PN 120 PREPU CHAPTER 14 EXAM QUESTIONS
WITH CORRECT ANSWERS
A client comes in for a therapy session and begins to have a panic attack. The
therapist asks the client to relax in the chair and then gently asks the client to
imagine the client in a very safe and calm place. This technique, often useful in
anxiety disorders, is called what? - ANSWER Deep breathing
Which would not be an initial intervention for the client with acute anxiety? -
ANSWER Touching the client in an attempt to comfort the client
A 30-year-old client who has been unemployed secondary to anxiety disorder states
that the client would like to have a job where the client is alone and no one needs to
evaluate the client's work. The nurse interprets these comments as an indicator of
what? - ANSWER Social phobia
A client with generalized anxiety disorder states that the client is worried about the
client's job. The client never feels like the client has control over the client's
responsibilities, even though the client puts in extra hours. The client adds that the
client is afraid the client will be fired. Which response by the nurse is most
therapeutic? - ANSWER "Has something changed at work that is causing you to
worry?"
Relaxation techniques help clients with anxiety disorders because they can promote
what? - ANSWER Reduction of autonomic arousal
An adolescent client reveals that she is about to take a math test from her tutor.
Nursing assessment reveals mild anxiety. The nurse explains that this level of
anxiety does what? - ANSWER Is conducive to concentration and problem-solving
In teaching a client who has been prescribed a benzodiazepine for panic disorder,
the nurse must be certain to do what? - ANSWER Educate the client that this
medication has a high risk for withdrawal symptoms, and the client should not
discontinue without a doctor's supervision.
Which question in the assessment of a client with anxiety is most clinically
appropriate? - ANSWER "How do you feel about everything that is happening in
, your life right now?"
Which assessment question is most likely to allow the nurse to differentiate
between anxiety disorder due to a general medical condition and psychological
factors affecting a medical condition? - ANSWER Establishing whether the client's
anxiety preceded the medical problem or whether the medical problem appeared
first
Which medication classifications used in the treatment of panic disorder can cause
physical dependence? - ANSWER Benzodiazepines
The nurse at the student health centre is seeing a group of nursing students who are
interested in reducing their stress levels. The nurse identifies guided imagery as an
appropriate intervention. What does guided imagery involve? - ANSWER The
mindful use of a word, phrase, or visual image, which allows oneself to be
distracted and temporarily escape from stressful situations
A young parent tells the nurse, "I can't stop smoking. That is what I do to make
myself feel better." What is the term used to describe this behaviour? - ANSWER
Coping mechanism
In speaking with a client with moderate anxiety, the client becomes tangential when
discussing unrelated topics. To help the client's attention from wandering, which is
an effective intervention? - ANSWER The nurse should speak in short and simple
sentences.
Which would be an appropriate intervention of a client experiencing a panic attack?
- ANSWER Staying with the client and speaking in short sentences
After teaching a group of mental health nursing students about the care of a client
experiencing a panic attack, the instructor determines that additional education is
required when the students identify which as an appropriate intervention. -
ANSWER Touching the client in an attempt to comfort the client
A 30-year-old client who has been unemployed secondary to the client's anxiety
disorder states that the client would like to have a job where the client is alone and
no one needs to evaluate the client's work. The nurse interprets these comments as
an indicator of what? - ANSWER Social anxiety disorder
A nursing instructor is describing the care of a client with acute anxiety to a class
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