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A client says to the nurse, 'I just can't talk in front of the group. I feel like I'm going to pass out.' The nurse assesses the client's anxiety to be at which level?
- A. Mild
- B. Moderate
- C. Severe
- D. Panic
Correct Answer: C
Rationale: Symptoms like feeling like passing out indicate severe anxiety, characterized by intense physiologic responses.
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Which of the following would be key points for the nurse to remember when working with persons who are suffering from anxiety disorders?
- A. It is important for the nurse to fix the client's problems.
- B. Remember to practice techniques to manage stress and anxiety in your own life.
- C. If you have any uncomfortable feelings, do not tell anyone about them.
- D. Remember that only people who suffer from anxiety disorders have stress that can interfere with daily life and work.
Correct Answer: B
Rationale: Nurses must manage their own stress to provide effective care, as stress is universal, not exclusive to those with anxiety disorders.
A client states, 'I will just die if I don't get this job.' The nurse then asks the client, 'What will be the worst that will happen if you don't get the job?' The nurse is using this response to
- A. appraise his situation more realistically.
- B. assist the client to make alternative plans for the future.
- C. assess if the client has health problems compounded by stress.
- D. clarify the client's meaning.
Correct Answer: A
Rationale: The nurse's question employs decatastrophizing to help the client realistically evaluate the situation and reduce exaggerated fears.
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.
When a client is experiencing a panic attack while in the recreation room, what interventions are the nurse's first priorities? Select all that apply.
- A. Provide a safe environment.
- B. Request a prescription for an antianxiety agent.
- C. Offer the client therapy to calm down.
- D. Ensure the client's privacy.
- E. Engage the client in recreational activities.
Correct Answer: A,D
Rationale: Providing a safe environment and ensuring privacy are priorities during a panic attack to reduce stimulation and enhance security.
Which one of the following can be a positive outcome of using defense mechanisms?
- A. Defense mechanisms can inhibit emotional growth.
- B. Defense mechanisms can lead to poor problem-solving skills.
- C. Defense mechanisms can create difficulty with relationships.
- D. Defense mechanisms can help a person to reduce anxiety.
Correct Answer: D
Rationale: Defense mechanisms can reduce anxiety, providing temporary relief, though overuse may lead to negative outcomes.