A client with generalized anxiety disorder does not want to communicate with friends, smokes 2 to 3 packages of cigarettes a day, and describes difficulty concentrating at work. Which coping strategy should the nurse include in the plan of care?
Explanation & Rationale
A. Relax and reduce the amount of effort to solve the problem: Advising the client to reduce effort may encourage avoidance, which can reinforce anxiety. Generalized anxiety disorder is better managed through structured, goal-directed strategies rather than passive disengagement. B. Focus on small achievable tasks, not taxing problems: This promotes a sense of control and success, helping reduce overwhelming feelings common in anxiety. Breaking tasks into manageable steps can improve concentration and lower stress levels in daily functioning. C. Concentrate on and ventilate emotions when distressed: While emotional expression can be helpful, excessive focus on emotions without problem-solving may intensify anxiety. It is more effective to combine emotional awareness with practical coping skills. D. Analyze past hurts and resentments to identify the source: Deep emotional analysis is more appropriate in long-term psychotherapy than acute anxiety management. This strategy may be too introspective and overwhelming for someone struggling with current functional issues.