H360 Exam 2 Questions with complete
solution 2025/2026
A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn
down. The nurse and patient explore the likelihood of an actual fire. The patient states this event is not
likely. This counseling demonstrates principles of:
a.
flooding.
c.
relaxation technique.
b.
desensitization.
d.
cognitive restructuring. - correct answer ✔ANS: D
Cognitive restructuring involves the patient in testing automatic thoughts and drawing new conclusions.
Desensitization involves graduated exposure to a feared object. Relaxation training teaches the patient
to produce the opposite of the stress response. Flooding exposes the patient to a large amount of an
undesirable stimulus in an effort to extinguish the anxiety response.
A patient undergoing diagnostic tests says, "Nothing is wrong with me except a stubborn chest cold."
The spouse reports the patient smokes, coughs daily, lost 15 pounds, and is easily fatigued. Which
defense mechanism is the patient using?
a.
Displacement
c.
Projection
,b.
Regression
d.
Denial - correct answer ✔ANS: D
Denial is an unconscious blocking of threatening or painful information or feelings. Regression involves
using behaviors appropriate at an earlier stage of psychosexual development. Displacement shifts
feelings to a more neutral person or object. Projection attributes one's own unacceptable thoughts or
feelings to another.
A patient preparing for surgery has moderate anxiety and is unable to understand preoperative
information. Which nursing intervention is most appropriate?
a.
Reassure the patient that all nurses are skilled in providing postoperative care.
b.
Present the information again in a calm manner using simple language.
c.
Tell the patient that staff is prepared to promote recovery.
d.
Encourage the patient to express feelings to family. - correct answer ✔ANS: B
Giving information in a calm, simple manner will help the patient grasp the important facts. Introducing
extraneous topics as described in the distracters will further scatter the patient's attention.
A patient is experiencing moderate anxiety. The nurse encourages the patient to talk about feelings and
concerns. What is the rationale for this intervention?
a.
Offering hope allays and defuses the patient's anxiety.
,b.
Concerns stated aloud become less overwhelming and help problem solving begin.
c.
Anxiety is reduced by focusing on and validating what is occurring in the environment.
d.
Encouraging patients to explore alternatives increases the sense of control and lessens anxiety. - correct
answer ✔ANS: B
All principles listed are valid, but the only rationale directly related to the intervention of assisting the
patient to talk about feelings and concerns is the one that states that concerns spoken aloud become
less overwhelming and help problem solving begin.
A nurse assesses a patient with a tentative diagnosis of generalized anxiety disorder. Which question
would be most appropriate for the nurse to ask?
a.
"Have you been a victim of a crime or seen someone badly injured or killed?"
b.
"Do you feel especially uncomfortable in social situations involving people?"
c.
"Do you repeatedly do certain things over and over again?"
d.
"Do you find it difficult to control your worrying?" - correct answer ✔ANS: D
Patients with generalized anxiety disorder frequently engage in excessive worrying. They are less likely
to engage in ritualistic behavior, fear social situations, or have been involved in a highly traumatic event.
A person has minor physical injuries after an auto 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 the person's level of anxiety?
, a.
Mild
c.
Severe
b.
Moderate
d.
Panic - correct answer ✔ANS: C
The person whose anxiety is severe is unable to solve problems and may have a poor grasp of what is
happening in the environment. Somatic symptoms such as those described are usually present. The
individual with mild anxiety is only mildly uncomfortable and may even find his or her performance
enhanced. The individual with moderate anxiety grasps less information about a situation and has some
difficulty with problem solving. The individual in panic will demonstrate markedly disturbed behavior
and may lose touch with reality.
Two staff nurses applied for promotion to nurse manager. The nurse not promoted initially 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 nurse's response?
a.
Altruism
c.
Intellectualization
b.
Suppression
d.
Reaction formation - correct answer ✔ANS: A
solution 2025/2026
A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn
down. The nurse and patient explore the likelihood of an actual fire. The patient states this event is not
likely. This counseling demonstrates principles of:
a.
flooding.
c.
relaxation technique.
b.
desensitization.
d.
cognitive restructuring. - correct answer ✔ANS: D
Cognitive restructuring involves the patient in testing automatic thoughts and drawing new conclusions.
Desensitization involves graduated exposure to a feared object. Relaxation training teaches the patient
to produce the opposite of the stress response. Flooding exposes the patient to a large amount of an
undesirable stimulus in an effort to extinguish the anxiety response.
A patient undergoing diagnostic tests says, "Nothing is wrong with me except a stubborn chest cold."
The spouse reports the patient smokes, coughs daily, lost 15 pounds, and is easily fatigued. Which
defense mechanism is the patient using?
a.
Displacement
c.
Projection
,b.
Regression
d.
Denial - correct answer ✔ANS: D
Denial is an unconscious blocking of threatening or painful information or feelings. Regression involves
using behaviors appropriate at an earlier stage of psychosexual development. Displacement shifts
feelings to a more neutral person or object. Projection attributes one's own unacceptable thoughts or
feelings to another.
A patient preparing for surgery has moderate anxiety and is unable to understand preoperative
information. Which nursing intervention is most appropriate?
a.
Reassure the patient that all nurses are skilled in providing postoperative care.
b.
Present the information again in a calm manner using simple language.
c.
Tell the patient that staff is prepared to promote recovery.
d.
Encourage the patient to express feelings to family. - correct answer ✔ANS: B
Giving information in a calm, simple manner will help the patient grasp the important facts. Introducing
extraneous topics as described in the distracters will further scatter the patient's attention.
A patient is experiencing moderate anxiety. The nurse encourages the patient to talk about feelings and
concerns. What is the rationale for this intervention?
a.
Offering hope allays and defuses the patient's anxiety.
,b.
Concerns stated aloud become less overwhelming and help problem solving begin.
c.
Anxiety is reduced by focusing on and validating what is occurring in the environment.
d.
Encouraging patients to explore alternatives increases the sense of control and lessens anxiety. - correct
answer ✔ANS: B
All principles listed are valid, but the only rationale directly related to the intervention of assisting the
patient to talk about feelings and concerns is the one that states that concerns spoken aloud become
less overwhelming and help problem solving begin.
A nurse assesses a patient with a tentative diagnosis of generalized anxiety disorder. Which question
would be most appropriate for the nurse to ask?
a.
"Have you been a victim of a crime or seen someone badly injured or killed?"
b.
"Do you feel especially uncomfortable in social situations involving people?"
c.
"Do you repeatedly do certain things over and over again?"
d.
"Do you find it difficult to control your worrying?" - correct answer ✔ANS: D
Patients with generalized anxiety disorder frequently engage in excessive worrying. They are less likely
to engage in ritualistic behavior, fear social situations, or have been involved in a highly traumatic event.
A person has minor physical injuries after an auto 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 the person's level of anxiety?
, a.
Mild
c.
Severe
b.
Moderate
d.
Panic - correct answer ✔ANS: C
The person whose anxiety is severe is unable to solve problems and may have a poor grasp of what is
happening in the environment. Somatic symptoms such as those described are usually present. The
individual with mild anxiety is only mildly uncomfortable and may even find his or her performance
enhanced. The individual with moderate anxiety grasps less information about a situation and has some
difficulty with problem solving. The individual in panic will demonstrate markedly disturbed behavior
and may lose touch with reality.
Two staff nurses applied for promotion to nurse manager. The nurse not promoted initially 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 nurse's response?
a.
Altruism
c.
Intellectualization
b.
Suppression
d.
Reaction formation - correct answer ✔ANS: A
