Nokea
Which of the following are interpersonal theories regarding the etiologies of major anxiety disorders? Select all that apply.
- A. Sigmund Freud's theory
- B. Henry Stack Sullivan's theory
- C. Hildegard Peplau's theory
- D. Pavlov's theory
Correct Answer: B,C
Rationale: Sullivan's and Peplau's theories focus on interpersonal relationships as sources of anxiety, unlike Freud's intrapsychic or Pavlov's behavioral theories.
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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.
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.
A client asks the nurse, 'Why do I have to go to counseling? Why can't I just take medications?' The best response by the nurse would be.
- A. Both therapies are effective. You can eventually choose one or the other.
- B. You cannot get the full effect of your medications without cognitive therapy as well.
- C. As soon as your medications reach therapeutic level, you can omit the therapy.
- D. Medications combined with therapy help you change how well you function.
Correct Answer: D
Rationale: Combining medication and therapy improves functioning by addressing both symptoms and underlying coping mechanisms.
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 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.