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A client asks the nurse, 'Why do I have to go to counseling? Why can't I just take medications?' The best response by the nurse would be.
- A. Both therapies are effective. You can eventually choose one or the other.
- B. You cannot get the full effect of your medications without cognitive therapy as well.
- C. As soon as your medications reach therapeutic level, you can omit the therapy.
- D. Medications combined with therapy help you change how well you function.
Correct Answer: D
Rationale: Combining medication and therapy improves functioning by addressing both symptoms and underlying coping mechanisms.
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The nurse is teaching about postoperative wound care. As the wound is uncovered, the client begins mumbling, breathing rapidly, and trying to get out of bed, and the client does not respond when the nurse calls his name. Which of the following should be the nurse's first action?
- A. Ask the client to describe his feelings.
- B. Proceed with wound care quickly.
- C. Replace the dressing on the wound.
- D. Get the assistance of another nurse.
Correct Answer: C
Rationale: Replacing the dressing addresses severe anxiety by reducing stimuli and preventing wound contamination, prioritizing client comfort.
The student nurse correctly identifies that which one of the following statements applies to the parasympathetic nervous system?
- A. It is activated during the alarm reaction stage.
- B. It is activated during the resistance stage.
- C. It is activated during the exhaustion stage.
- D. It is commonly referred to as the fight, flight, or freeze response.
Correct Answer: B
Rationale: The parasympathetic nervous system is activated in the resistance stage to restore normal body function after the sympathetic activation in the alarm stage.
Which of the following theories about anxiety is based upon intrapsychic theories?
- A. A person's innate anxiety is the stimulus for behavior.
- B. Anxiety is generated from problems in interpersonal relationships.
- C. A nurse can help the client to achieve health by attending to interpersonal and physiologic needs.
- D. Anxiety is learned through experiences.
Correct Answer: A
Rationale: Intrapsychic theories, like Freud's, view innate anxiety as a stimulus for behavior, unlike interpersonal or behavioral theories.
A student is preparing to give a class presentation. A few minutes before the presentation is to begin, the student seems nervous and distracted. The student is looking at and listening to the peer speaker and occasionally looking at note cards. When the peer speaker asks a question of the group, the student is able to answer correctly. The professor understands that the student is likely experiencing which level of stress?
- A. Mild
- B. Moderate
- C. Severe
- D. Panic
Correct Answer: B
Rationale: Moderate anxiety involves nervousness and difficulty concentrating independently, but the student can still process information with assistance.
Which of the following best explains the etiology of anxiety disorders from an interpersonal perspective?
- A. Anxiety is learned in childhood through interactions with caregivers.
- B. Anxiety is learned throughout life as a response to life experiences.
- C. Anxiety stems from an unconscious attempt to control awareness.
- D. Anxiety results from conforming to the norms of a cultural group.
Correct Answer: A
Rationale: Interpersonal theory suggests anxiety is learned in childhood through inadequate nurturing or distorted caregiver interactions.