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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.
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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 of the following best explains the etiology of anxiety disorders from an interpersonal perspective?
- A. Anxiety is learned in childhood through interactions with caregivers.
- B. Anxiety is learned throughout life as a response to life experiences.
- C. Anxiety stems from an unconscious attempt to control awareness.
- D. Anxiety results from conforming to the norms of a cultural group.
Correct Answer: A
Rationale: Interpersonal theory suggests anxiety is learned in childhood through inadequate nurturing or distorted caregiver interactions.
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.
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.
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.