NUR 448 Exam 2 (Practice Questions) with answers

NUR 448 Exam 2 (Practice |\ |\ |\ |\ |\




Questions) with answers |\ |\




Anxiety is a symptom that can result from which of the following
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physiological conditions? Select all that apply. |\ |\ |\ |\ |\




A. Chronic obstructive pulmonary disease
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B. Hyperthyroidism
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C. Hypertension
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D. Diverticulosis
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E. Hypoglycemia - CORRECT ANSWERS ✔✔ABE
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Which of the following would the nurse expect to assess in a
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client diagnosed with posttraumatic stress disorder? Select all
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that apply. |\




A. Dissociative events
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B. Intense fear and helplessness
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C. Excessive attachment and dependence toward others
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D. Full range of affect
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E. Avoidance of activities that are associated with trauma -
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CORRECT ANSWERS ✔✔ABE |\ |\




A patient has taken clonazepam (Klonopin) for years to manage
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panic attacks but impulsively stopped the drug. Thirty hours
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later, the patient comes to the emergency room in distress. What
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is the nurse's priority action?
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,a. Begin seizure precautions.
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b. Refer the patient for addiction counseling.
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c. Institute a behavior modification program.
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d. Prepare to administer Lexapro (Escitalopram). - CORRECT
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ANSWERS ✔✔A |\




5. When working with a patient diagnosed with dissociative
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amnesia, the nurse should begin by: |\ |\ |\ |\ |\




a.
setting mutual goals for behavioral changes.
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b.
instituting measures to prevent identity diffusion.
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c.
identifying and supporting the patient's strengths.
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d.
helping the patient develop a realistic self-concept. - CORRECT
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ANSWERS ✔✔C |\




A patient with panic attacks awakens from sleep complaining of
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chest pain. The patient is diaphoretic and breathlessly says, "I
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feel like I'm going to die." Select the nurse's priority action.
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a.
Have the patient lie flat and relax.
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b.
Bring the crash cart to the patient's room.
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c.

,Shake the patient and shout, "Are you okay?"
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d.
Instruct the patient to breathe into a paper bag. - CORRECT
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ANSWERS ✔✔D |\




Which term describes the final stage in the normal process of
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anxiety?
a.
Panic
b.
Crisis
c.
Disorganization
d.
Coping - CORRECT ANSWERS ✔✔D
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An anxious patient has distorted perceptions and ineffective
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reasoning. On an anxiety rating scale, the nurse would expect to
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record the patient's level of anxiety as:
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a.
mild, +1. |\




b.
moderate, +2. |\




c.
severe, +3. |\

, d.
panic, +4. - CORRECT ANSWERS ✔✔C
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A patient is demonstrating severe (+3) anxiety. Nursing
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interventions will center around: |\ |\ |\




a.
encouraging ventilation and refocusing attention. |\ |\ |\ |\




b.
discussing possible sources of anxiety.
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c.
taking control to guide the patient.
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d.
decreasing stimuli and pressure. - CORRECT ANSWERS ✔✔D
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The nurse is assigned to care for a patient with moderate anxiety
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(+2). The most effective nursing intervention will be:
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a.
use of time-out.
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b.
initiation of problem solving.
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c.
providing firm guidance and control.
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d.
administering a parenteral antianxiety drug. - CORRECT |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔B |\