Nokea
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.
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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.
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.
Which of the following statements about the assessment of persons with anxiety and anxiety disorders is most accurate?
- A. When an elder person has an onset of anxiety for the first time in his or her life, it is possible that the anxiety is associated with another condition.
- B. Panic attacks are the most common late-life anxiety disorders.
- C. An elder person with anxiety may be experiencing ruminative thoughts.
- D. Agoraphobia that occurs in late life may be related to trauma experienced or anticipated.
Correct Answer: A
Rationale: Late-onset anxiety in elders is often linked to conditions like depression or physical illness, not primarily panic attacks or ruminative thoughts.
Which of the following are reasons that the nurse must understand why and how anxiety behaviors work? Select all that apply.
- A. To provide better care for the client
- B. To help understand the role anxiety plays in performing nursing responsibilities
- C. To help the nurse to mask his or her own feelings of anxiety
- D. So the nurse can identify that his or her own needs are more important than the clients
- E. To help nurses to function at a high level
Correct Answer: A,B,E
Rationale: Understanding anxiety improves client care, informs nursing responsibilities, and supports high-level functioning, without prioritizing the nurse's needs.
An anxiolytic agent, lorazepam (Ativan), has been prescribed for the client. Which of the following statements by the client would indicate to the nurse that client education about this medication has been effective?
- A. My anxiety will be eliminated if I take this medication as prescribed.
- B. This medication presents no risk of addiction or dependence.
- C. I will probably always need to take this medication for my anxiety.
- D. This medication will relax me, so I can focus on problem solving.
Correct Answer: D
Rationale: Lorazepam relieves anxiety symptoms to aid problem-solving, but does not eliminate anxiety or lack risk of dependence.