NUR 448 Exam 2 (Practice Questions) And Answers Latest Top Score.
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Course
NUR 448
Institution
NUR 448
NUR 448 Exam 2 (Practice Questions) And Answers Latest Top Score.
Anxiety is a symptom that can result from which of the following physiological conditions? Select all that apply.
A. Chronic obstructive pulmonary disease
B. Hyperthyroidism
C. Hypertension
D. Diverticulosis
E. Hyp...
NUR 448 Exam 2 (Practice Questions) And
Answers Latest Top Score.
Anxiety is a symptom that can result from which of the following physiological
conditions? Select all that apply.
A. Chronic obstructive pulmonary disease
B. Hyperthyroidism
C. Hypertension
D. Diverticulosis
E. Hypoglycemia - correct answer. ABE
Which of the following would the nurse expect to assess in a client diagnosed with
posttraumatic stress disorder? Select all that apply.
A. Dissociative events
B. Intense fear and helplessness
C. Excessive attachment and dependence toward others
D. Full range of affect
E. Avoidance of activities that are associated with trauma - correct answer. ABE
A patient has taken clonazepam (Klonopin) for years to manage panic attacks but
impulsively stopped the drug. Thirty hours later, the patient comes to the emergency
room in distress. What is the nurse's priority action?
a. Begin seizure precautions.
b. Refer the patient for addiction counseling.
c. Institute a behavior modification program.
d. Prepare to administer Lexapro (Escitalopram). - correct answer. A
5. When working with a patient diagnosed with dissociative amnesia, the nurse should
begin by:
a.
setting mutual goals for behavioral changes.
b.
instituting measures to prevent identity diffusion.
,c.
identifying and supporting the patient's strengths.
d.
helping the patient develop a realistic self-concept. - correct answer. C
A patient with panic attacks awakens from sleep complaining of chest pain. The patient
is diaphoretic and breathlessly says, "I feel like I'm going to die." Select the nurse's
priority action.
a.
Have the patient lie flat and relax.
b.
Bring the crash cart to the patient's room.
c.
Shake the patient and shout, "Are you okay?"
d.
Instruct the patient to breathe into a paper bag. - correct answer. D
Which term describes the final stage in the normal process of anxiety?
a.
Panic
b.
Crisis
c.
Disorganization
d.
Coping - correct answer. D
An anxious patient has distorted perceptions and ineffective reasoning. On an anxiety
rating scale, the nurse would expect to record the patient's level of anxiety as:
a.
mild, +1.
b.
moderate, +2.
c.
severe, +3.
d.
panic, +4. - correct answer. C
A patient is demonstrating severe (+3) anxiety. Nursing interventions will center around:
a.
encouraging ventilation and refocusing attention.
b.
discussing possible sources of anxiety.
c.
taking control to guide the patient.
d.
,decreasing stimuli and pressure. - correct answer. D
The nurse is assigned to care for a patient with moderate anxiety (+2). The most
effective nursing intervention will be:
a.
use of time-out.
b.
initiation of problem solving.
c.
providing firm guidance and control.
d.
administering a parenteral antianxiety drug. - correct answer. B
A patient diagnosed with PTSD has frequent flashbacks and persistent hyperarousal
symptoms. Which nursing interventions should be planned? Select all that apply.
a.
Offer empathy and support.
b.
Encourage relaxation activities.
c.
Encourage verbalization of anger.
d.
Set limits when the patient begins to tell of the story of the traumatic incident.
e.
Help the patient associate current feelings and behaviors with trauma experience. -
correct answer. ABCE
Lorazepam (Ativan) reduces anxiety by:
a.
increasing serotonin levels.
b.
blocking dopamine receptors.
c.
depressing norepinephrine levels.
d.
potentiating gamma-aminobutyric acid (GABA). - correct answer. D
A patient has taken diazepam (Valium) for 1 week for back spasms. The patient
complains of "feeling sleepy all the time." The nurse should tell the patient:
a.
"The dosage probably needs to be decreased."
b.
"Drowsiness indicates a paradoxical reaction to the drug."
c.
"Tolerance to the sedative effect of the drug will develop quickly."
d.
, "Sleepiness is an unavoidable side effect of non-benzodiazepine drugs." - correct
answer. C
The nurse would expect to administer flumazenil (Romazicon) for a patient:
a.
in acute alcohol withdrawal.
b.
with a benzodiazepine overdose.
c.
with benzodiazepine-resistant anxiety.
d.
with anxiety associated with a psychotic disorder. - correct answer. B
(Flumazenil is a benzodiazepine receptor antagonist. )
The nurse would expect a patient with which co-morbid diagnosis to have a magnified
response to the usual dose of a benzodiazepine drug?
a.
Rheumatoid arthritis
b.
Migraine headache
c.
Hepatic cirrhosis
d.
Osteoporosis - correct answer. C
A patient in the emergency room has status epilepticus. The nurse should anticipate
administration of:
a.
diazepam (Valium).
b.
buspirone (BuSpar).
c.
clorazepate (Tranxene).
d.
chlordiazepoxide (Librium). - correct answer. A
The teaching plan for a patient beginning buspirone (BuSpar) should include information
identifying this drug as a:
a.
norepinephrine inhibitor.
b.
serotonergic antagonist.
c.
serotonin agonist.
d.
GABA inhibitor. - correct answer. C
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