Nokea
The nursing student understands correctly when identifying which objective is appropriate for all clients with anxiety disorders?
- A. The client will experience reduced anxiety and accept the fact that underlying conflicts cannot be treated.
- B. The client will experience reduced anxiety and develop alternative responses to anxiety-provoking situations.
- C. The client will experience reduced anxiety and learn to control primitive impulses.
- D. The client will experience reduced anxiety and strive for insight through Psychoanalysis.
Correct Answer: B
Rationale: Developing alternative responses to anxiety-provoking situations is a key objective for managing anxiety disorders effectively.
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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.
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.
An anxiolytic agent, lorazepam (Ativan), has been prescribed for the client. Which of the following statements by the client would indicate to the nurse that client education about this medication has been effective?
- A. My anxiety will be eliminated if I take this medication as prescribed.
- B. This medication presents no risk of addiction or dependence.
- C. I will probably always need to take this medication for my anxiety.
- D. This medication will relax me, so I can focus on problem solving.
Correct Answer: D
Rationale: Lorazepam relieves anxiety symptoms to aid problem-solving, but does not eliminate anxiety or lack risk of dependence.
The nurse is teaching a client with an anxiety disorder ways to manage anxiety. The nurse suggests which of the following schedules for practicing stress management techniques?
- A. Practice the techniques each morning and night as part of a daily routine.
- B. Use the techniques as needed when experiencing severe anxiety.
- C. Practice the techniques when relatively calm.
- D. Expect to practice the techniques when meeting with a therapist.
Correct Answer: C
Rationale: Practicing stress management techniques when calm allows the client to master them effectively before anxiety escalates.
When teaching a client with generalized anxiety disorder, which is the highest priority for the nurse to teach the client to avoid?
- A. Caffeine
- B. High-fat foods
- C. Refined sugars
- D. Sodium
Correct Answer: A
Rationale: Caffeine exacerbates anxiety symptoms, making it the highest priority to avoid in managing generalized anxiety disorder.