NUR 448 Exam 2 (Practice
Questions) fully solved &
verified for accuracy 2025-2026
Anxiety is a symptom that can result from which of the following
physiological conditions? Select all that apply.
A. Chronic obstructive pulmonary disease
B. Hyperthyroidism
C. Hypertension
D. Diverticulosis
E. Hypoglycemia - answer ABE
Which of the following would the nurse expect to assess in a client
diagnosed with posttraumatic stress disorder? Select all that apply.
A. Dissociative events
B. Intense fear and helplessness
C. Excessive attachment and dependence toward others
D. Full range of affect
E. Avoidance of activities that are associated with trauma - answer ABE
A patient has taken clonazepam (Klonopin) for years to manage panic
attacks but impulsively stopped the drug. Thirty hours later, the patient
comes to the emergency room in distress. What is the nurse's priority
action?
a. Begin seizure precautions.
b. Refer the patient for addiction counseling.
c. Institute a behavior modification program.
d. Prepare to administer Lexapro (Escitalopram). - answer A
,5. When working with a patient diagnosed with dissociative amnesia, the
nurse should begin by:
a.
setting mutual goals for behavioral changes.
b.
instituting measures to prevent identity diffusion.
c.
identifying and supporting the patient's strengths.
d.
helping the patient develop a realistic self-concept. - answer C
A patient with panic attacks awakens from sleep complaining of chest
pain. The patient is diaphoretic and breathlessly says, "I feel like I'm going
to die." Select the nurse's priority action.
a.
Have the patient lie flat and relax.
b.
Bring the crash cart to the patient's room.
c.
Shake the patient and shout, "Are you okay?"
d.
Instruct the patient to breathe into a paper bag. - answer D
Which term describes the final stage in the normal process of anxiety?
a.
Panic
b.
Crisis
c.
Disorganization
d.
,Coping - answer D
An anxious patient has distorted perceptions and ineffective reasoning. On
an anxiety rating scale, the nurse would expect to record the patient's
level of anxiety as:
a.
mild, +1.
b.
moderate, +2.
c.
severe, +3.
d.
panic, +4. - answer C
A patient is demonstrating severe (+3) anxiety. Nursing interventions will
center around:
a.
encouraging ventilation and refocusing attention.
b.
discussing possible sources of anxiety.
c.
taking control to guide the patient.
d.
decreasing stimuli and pressure. - answer D
The nurse is assigned to care for a patient with moderate anxiety (+2).
The most effective nursing intervention will be:
a.
use of time-out.
b.
initiation of problem solving.
, c.
providing firm guidance and control.
d.
administering a parenteral antianxiety drug. - answer B
A patient diagnosed with PTSD has frequent flashbacks and persistent
hyperarousal symptoms. Which nursing interventions should be planned?
Select all that apply.
a.
Offer empathy and support.
b.
Encourage relaxation activities.
c.
Encourage verbalization of anger.
d.
Set limits when the patient begins to tell of the story of the traumatic
incident.
e.
Help the patient associate current feelings and behaviors with trauma
experience. - answer ABCE
Lorazepam (Ativan) reduces anxiety by:
a.
increasing serotonin levels.
b.
blocking dopamine receptors.
c.
depressing norepinephrine levels.
d.
potentiating gamma-aminobutyric acid (GABA). - answer D
Questions) fully solved &
verified for accuracy 2025-2026
Anxiety is a symptom that can result from which of the following
physiological conditions? Select all that apply.
A. Chronic obstructive pulmonary disease
B. Hyperthyroidism
C. Hypertension
D. Diverticulosis
E. Hypoglycemia - answer ABE
Which of the following would the nurse expect to assess in a client
diagnosed with posttraumatic stress disorder? Select all that apply.
A. Dissociative events
B. Intense fear and helplessness
C. Excessive attachment and dependence toward others
D. Full range of affect
E. Avoidance of activities that are associated with trauma - answer ABE
A patient has taken clonazepam (Klonopin) for years to manage panic
attacks but impulsively stopped the drug. Thirty hours later, the patient
comes to the emergency room in distress. What is the nurse's priority
action?
a. Begin seizure precautions.
b. Refer the patient for addiction counseling.
c. Institute a behavior modification program.
d. Prepare to administer Lexapro (Escitalopram). - answer A
,5. When working with a patient diagnosed with dissociative amnesia, the
nurse should begin by:
a.
setting mutual goals for behavioral changes.
b.
instituting measures to prevent identity diffusion.
c.
identifying and supporting the patient's strengths.
d.
helping the patient develop a realistic self-concept. - answer C
A patient with panic attacks awakens from sleep complaining of chest
pain. The patient is diaphoretic and breathlessly says, "I feel like I'm going
to die." Select the nurse's priority action.
a.
Have the patient lie flat and relax.
b.
Bring the crash cart to the patient's room.
c.
Shake the patient and shout, "Are you okay?"
d.
Instruct the patient to breathe into a paper bag. - answer D
Which term describes the final stage in the normal process of anxiety?
a.
Panic
b.
Crisis
c.
Disorganization
d.
,Coping - answer D
An anxious patient has distorted perceptions and ineffective reasoning. On
an anxiety rating scale, the nurse would expect to record the patient's
level of anxiety as:
a.
mild, +1.
b.
moderate, +2.
c.
severe, +3.
d.
panic, +4. - answer C
A patient is demonstrating severe (+3) anxiety. Nursing interventions will
center around:
a.
encouraging ventilation and refocusing attention.
b.
discussing possible sources of anxiety.
c.
taking control to guide the patient.
d.
decreasing stimuli and pressure. - answer D
The nurse is assigned to care for a patient with moderate anxiety (+2).
The most effective nursing intervention will be:
a.
use of time-out.
b.
initiation of problem solving.
, c.
providing firm guidance and control.
d.
administering a parenteral antianxiety drug. - answer B
A patient diagnosed with PTSD has frequent flashbacks and persistent
hyperarousal symptoms. Which nursing interventions should be planned?
Select all that apply.
a.
Offer empathy and support.
b.
Encourage relaxation activities.
c.
Encourage verbalization of anger.
d.
Set limits when the patient begins to tell of the story of the traumatic
incident.
e.
Help the patient associate current feelings and behaviors with trauma
experience. - answer ABCE
Lorazepam (Ativan) reduces anxiety by:
a.
increasing serotonin levels.
b.
blocking dopamine receptors.
c.
depressing norepinephrine levels.
d.
potentiating gamma-aminobutyric acid (GABA). - answer D
