Chapter 18: Managing Anxiety
Test Bank
MULTIPLE CHOICE
1. When a client has a mild level of anxiety, his or her emotional response is:
a. Relaxed and calm
b. Energized
c. Feeling overloaded
d. Helplessness with loss of control
ANS: A
Mild anxiety results in relatively comfortable feelings. An energized emotional response
describes feelings of moderate anxiety. Feeling overloaded is characteristic of severe anxiety,
and feeling helpless with loss of control refers to the highest level of anxiety, which is panic.
DIF: Cognitive Level: Comprehension REF: p. 203 OBJ: 1
TOP: Continuum of Anxiety Responses KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
2. A female college student is seeking help from the counseling center for test anxiety. She
reports that during an exam, she ―freezes,ǁ and says, ―It feels like the time I have to take the
exam is racing by, and I can’t answer any of the questions when I know the answers.ǁ Which
level of anxiety is the client experiencing?
a. Mild
b. Moderate
c. Severe
d. Panic
ANS: C
These are typical symptoms when someone experiences a severe level of anxiety. During mild
anxiety, the perceptual field is broad; moderate anxiety is the best state for problem solving
and learning because perception is focused; panic results in totally scattered or closed
perception, and problem solving is nearly impossible.
DIF: Cognitive Level: Application REF: p. 203 OBJ: 1
TOP: Continuum of Anxiety Responses KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
3. A learned response to an anticipated event, such as when the person who does not like to fly
experiences nausea and sweaty palms before boarding the airplane, is best described as:
a. A normal anxiety response
b. Signal anxiety
c. An anxiety state
d. An anxiety trait
ANS: B
https://www.coursehero.com/file/13027644/c18/
, This response occurs as the individual anticipates a stress-provoking event. A normal anxiety
response does not best meet the description in this situation; an anxiety state refers to a person
whose coping abilities have become overwhelmed and the person has lost emotional control;
and an anxiety trait is part of an individual’s personality that occurs as an overreaction to
situations.
DIF: Cognitive Level: Comprehension REF: p. 202 OBJ: 1
TOP: Types of Anxiety KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
4. A client tells the nurse that exercising in the gym helps him keep his stress level reduced.
Which type of coping mechanism best describes this situation?
a.Spiritual
b.Emotional
c.Intellectual
d.Physical
ANS: D
Stress release activities such as exercise, jogging, and yoga are considered physical coping
mechanisms. Spiritual coping mechanisms include prayer, faith, and rituals. Emotional coping
mechanisms consist of crying, talking, and defense mechanisms. Intellectual coping
mechanisms are observed when an individual changes his or her perceptions of a threat to
make it less meaningful.
DIF: Cognitive Level: Comprehension REF: p. 204 OBJ: 2
TOP: Coping Methods KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
5. A nurse who talks to teens about the dangers of tanning beds in causing skin cancer but loves
to tan herself and does so before she goes on vacation is using which defense mechanism?
a. Substitution
b. Restitution
c. Suppression
d. Rationalization
ANS: A
Substitution is defined as disguising motivations by replacing an inappropriate behavior with
one that is more acceptable. Restitution is defined as doing something to resolve guilt
feelings; suppression is removing anxiety about a conflict from consciousness; and
rationalization uses a good, but unreal, reason to make an excuse for an action.
DIF: Cognitive Level: Comprehension REF: p. 205 OBJ: 2
TOP: Defense Mechanisms KEY: Nursing Process Step: Evaluation
MSC: Client Needs: Psychosocial Integrity
6. The nurse is aware that several theories have been proposed to explain anxiety. Which theory
explains anxiety as a result of interactions with others?
a. Biological model
b. Psychodynamic model
c. Interpersonal model
d. Behavioral model
https://www.coursehero.com/file/13027644/c18/
Test Bank
MULTIPLE CHOICE
1. When a client has a mild level of anxiety, his or her emotional response is:
a. Relaxed and calm
b. Energized
c. Feeling overloaded
d. Helplessness with loss of control
ANS: A
Mild anxiety results in relatively comfortable feelings. An energized emotional response
describes feelings of moderate anxiety. Feeling overloaded is characteristic of severe anxiety,
and feeling helpless with loss of control refers to the highest level of anxiety, which is panic.
DIF: Cognitive Level: Comprehension REF: p. 203 OBJ: 1
TOP: Continuum of Anxiety Responses KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
2. A female college student is seeking help from the counseling center for test anxiety. She
reports that during an exam, she ―freezes,ǁ and says, ―It feels like the time I have to take the
exam is racing by, and I can’t answer any of the questions when I know the answers.ǁ Which
level of anxiety is the client experiencing?
a. Mild
b. Moderate
c. Severe
d. Panic
ANS: C
These are typical symptoms when someone experiences a severe level of anxiety. During mild
anxiety, the perceptual field is broad; moderate anxiety is the best state for problem solving
and learning because perception is focused; panic results in totally scattered or closed
perception, and problem solving is nearly impossible.
DIF: Cognitive Level: Application REF: p. 203 OBJ: 1
TOP: Continuum of Anxiety Responses KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
3. A learned response to an anticipated event, such as when the person who does not like to fly
experiences nausea and sweaty palms before boarding the airplane, is best described as:
a. A normal anxiety response
b. Signal anxiety
c. An anxiety state
d. An anxiety trait
ANS: B
https://www.coursehero.com/file/13027644/c18/
, This response occurs as the individual anticipates a stress-provoking event. A normal anxiety
response does not best meet the description in this situation; an anxiety state refers to a person
whose coping abilities have become overwhelmed and the person has lost emotional control;
and an anxiety trait is part of an individual’s personality that occurs as an overreaction to
situations.
DIF: Cognitive Level: Comprehension REF: p. 202 OBJ: 1
TOP: Types of Anxiety KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
4. A client tells the nurse that exercising in the gym helps him keep his stress level reduced.
Which type of coping mechanism best describes this situation?
a.Spiritual
b.Emotional
c.Intellectual
d.Physical
ANS: D
Stress release activities such as exercise, jogging, and yoga are considered physical coping
mechanisms. Spiritual coping mechanisms include prayer, faith, and rituals. Emotional coping
mechanisms consist of crying, talking, and defense mechanisms. Intellectual coping
mechanisms are observed when an individual changes his or her perceptions of a threat to
make it less meaningful.
DIF: Cognitive Level: Comprehension REF: p. 204 OBJ: 2
TOP: Coping Methods KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
5. A nurse who talks to teens about the dangers of tanning beds in causing skin cancer but loves
to tan herself and does so before she goes on vacation is using which defense mechanism?
a. Substitution
b. Restitution
c. Suppression
d. Rationalization
ANS: A
Substitution is defined as disguising motivations by replacing an inappropriate behavior with
one that is more acceptable. Restitution is defined as doing something to resolve guilt
feelings; suppression is removing anxiety about a conflict from consciousness; and
rationalization uses a good, but unreal, reason to make an excuse for an action.
DIF: Cognitive Level: Comprehension REF: p. 205 OBJ: 2
TOP: Defense Mechanisms KEY: Nursing Process Step: Evaluation
MSC: Client Needs: Psychosocial Integrity
6. The nurse is aware that several theories have been proposed to explain anxiety. Which theory
explains anxiety as a result of interactions with others?
a. Biological model
b. Psychodynamic model
c. Interpersonal model
d. Behavioral model
https://www.coursehero.com/file/13027644/c18/
