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.
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A client who suffers from frequent panic attacks describes the attack as feeling disconnected from himself. The nurse notes in the client's chart that the client reports experiencing.
- A. hallucinations.
- B. depersonalization.
- C. derealization.
- D. denial.
Correct Answer: B
Rationale: Feeling disconnected from oneself during a panic attack is depersonalization, a common symptom of panic.
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.
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 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 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.
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