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    Hesi RN Exit Exam-mcphs-worcester-bsn Proctored Exam

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    Question: 1 of 130Hesi Rn Exit Exam-mcphs-worcester-bsn Proctored Exam
    The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to situations and perceived stress. In addition to information about prescribed medication and administration, which instruction should the nurse include in the teaching?
    Explanation
    Brief introduction: Moderate anxiety involves a narrowed perceptual field where selective inattention occurs, yet individuals remain capable of learning. This physiological state triggers the sympathetic nervous system, increasing heart rate and muscle tension. Effective management requires neuromuscular intervention to reduce autonomic arousal and restore baseline homeostatic regulation during stressful episodes. Rationale: A. Increased social stimuli during moderate anxiety may cause sensory overload, further narrowing the focus. While social support is beneficial for long-term coping, it does not provide the immediate physiological stabilization required when anxiety levels rise or during acute perceived stress. B. Music therapy is a supportive distraction, but it does not address the underlying somatic tension present. Upbeat tempos might inadvertently increase stimulation rather than promoting the necessary parasympathetic activation required to counteract the body's fight-or-flight response. C. Progressive muscle relaxation directly targets physical tension and lowers autonomic arousal. By focusing on internal physical control, the client can widen their perceptual field, making this the most effective behavioral strategy for managing moderate anxiety levels. D. Analyzing triggers is a cognitive task that is difficult during periods of moderate anxiety. Attempting deep introspection while the client is symptomatic can increase frustration and anxiety; such analysis is more appropriate during the mild anxiety or calm phase.
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