NUR 3450 EXAM 4 QUESTIONS AND
ANSWERS 2026 ACTUAL TEST
PAPER WITH VERIFIED SOLUTIONS
GRADED A+
◉ anxiety. Answer: Paplau established 4 levels
◉ mild anxiety. Answer: - tensions experienced daily
- prepares for action and motivates
- sharpens senses and environmental awareness
◉ coping mechanisms (1). Answer: behaviors that satisfy need for
comfort (Menninger 1963)
- yawning
- nail biting
- eating/drinking
- exercise
- fidgeting
some more adaptive than others, each person finds their own
◉ moderate anxiety. Answer: - as anxiety increases, awareness to
environment decreases
- decreased attention span
- can attend to needs with direction
,- may need problem-solving assistance
- increased muscular tension and restlessness
- increases HR, RR, perspiration
- increased speech volume, rate, and pitch
- gastric discomfort
◉ Ego Defense Mechanisms (2). Answer: (mechanisms employed by
ego in the face of threat)
- compensation
- rationalization
- denial
- reaction formation
- displacement
- regression
- identification
- repression
- intellectualization
- introjection
- suppression
- isolation
- undoing
- projection
, ◉ psycho-physiological responses (3). Answer: - anxiety remains
unresolved
- extended period may exacerbate symptoms, delay recovery, interfere
with treatment of medical condition
◉ severe anxiety. Answer: - awareness greatly diminished
- concentration on one detail
- diminished attention span
- overt behavior aimed at relieving anxiety
- physical symptoms: headache, palpitations, insomnia, trembling,
dizziness, tachycardia, hyperventilation, urinary frequency, diarrhea,
palpitations
- emotional symptoms: confusion, dread, horror
◉ psychoneurotic behavior patterns (4). Answer: - aware of stress and
maladaptive behaviors
- unaware of possible psychological causes of distress
- helpless feeling
- experiences no loss of contact with reality
- ex) anxiety disorders, somatic symptom disorders, dissociative
disorders
◉ panic anxiety. Answer: - most intense state of anxiety
- prolonged can lead to physical and emotional exhaustion, maybe life-
threatening
ANSWERS 2026 ACTUAL TEST
PAPER WITH VERIFIED SOLUTIONS
GRADED A+
◉ anxiety. Answer: Paplau established 4 levels
◉ mild anxiety. Answer: - tensions experienced daily
- prepares for action and motivates
- sharpens senses and environmental awareness
◉ coping mechanisms (1). Answer: behaviors that satisfy need for
comfort (Menninger 1963)
- yawning
- nail biting
- eating/drinking
- exercise
- fidgeting
some more adaptive than others, each person finds their own
◉ moderate anxiety. Answer: - as anxiety increases, awareness to
environment decreases
- decreased attention span
- can attend to needs with direction
,- may need problem-solving assistance
- increased muscular tension and restlessness
- increases HR, RR, perspiration
- increased speech volume, rate, and pitch
- gastric discomfort
◉ Ego Defense Mechanisms (2). Answer: (mechanisms employed by
ego in the face of threat)
- compensation
- rationalization
- denial
- reaction formation
- displacement
- regression
- identification
- repression
- intellectualization
- introjection
- suppression
- isolation
- undoing
- projection
, ◉ psycho-physiological responses (3). Answer: - anxiety remains
unresolved
- extended period may exacerbate symptoms, delay recovery, interfere
with treatment of medical condition
◉ severe anxiety. Answer: - awareness greatly diminished
- concentration on one detail
- diminished attention span
- overt behavior aimed at relieving anxiety
- physical symptoms: headache, palpitations, insomnia, trembling,
dizziness, tachycardia, hyperventilation, urinary frequency, diarrhea,
palpitations
- emotional symptoms: confusion, dread, horror
◉ psychoneurotic behavior patterns (4). Answer: - aware of stress and
maladaptive behaviors
- unaware of possible psychological causes of distress
- helpless feeling
- experiences no loss of contact with reality
- ex) anxiety disorders, somatic symptom disorders, dissociative
disorders
◉ panic anxiety. Answer: - most intense state of anxiety
- prolonged can lead to physical and emotional exhaustion, maybe life-
threatening
