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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.
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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.
A nurse is working with a client to develop assertive communication skills. The nurse documents achievement of treatment outcomes when the client makes a statement such as.
- A. I'm sorry. I'm not picking this up very quickly.
- B. I feel upset when you interrupt me.
- C. You are pushing me too hard.
- D. I'm not going to let people push me around anymore.
Correct Answer: B
Rationale: Using 'I' statements to express feelings, like 'I feel upset,' demonstrates assertive communication, fostering self-assurance.
The student nurse correctly identifies that which one of the following statements applies to the parasympathetic nervous system?
- A. It is activated during the alarm reaction stage.
- B. It is activated during the resistance stage.
- C. It is activated during the exhaustion stage.
- D. It is commonly referred to as the fight, flight, or freeze response.
Correct Answer: B
Rationale: The parasympathetic nervous system is activated in the resistance stage to restore normal body function after the sympathetic activation in the alarm stage.
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.
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.