Nokea
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.
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A client states, 'I will just die if I don't get this job.' The nurse then asks the client, 'What will be the worst that will happen if you don't get the job?' The nurse is using this response to
- A. appraise his situation more realistically.
- B. assist the client to make alternative plans for the future.
- C. assess if the client has health problems compounded by stress.
- D. clarify the client's meaning.
Correct Answer: A
Rationale: The nurse's question employs decatastrophizing to help the client realistically evaluate the situation and reduce exaggerated fears.
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.
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.
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.
Which of the following best explains the etiology of anxiety disorders from an interpersonal perspective?
- A. Anxiety is learned in childhood through interactions with caregivers.
- B. Anxiety is learned throughout life as a response to life experiences.
- C. Anxiety stems from an unconscious attempt to control awareness.
- D. Anxiety results from conforming to the norms of a cultural group.
Correct Answer: A
Rationale: Interpersonal theory suggests anxiety is learned in childhood through inadequate nurturing or distorted caregiver interactions.