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NU373 Week 5 EAQ Evolve Elsevier: Stress & Coping

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Which action would the nurse take when caring for a client having an acute episode of anxiety? Select all that apply. o Staying with the client o Giving brief directions o Using sh

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NU373 Week 5 EAQ Evolve Elsevier: Stress & Coping
Study online at https://quizlet.com/_anlqn8

1. Which action would the o Staying with the client
nurse take when caring o Giving brief directions
for a client having an acute o Using short, simple sentences
episode of anxiety? Select o Linking the client's behavior to feelings
all that apply. o Teaching a cognitive therapy principle
o Having the client write an assessment of strengths
o Staying with the client
o Giving brief directions · Staying with the client conveys acceptance and the ability to give
o Using short, simple sen- help. Giving brief directions reduces indecision. Using short, simple
tences sentences promotes comprehension. Linking the client's behavior
o Linking the client's be- to feelings promotes self-awareness. Cognitive therapy principles
havior to feelings provide a basis for behavioral change. Writing an assessment of
o Teaching a cognitive strengths increases self-acceptance.
therapy principle
o Having the client
write an assessment of
strengths

2. Which medication class is o Selective serotonin reuptake inhibitors
preferred for managing
anxiety disorders? · Selective serotonin reuptake inhibitors have better safety profiles
and do not carry the risk of substance abuse and tolerance. An-
o Anticholinergics ticholinergics are administered concurrently with antipsychotics to
o Lithium carbonate minimize extrapyramidal side effects. Lithium carbonate is a medica-
o Antipsychotic medica- tion used to treat bipolar disorder. Antipsychotics are administered
tions to clients with thought disorders.
o Selective serotonin reup-
take inhibitors

3. A primary health care o Drowsiness
provider prescribes 0.25
mg of alprazolam by · Alprazolam, a benzodiazepine, potentiates the actions of gam-



, NU373 Week 5 EAQ Evolve Elsevier: Stress & Coping
Study online at https://quizlet.com/_anlqn8

mouth three times a day ma-aminobutyric acid, enhances presympathetic inhibition, and in-
for a client with anxiety hibits spinal polysynaptic afferent pathways. Drowsiness, dizziness,
and physical symptoms and blurred vision are common side effects. Alprazolam may cause
related to work pressures. tachycardia, not bradycardia. Agranulocytosis is usually a side ef-
For which side effect of fect of the antipsychotics in the phenothiazine group, not benzo-
this medication will the diazepines. Tardive dyskinesia occurs after prolonged therapy with
nurse monitor the client? antipsychotic medications; alprazolam is an antianxiety medication,
not an antipsychotic.
o Drowsiness
o Bradycardia
o Agranulocytosis
o Tardive dyskinesia

4. The nurse teaches a client o "I should avoid exercise to prevent physical stress on the body."
about ways to manage
stress and anxiety. Which · Exercise is especially helpful in reducing symptoms of anxiety and
statement by the client in- depression. It does not cause physical stress, worsening mental
dicates the need for fur- stress, or anxiety. Journaling, humor, and cognitive reframing (exam-
ther instruction? ining a negative situation in a positive light) are all effective strategies
for reducing stress and anxiety.
o "I should avoid exercise
to prevent physical stress
on the body."
o "Journaling can help
identify stressors and oth-
er things that are causing
anxiety."
o "Trying to find humor
in a stressful situation can
help make it easier to deal
with."
o "Reframing a negative



, NU373 Week 5 EAQ Evolve Elsevier: Stress & Coping
Study online at https://quizlet.com/_anlqn8

situation in a positive light
can help me change my
perception about the situ-
ation."

5. Which action would the o Having the client breathe in and out of a paper bag
nurse anticipate taking
when a client with anxi- · The client's dizziness is likely caused by respiratory alkalosis sec-
ety begins hyperventilat- ondary to hyperventilation. Breathing in and out of a paper bag leads
ing and reports feeling to rebreathing exhaled carbon dioxide and resolves the respiratory
dizzy? alkalosis. Administering oxygen is not necessary because there is
no evidence of hypoxia. There is no evidence that the client needs
o Administering oxygen an incentive spirometer to prevent atelectasis. The client is already
o Offering an incentive alkalotic; bicarbonate ions will increase the problem.
spirometer
o Having the client
breathe in and out of a pa-
per bag
o Administering intra-
venous sodium bicarbon-
ate

6. Place these crisis inter- o Attempt to identify the source of the anxiety.
ventions in the order the o Encourage deep breathing and relaxation techniques.
nurse would implement o Provide firm but kind directions.
them for a client experi- o Place the client in restraints if deemed dangerous.
encing escalating levels of
anxiety. · The sequence the nurse would follow is: (1) attempt to identify the
source of the anxiety, (2) encourage deep breathing and relaxation
o Provide firm but kind di- techniques, (3) provide firm but kind directions, and (4) place the
rections. client in restraints if deemed dangerous. Mild anxiety is addressed
o Attempt to identify the best with attempts to identify the source so that it can be eliminated or

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