Nokea
A nurse is working with a client to develop assertive communication skills. The nurse documents achievement of treatment outcomes when the client makes a statement such as.
- A. I'm sorry. I'm not picking this up very quickly.
- B. I feel upset when you interrupt me.
- C. You are pushing me too hard.
- D. I'm not going to let people push me around anymore.
Correct Answer: B
Rationale: Using 'I' statements to express feelings, like 'I feel upset,' demonstrates assertive communication, fostering self-assurance.
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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.
The nurse plans to teach a client about dietary modifications to manage diabetes. Teaching would be most effective if the client displayed which one of the following characteristics?
- A. Focusing only on immediate task
- B. Faster rate of speech
- C. Narrowed perceptual field
- D. Heightened focus
Correct Answer: D
Rationale: Mild anxiety enhances focus and learning ability, making it the optimal state for effective teaching.
Which of the following are interpersonal theories regarding the etiologies of major anxiety disorders? Select all that apply.
- A. Sigmund Freud's theory
- B. Henry Stack Sullivan's theory
- C. Hildegard Peplau's theory
- D. Pavlov's theory
Correct Answer: B,C
Rationale: Sullivan's and Peplau's theories focus on interpersonal relationships as sources of anxiety, unlike Freud's intrapsychic or Pavlov's behavioral theories.
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.
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.