific threat; the client will not be able to answer “What have you identified as the cause of your anxiety?”
4. It is too early to try to identify the cause of the anxiety; crisis intervention with anxious clients requires a more structured approach than “Let’s talk.”
Additional info:
Client Need: Psychosocial Integrity;
Cognitive Level: Analysis;
Nursing Process: Evaluation/Outcomes
Practice Question Sourced From: Saunders Q&A Review for the NCLEX-RN® Examination, 8th Edition