Varcarolis Chapter 11 Study test in depth Examination and 100% correctly verified Solutions Latest version 2024/2025
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Varcarolis
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Varcarolis
Varcarolis Chapter 11 Study test in depth Examination and 100% correctly verified Solutions Latest version 2024/2025
1. A student says, "Before taking a test, I feel a heightened sense of awareness and restlessness." The nurse can correctly assess the student's experience as:
a. Culturally infl...
Varcarolis Chapter 11 Study test in depth
Examination and 100% correctly verified
Solutions Latest version 2024/2025
1. A student says, "Before taking a test, I feel a heightened sense
of awareness and restlessness." The nurse can correctly assess
the student's experience as:
a. Culturally influenced
b. Displacement
c. Trait anxiety
d. Mild anxiety - correct answer ANS: D
Mild anxiety is rarely obstructive to the task at hand. It may be
helpful to the patient because it promotes study and increases
awareness of the nuances of questions. The incorrect responses
have different symptoms.
. A student says, "Before taking a test, I feel a heightened sense
of awareness and restlessness." The nursing intervention most
suitable for assisting the student is to:
a. Explain that the symptoms are the result of mild anxiety, and
discuss the helpful aspects.
b. Advise the student to discuss this experience with a health
care provider.
c. Encourage the student to begin antioxidant vitamin
supplements.
d. Listen without comment. - correct answer ANS: A
Teaching about the symptoms of anxiety, their relation to
precipitating stressors, and, in this case, the positive effects of
,anxiety serves to reassure the patient. Advising the patient to
discuss the experience with a health care provider implies that
the patient has a serious problem. Listening without comment
will do no harm but deprives the patient of health teaching.
Antioxidant vitamin supplements are not useful in this scenario.
2. If a cruel and abusive person rationalizes this behavior, which
comment is most characteristic of this person?
a. "I don't know why it happens."
b. "I have poor impulse control."
c. "That person shouldn't have provoked me."
d. "I'm really a coward who is afraid of being hurt." - correct
answer ANS: C
Rationalization consists of justifying one's unacceptable behavior
by developing explanations that satisfy the teller and attempt to
satisfy the listener. The abuser is suggesting that the abuse is
not his or her fault; it would not have occurred except for the
provocation by the other person.
4. A patient with severe anxiety suddenly begins running and
shouting, "I'm going to explode!" The nurse should:
a. Ask, "I'm not sure what you mean. Give me an example."
b. Chase after the patient, and give instructions to stop running.
c. Capture the patient in a basket-hold to increase feelings of
control.
d. Assemble several staff members and state, "We will help you
regain control." - correct answer ANS: D
The safety needs of the patient and other patients are a priority.
The patient is less likely to cause self-harm or hurt others when
several staff members take responsibility for providing limits.
, The explanation given to the patient should be simple and
neutral. Simply being told that others can help provide the
control that has been lost may be sufficient to help the patient
regain control. Running after the patient will increase the
patient's anxiety. More than one staff member is needed to
provide physical limits if they become necessary. Asking the
patient to give an example is futile; a patient in panic processes
information poorly.
5. A person who has been unable to leave home for more than a
week because of severe anxiety says, "I know it does not make
sense, but I just can't bring myself to leave my apartment alone."
Which nursing intervention is appropriate?
a. Teach the person to use positive self-talk.
b. Assist the person to apply for disability benefits.
c. Ask the person to explain why the fear is so disabling.
d. Advise the person to accept the situation and use a
companion. - correct answer ANS: A
This intervention, a form of cognitive restructuring, replaces
negative thoughts such as "I can't leave my apartment" with
positive thoughts such as "I can control my anxiety." This
technique helps the patient gain mastery over the symptoms. The
other options reinforce the sick role.
6. Which comment by a person who is experiencing severe
anxiety indicates the possibility of obsessive-compulsive
disorder?
a. "I check where my car keys are eight times."
b. "My legs often feel weak and spastic."
c. "I'm embarrassed to go out in public."
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