Nokea
A client experiences panic attacks when confronted with riding in elevators. The therapist is teaching the client ways to relax while incrementally exposing the client to getting on an elevator. This technique is called
- A. systematic desensitization.
- B. flooding.
- C. cognitive restructuring.
- D. exposure therapy.
Correct Answer: A
Rationale: Systematic desensitization involves gradual exposure to a phobia in a safe setting to reduce anxiety, unlike rapid flooding or cognitive techniques.
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Which of the following statements about the use of defense mechanisms in persons with anxiety disorders are accurate? Select all that apply.
- A. Defense mechanisms are a human's attempt to reduce anxiety.
- B. Persons are usually aware when they are using defense mechanisms.
- C. Defense mechanisms can be harmful when overused.
- D. Defense mechanisms are cognitive distortions.
- E. The use of defense mechanisms should be avoided.
- F. Defense mechanisms can control the awareness of anxiety.
Correct Answer: A,C,D,F
Rationale: Defense mechanisms are unconscious cognitive distortions used to reduce anxiety, but overuse can hinder emotional growth and problem-solving.
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.
A client is currently experiencing a panic attack. Which of the following is the most appropriate response by the nurse?
- A. Just try to relax.
- B. There is nothing here to harm you.
- C. You are safe. Take a deep breath.
- D. What are you feeling right now?
Correct Answer: C
Rationale: Reassuring safety and guiding deep breathing help manage a panic attack by reducing anxiety and providing focus.
The nurse is educating a client and family about managing panic attacks after discharge from treatment. The nurse includes which of the following in the discharge teaching? Select all that apply.
- A. Continued development of positive coping skills
- B. Weaning off of medications as necessary
- C. Lessening the amount of daily responsibilities
- D. Continued practice of relaxation techniques
- E. Development of a regular exercise program
Correct Answer: A,D,E
Rationale: Positive coping skills, relaxation techniques, and regular exercise support long-term management of panic attacks.
The nurse knows that which of the following are stages in Selye's general adaptation syndrome? Select all that apply.
- A. Alarm reaction stage
- B. Resistance stage
- C. Coping stage
- D. Exhaustion stage
- E. Panic stage
Correct Answer: A,B,D
Rationale: Selye's general adaptation syndrome includes the alarm reaction, resistance, and exhaustion stages, but not coping or panic stages.