Nokea
The student nurse correctly identifies that according to Selye (1956, 1974), which stage of reaction to stress stimulates the body to send messages from the hypothalamus to the glands and organs to prepare for potential defense needs?
- A. Resistance
- B. Exhaustion
- C. Alarm reaction
- D. Autonomic
Correct Answer: C
Rationale: The alarm reaction stage involves hypothalamic activation to prepare the body for defense through the sympathetic nervous system.
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The nurse is educating a client and family about managing panic attacks after discharge from treatment. The nurse includes which of the following in the discharge teaching? Select all that apply.
- A. Continued development of positive coping skills
- B. Weaning off of medications as necessary
- C. Lessening the amount of daily responsibilities
- D. Continued practice of relaxation techniques
- E. Development of a regular exercise program
Correct Answer: A,D,E
Rationale: Positive coping skills, relaxation techniques, and regular exercise support long-term management of panic attacks.
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.
Which of the following would be key points for the nurse to remember when working with persons who are suffering from anxiety disorders?
- A. It is important for the nurse to fix the client's problems.
- B. Remember to practice techniques to manage stress and anxiety in your own life.
- C. If you have any uncomfortable feelings, do not tell anyone about them.
- D. Remember that only people who suffer from anxiety disorders have stress that can interfere with daily life and work.
Correct Answer: B
Rationale: Nurses must manage their own stress to provide effective care, as stress is universal, not exclusive to those with anxiety disorders.
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.