The nurse is trying a nonpharmacologic intervention for a patient with anxiety. Which of the
following would most likely benefit this patient?
Increasing caffeine intake
Decreasing physical activity
Limiting noise or music in the room
Performing abdominal breathing exercises - answer✔Performing abdominal breathing
exercises
When describing the results of the fight or flight response, the nursing students requires further
teaching when making which statement?
Pupils constrict when a patient is anxious.
The heart races when a patient experiences anxiety.
Peristalsis slows as the patient decides whether to fight back.
The patient may complain of dry mouth when anxious. - answer✔Pupils constrict when a
patient is anxious.
ALL RIGHTS RESERVED.
The patient tells the nurse that he has been feeling a "tightness in his chest" and experiencing
insomnia at night after being fired from his job last week. On further assessment the nurse
finds that the patient's heart rate is elevated and irregular. The patient also appears to be
sweating excessively and has dilated pupils. Which of the following is the most likely cause of
the reaction?
Chronic stress response
Anxiety
Myocardial infarction
Limbic system response - answer✔Anxiety
The nurse is creating the plan of care for a patient who was recently hospitalized for the
treatment of anxiety and depression related to a diagnosis of metastatic cancer. What should
the nurse include in the plan of care for this patient?
Antianxiety medication administration
Screening for related diseases
A rehabilitation program focused on anxiety prevention
Reassuring the patient that he or she will be fine - answer✔A rehabilitation program focused
on anxiety prevention
The patient tells the nurse that she has been extremely irritable and depressed, and finds
herself becoming angry with her son for no apparent reason. The patient asks the nurse for
some interventions to help her cope during this difficult time. Which of the following would the
nurse consider teaching first for this patient?
SSRI antidepressants - answer✔Meditation
The nurse is assessing a patient's anxiety related to stress. Which changes reflect the short-
term physiologic response to stress? (Select all that apply.)
Cortisol is released, increasing glycogenesis and reducing fluid loss.
Immune system functioning decreases, and the risk of cancer increases.
Corticosteroid release increases stamina and impedes digestion.
Muscular tension, blood pressure, and triglyceride levels increase.
Epinephrine is released, increasing the heart and respiratory rates.
Risk of depression, autoimmune disorders, and heart disease increases. - answer✔A. Cortisol is
released, increasing glycogenesis and reducing fluid loss.
C. Corticosteroid release increases stamina and impedes digestion.
D. Muscular tension, blood pressure, and triglyceride levels increase.
E. Epinephrine is released, increasing the heart and respiratory rates.
Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized
patient? (Select all that apply.)
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