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1. A nurse works with a patient to establish outcomes. The nurse
believes that one outcome suggested by the patient is not in the
patients best interest. What is the nurses best action? - ANSWER
Explore with the patient possible consequences of the outcome.
2. A patient with a mass in the left upper lobe of the lung is scheduled
for a biopsy. The patient has difficulty understanding the nurses
comments and asks, What are they going to do? Assessment findings
include a tremulous voice, respirations 28 breaths per minute, and
pulse rate 110 beats per minute. What is the patients level of anxiety?
- ANSWER Moderate
3. A patient who is preparing for surgery has moderate anxiety and is
unable to understand preoperative information. Which nursing
intervention is appropriate? - ANSWER Describe the procedure again
in a calm manner, using simple language.
4. A nurse encourages an anxious patient to talk about feelings and
concerns. What is the rationale for this intervention? - ANSWER
, Concerns stated aloud become less overwhelming and help problem
solving to begin
5. Which assessment question would be most appropriate for the nurse
to ask a patient who has possible generalized anxiety disorder
(GAD)? - ANSWER Do you find it difficult to control your
worrying?
6. A patient in the emergency department has no physical injuries but
exhibits disorganized behavior and incoherence after minor traffic
accident. In which room should the nurse place the patient? -
ANSWER Interview room furnished with a desk and two chairs
7. A person has minor physical injuries after an automobile accident.
The person is unable to focus and says, I feel like something awful is
going to happen. This person has nausea, dizziness, tachycardia, and
hyperventilation. What is this persons level of anxiety? - ANSWER
Severe
8. Two staff nurses applied for a charge nurse position. After the
promotion was announced, the nurse who was not promoted said, The
nurse manager had a headache the day I was interviewed. Which
defense mechanism is evident? - ANSWER Projection
,9. A patient tells a nurse, My new friend is the most perfect person one
could imaginekind, considerate, and good looking. I cant find a single
flaw. This patient is demonstrating: - ANSWER idealization
10. A patient experiences an episode of severe anxiety. Of these
medications in the patients medical record, which is most appropriate
to administer as an as-needed (PRN) anxiolytic medication? -
ANSWER lorazepam (Ativan)
11. Two staff nurses applied for promotion to nurse manager. Initially,
the nurse not promoted had feelings of loss but then became
supportive of the new manager by helping make the transition smooth
and encouraging others. Which term best describes the nurses
response? - ANSWER Altruism
12. A person who feels unattractive repeatedly says, Although Im not
beautiful, I am smart. This is an example of: - ANSWER
compensation
13. A person who is speaking about a contender for a significant others
affection says in a gushy, syrupy voice, What a lovely person. Thats
someone I simply adore. The individual is demonstrating: - ANSWER
reaction formation
, 14. An individual experiences sexual dysfunction and blames it on a
partner by calling the person unattractive and unromantic. Which
defense mechanism is evident? - ANSWER Rationalization
15. A student says, Before taking a test, I feel a heightened sense of
awareness and restlessness. The nurse can correctly assess the
students experience as: - ANSWER mild anxiety
16. A student says, Before taking a test, I feel a heightened sense of
awareness and restlessness. The nursing intervention most suitable for
assisting the student is to: - ANSWER explain that the symptoms are
the result of mild anxiety, and discuss the helpful aspects
17. If a cruel and abusive person rationalizes this behavior, which
comment is most characteristic of this person? - ANSWER That
person should not have provoked me.
18. A patient experiencing severe anxiety suddenly begins running and
shouting, Im going to explode! The nurse should: - ANSWER
assemble several staff members and state, We will help you regain
control
19. A person who has been unable to leave home for more than a week
because of severe anxiety says, I know it does not make sense, but I
just cant bring myself to leave my apartment alone. Which nursing