Nokea
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.
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A student is preparing to give a class presentation. A few minutes before the presentation is to begin, the student seems nervous and distracted. The student is looking at and listening to the peer speaker and occasionally looking at note cards. When the peer speaker asks a question of the group, the student is able to answer correctly. The professor understands that the student is likely experiencing which level of stress?
- A. Mild
- B. Moderate
- C. Severe
- D. Panic
Correct Answer: B
Rationale: Moderate anxiety involves nervousness and difficulty concentrating independently, but the student can still process information with assistance.
A client experiences panic attacks when confronted with riding in elevators. The therapist is teaching the client ways to relax while incrementally exposing the client to getting on an elevator. This technique is called
- A. systematic desensitization.
- B. flooding.
- C. cognitive restructuring.
- D. exposure therapy.
Correct Answer: A
Rationale: Systematic desensitization involves gradual exposure to a phobia in a safe setting to reduce anxiety, unlike rapid flooding or cognitive techniques.
The nurse enters the client's room and finds the client anxiously pacing the floor. The client begins shouting at the nurse, 'Get out of my room!' The best intervention by the nurse would be to
- A. approach the client and ask, 'What's wrong?'
- B. call for help and say, 'Calm down.'
- C. turn and walk away from the room without saying anything.
- D. stand at the doorway and say, 'You seem upset.'
Correct Answer: D
Rationale: Standing at a distance and acknowledging the client's distress maintains safety and encourages communication without escalating anxiety.
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.
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.