NUR 448 Exam 2 Guide With
Complete Solution
Anxiety is a symptom that can result from which of the following
physiological conditions? Select all that apply.
A. Chronic obstructive pulmonary disease
B. Hyperthyroidism
C. Hypertension
D. Diverticulosis
E. Hypoglycemia - ANSWER ABE
Which of the following would the nurse expect to assess in a client diagnosed
with posttraumatic stress disorder? Select all that apply.
A. Dissociative events
B. Intense fear and helplessness
C. Excessive attachment and dependence toward others
D. Full range of affect
E. Avoidance of activities that are associated with trauma - ANSWER ABE
A patient has taken clonazepam (Klonopin) for years to manage panic attacks
but impulsively stopped the drug. Thirty hours later, the patient comes to the
emergency room in distress. What is the nurse's priority action?
,a. Begin seizure precautions.
b. Refer the patient for addiction counseling.
c. Institute a behavior modification program.
d. Prepare to administer Lexapro (Escitalopram). - ANSWER A
5. When working with a patient diagnosed with dissociative amnesia, the
nurse should begin by:
a.
setting mutual goals for behavioral changes.
b.
instituting measures to prevent identity diffusion.
c.
identifying and supporting the patient's strengths.
d.
helping the patient develop a realistic self-concept. - ANSWER C
A patient with panic attacks awakens from sleep complaining of chest pain.
The patient is diaphoretic and breathlessly says, "I feel like I'm going to die."
Select the nurse's priority action.
a.
Have the patient lie flat and relax.
b.
Bring the crash cart to the patient's room.
,c.
Shake the patient and shout, "Are you okay?"
d.
Instruct the patient to breathe into a paper bag. - ANSWER D
Which term describes the final stage in the normal process of anxiety?
a.
Panic
b.
Crisis
c.
Disorganization
d.
Coping - ANSWER D
An anxious patient has distorted perceptions and ineffective reasoning. On
an anxiety rating scale, the nurse would expect to record the patient's level
of anxiety as:
a.
mild, +1.
b.
moderate, +2.
, c.
severe, +3.
d.
panic, +4. - ANSWER C
A patient is demonstrating severe (+3) anxiety. Nursing interventions will
center around:
a.
encouraging ventilation and refocusing attention.
b.
discussing possible sources of anxiety.
c.
taking control to guide the patient.
d.
decreasing stimuli and pressure. - ANSWER D
The nurse is assigned to care for a patient with moderate anxiety (+2). The
most effective nursing intervention will be:
a.
use of time-out.
b.
initiation of problem solving.
Complete Solution
Anxiety is a symptom that can result from which of the following
physiological conditions? Select all that apply.
A. Chronic obstructive pulmonary disease
B. Hyperthyroidism
C. Hypertension
D. Diverticulosis
E. Hypoglycemia - ANSWER ABE
Which of the following would the nurse expect to assess in a client diagnosed
with posttraumatic stress disorder? Select all that apply.
A. Dissociative events
B. Intense fear and helplessness
C. Excessive attachment and dependence toward others
D. Full range of affect
E. Avoidance of activities that are associated with trauma - ANSWER ABE
A patient has taken clonazepam (Klonopin) for years to manage panic attacks
but impulsively stopped the drug. Thirty hours later, the patient comes to the
emergency room in distress. What is the nurse's priority action?
,a. Begin seizure precautions.
b. Refer the patient for addiction counseling.
c. Institute a behavior modification program.
d. Prepare to administer Lexapro (Escitalopram). - ANSWER A
5. When working with a patient diagnosed with dissociative amnesia, the
nurse should begin by:
a.
setting mutual goals for behavioral changes.
b.
instituting measures to prevent identity diffusion.
c.
identifying and supporting the patient's strengths.
d.
helping the patient develop a realistic self-concept. - ANSWER C
A patient with panic attacks awakens from sleep complaining of chest pain.
The patient is diaphoretic and breathlessly says, "I feel like I'm going to die."
Select the nurse's priority action.
a.
Have the patient lie flat and relax.
b.
Bring the crash cart to the patient's room.
,c.
Shake the patient and shout, "Are you okay?"
d.
Instruct the patient to breathe into a paper bag. - ANSWER D
Which term describes the final stage in the normal process of anxiety?
a.
Panic
b.
Crisis
c.
Disorganization
d.
Coping - ANSWER D
An anxious patient has distorted perceptions and ineffective reasoning. On
an anxiety rating scale, the nurse would expect to record the patient's level
of anxiety as:
a.
mild, +1.
b.
moderate, +2.
, c.
severe, +3.
d.
panic, +4. - ANSWER C
A patient is demonstrating severe (+3) anxiety. Nursing interventions will
center around:
a.
encouraging ventilation and refocusing attention.
b.
discussing possible sources of anxiety.
c.
taking control to guide the patient.
d.
decreasing stimuli and pressure. - ANSWER D
The nurse is assigned to care for a patient with moderate anxiety (+2). The
most effective nursing intervention will be:
a.
use of time-out.
b.
initiation of problem solving.
