Nokea
A client is learning to cope with anxiety and stress. The expected outcome is that the client will
- A. change reactions to stressors.
- B. ignore situations that cause stress.
- C. limit major stressors in his or her life.
- D. avoid anxiety at all costs.
Correct Answer: A
Rationale: Changing reactions to stressors is a realistic goal, as stress is unavoidable, but manageable through adaptive coping.
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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.
Which techniques would be most effective for a client who has situational phobias? Select all that apply.
- A. Flooding
- B. Reminding the person to calm down
- C. Systematic desensitization
- D. Assertiveness training
- E. Decatastrophizing
Correct Answer: A,C
Rationale: Flooding and systematic desensitization are behavioral therapies effective for phobias, unlike assertiveness training or decatastrophizing, which address general anxiety.
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 one of the following statements is true about stress and anxiety?
- A. All people handle stress in the same way.
- B. Stress is a person's reaction to anxiety.
- C. Anxiety occurs when a person has trouble dealing with life situations, problems, and goals.
- D. Stress is the wear and tear that life causes on the body.
Correct Answer: D
Rationale: Stress is defined as the wear and tear on the body caused by life's demands, while anxiety is a response to stress involving feelings of dread.
A client asks how his prescribed alprazolam (Xanax) helps his anxiety disorder. The nurse explains that antianxiety medications such as alprazolam affect the function of which neurotransmitter that is believed to be dysfunctional in anxiety disorders?
- A. Serotonin
- B. Norepinephrine
- C. GABA
- D. Dopamine
Correct Answer: C
Rationale: Alprazolam enhances GABA, a neurotransmitter that reduces anxiety by calming neural activity.