NCLEX-PN® ExaminationPsychosocial IntegrityMedium
A practical nurse is reviewing the care plan for a client diagnosed with generalized anxiety disorder (GAD). The client frequently reports feeling 'on edge,' has difficulty sleeping, and experiences muscle tension. Which of the following non-pharmacological interventions is most appropriate to include in the care plan?
- ATeaching progressive muscle relaxation techniques.
- BRecommending complete social isolation to reduce stressors.
- CSuggesting a strict low-carbohydrate diet.
- DEncouraging participation in high-intensity aerobic exercise.
Show answer & explanationAnswer & explanation
Correct answer: A. Teaching progressive muscle relaxation techniques.
Progressive muscle relaxation is a well-established non-pharmacological intervention for generalized anxiety disorder. It directly addresses physical symptoms like muscle tension and promotes a sense of calm, helping to manage the 'on edge' feeling and improve sleep.
Why the other options are wrong
- B. Complete social isolation would likely worsen anxiety and is counterproductive to therapeutic goals for GAD, which often include social engagement.
- C. Dietary changes are generally not a primary non-pharmacological intervention for GAD symptoms like muscle tension and feeling 'on edge'.
- D. While exercise is beneficial, high-intensity aerobic exercise may exacerbate anxiety in some individuals with GAD, especially initially.
GAD Non-Pharmacological Interventions
Non-pharmacological interventions for Generalized Anxiety Disorder (GAD) focus on teaching coping mechanisms to manage anxiety symptoms.
- Stress reduction techniques (e.g., progressive muscle relaxation, deep breathing).
- Cognitive-behavioral therapy (CBT) to challenge anxious thoughts.
- Lifestyle modifications (e.g., regular exercise, healthy diet, adequate sleep).
Memory trick: Anxiety's grip, release with a squeeze, then relax with ease.