NUR 356 EXAM 1 UPDATED QUESTIONS
AND CORRECT ANSWERS.
Maslow's Hierarchy of Needs - ANS physiological
safety
love/belonging
esteem/respect
self-actualization
anxiety - ANS Paplau established 4 levels
mild anxiety - ANS - tensions experienced daily
- prepares for action and motivates
- sharpens senses and environmental awareness
coping mechanisms (1) - ANS 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 - ANS - as anxiety increases, awareness to environment decreases
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,- 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) - ANS (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) - ANS - anxiety remains unresolved
- extended period may exacerbate symptoms, delay recovery, interfere with treatment of
medical condition
severe anxiety - ANS - awareness greatly diminished
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, - 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) - ANS - 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 - ANS - most intense state of anxiety
- prolonged can lead to physical and emotional exhaustion, maybe life-threatening
- inability to focus on one detail
- experience hallucinations or delusions
- may display wild or desperate actions or extreme withdraw
- ineffective human functioning and communication
- feeling of terror
- characteristics: dilated pupils, labored breathing, severe trembling, sleepless, palpitations,
diaphoresis, m. incoordination, immobility or hyperactivity, incoherent
psychotic response (5) - ANS - significant thought disturbance where reality testing is
impaired, resulting in delusions, hallucinations, disorganized speech, and cationic behavior
- characteristics: shows minimal distress, unaware of maladaptive behaviors, anosognosia, flight
from reality in an attempt to adapt
- ex) schizophrenia, schizoaffective disorder, delusional disorder
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AND CORRECT ANSWERS.
Maslow's Hierarchy of Needs - ANS physiological
safety
love/belonging
esteem/respect
self-actualization
anxiety - ANS Paplau established 4 levels
mild anxiety - ANS - tensions experienced daily
- prepares for action and motivates
- sharpens senses and environmental awareness
coping mechanisms (1) - ANS 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 - ANS - as anxiety increases, awareness to environment decreases
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,- 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) - ANS (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) - ANS - anxiety remains unresolved
- extended period may exacerbate symptoms, delay recovery, interfere with treatment of
medical condition
severe anxiety - ANS - awareness greatly diminished
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, - 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) - ANS - 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 - ANS - most intense state of anxiety
- prolonged can lead to physical and emotional exhaustion, maybe life-threatening
- inability to focus on one detail
- experience hallucinations or delusions
- may display wild or desperate actions or extreme withdraw
- ineffective human functioning and communication
- feeling of terror
- characteristics: dilated pupils, labored breathing, severe trembling, sleepless, palpitations,
diaphoresis, m. incoordination, immobility or hyperactivity, incoherent
psychotic response (5) - ANS - significant thought disturbance where reality testing is
impaired, resulting in delusions, hallucinations, disorganized speech, and cationic behavior
- characteristics: shows minimal distress, unaware of maladaptive behaviors, anosognosia, flight
from reality in an attempt to adapt
- ex) schizophrenia, schizoaffective disorder, delusional disorder
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
