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Exam (elaborations)

RNSG 1533 - COGNITION & COPING EXAM 2025 QUESTIONS AND ANSWER

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Which level of anxiety helps the client focus attentionto learn, problem solve, think, act, feel, and protect himself? A. mild B. .moderate C. Severe C. panic - ANS Answer A In mild anxiety sensory stimulation increases and helps the person focus attention to learn, solve problems, and think. Moderate anxiety causes the person to have difficulty concentration independently but he or she can be redirected to the topic Which of the following is inconsistent with panic-level anxiety? A. this level of anxiety can be sustained indefinitely B. the nurse needs to maintain a non stimulating environment C. the nurse should remain with the client until the panic recedes D. the goal is to lower the clients anxiety to mild or moderate before proceeding with anything else - ANS Answer A Panic-level anxiety cannot be sustained indefinitely. The nurse should remain with the client until the panic recedes and maintain a non stimulating environment. The goal is to lower the client's anxiety to mild or moderate before proceeding with anything else Panic-level anxiety cannot be sustained indefinitely. The nurse should remain with the client until the panic recedes and maintain a non stimulating environment. The goal is to lower the client's anxiety to mild or moderate before proceeding with anything else RNSG 1533 - COGNITION & COPING EXAM 2025 QUESTIONS AND ANSWERS @COPYRIGHT FYNDLAY 2025/2026 Page2 When traveling alone and away from home, a client experiences trembling and palpitations. These symptoms have impeded the client from leaving her home. The nurse would correctly note that these are symptoms of which type of phobia? A. OCD B. Agoraphobia C. Compulsion D. Obsession - ANS Answer B Agoraphobia : occurs when the client travels away from home and experiences anxiety, with symptoms such as palpitations and trembling A client is diagnosed with OCD. Which of the following should be included in the plan of care for this client? A. setting strict limits on compulsive behavior B. giving the client time to perform rituals C. preventing ritualistic behavior D. Increasing environmental stimulation - ANS Answer B Giving the client time to perform rituals: the nurse should give the client time to perform rituals b/c this reduces anxiety. The other options would increase the client's anxiety. The nurse is assessing a client suffering from stress and anxiety. The most common physiologic response to stress and anxiety is A. skin rash B. Sedation C. Vertigo @COPYRIGHT FYNDLAY 2025/2026 Page3 D. diarrhea - ANS Answer D Diarrhea A client who is a veteran of the Gulf War is being assessed by a nurse for post-traumatic stress disorder (PTSD). Wh

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RNSG 1533 - COGNITION & COPING
EXAM 2025 QUESTIONS AND ANSWERS


Which level of anxiety helps the client focus attentionto learn, problem solve, think, act, feel,
and protect himself?
A. mild
B. .moderate
C. Severe

C. panic - ANS Answer A


In mild anxiety sensory stimulation increases and helps the person focus attention to learn,
solve problems, and think. Moderate anxiety causes the person to have difficulty concentration
independently but he or she can be redirected to the topic


Which of the following is inconsistent with panic-level anxiety?


A. this level of anxiety can be sustained indefinitely
B. the nurse needs to maintain a non stimulating environment
C. the nurse should remain with the client until the panic recedes
D. the goal is to lower the clients anxiety to mild or moderate before proceeding with anything
else - ANS Answer A


Panic-level anxiety cannot be sustained indefinitely. The nurse should remain with the client
until the panic recedes and maintain a non stimulating environment. The goal is to lower the
client's anxiety to mild or moderate before proceeding with anything else Panic-level anxiety
cannot be sustained indefinitely. The nurse should remain with the client until the panic
recedes and maintain a non stimulating environment. The goal is to lower the client's anxiety to
1




mild or moderate before proceeding with anything else
Page




@COPYRIGHT FYNDLAY 2025/2026

, When traveling alone and away from home, a client experiences trembling and palpitations.
These symptoms have impeded the client from leaving her home. The nurse would correctly
note that these are symptoms of which type of phobia?


A. OCD
B. Agoraphobia
C. Compulsion

D. Obsession - ANS Answer B


Agoraphobia : occurs when the client travels away from home and experiences anxiety, with
symptoms such as palpitations and trembling


A client is diagnosed with OCD. Which of the following should be included in the plan of care for
this client?


A. setting strict limits on compulsive behavior
B. giving the client time to perform rituals
C. preventing ritualistic behavior

D. Increasing environmental stimulation - ANS Answer B


Giving the client time to perform rituals: the nurse should give the client time to perform rituals
b/c this reduces anxiety. The other options would increase the client's anxiety.


The nurse is assessing a client suffering from stress and anxiety. The most common physiologic
response to stress and anxiety is


A. skin rash
B. Sedation
2




C. Vertigo
Page




@COPYRIGHT FYNDLAY 2025/2026

, D. diarrhea - ANS Answer D Diarrhea


A client who is a veteran of the Gulf War is being assessed by a nurse for post-traumatic stress
disorder (PTSD). Which of the following client symptoms would support this diagnosis? (Select
all that apply)


A. has experienced symptoms of the disorder for less than 2 weeks.
B. fears a physical integrity threat to self.
C. feels detached and estranged from others.
D. experiences fear and helplessness.
E. is lethargic and somnolent.

F. is happy to be home. - ANS Answers B, C, D


Clients diagnosed with PTSD can experience the following symptoms: fear of a physical integrity
threat to self, detachment, and estrangement from others, and intense fear and helplessness.
Characteristic symptoms of PTSD include re-living the traumatic event, a sustained high level of
arousal, and a general numbing of responsiveness.


A nurse has been caring for a client diagnosed with generalized anxiety disorder (GAD). Which
of the following nursing interventions would address this client's symptoms? (Select all that
apply)


A. Encouraging the client to recognize the signs of escalating anxiety.
B. avoid any situation that causes stress.
C. employ newly learned relaxation techniques.
D. cognitively reframe thoughts about situations that generate anxiety.
E. avoid caffeinated products.

F. take as much medicine as needed. - ANS Answer A, C, D, E


Nursing interventions that address GAD symptoms should include encouraging the client to
3
Page




recognize signs of escalating anxiety, to employ relaxation techniques, to cognitively reframe

@COPYRIGHT FYNDLAY 2025/2026

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