NUR 3310 Exam 1: Anxiety & Stress Questions With
Complete Solutions
1. A 30-year-old patient diagnosed with major depressive
disorder has a nursing diagnosis of Situational Low Self-Esteem
related to negative view of self. Which of the following are
appropriate interventions by the nurse? (Select all that apply.)
1. Encourage reconnecting with high school friends.
2. Role-play to increase assertiveness skills.
3. Focus on identifying strengths and accomplishments.
4. Provide time for journaling to explore underlying thoughts
and feelings.
5. Explore new job opportunities. Correct Answers 2, 4
2: Increasing assertiveness can help increase levels of self
confidence which is beneficial for a patient with Low-Self-
Esteem.
4: Allowing the patient to journal helps the patient identify what
is causing them to have low-self-esteem and to identify possible
methods to mitigate the issues.
A client diagnosed with PTSD states, "Why did my doctor
prescribe an antidepressant rather than an antianxiety drug for
me?" Which of the following are the most appropriate nursing
responses? (Select all that apply.)
A. "I'm not sure, because antianxiety drugs have been approved
by the FDA for PTSD."
B. "Antidepressants are now considered first-line treatment
choice for PTSD."
,C. "Many people have adverse reactions to antianxiety drugs."
D. "Because of their addictive properties, antianxiety drugs are
less desirable."
E. "There have been no controlled studies on the effect of
antianxiety drugs on PTSD." Correct Answers Answer: B, D, E
Rationale: Antidepressants are now considered the first-line
treatment of choice for PTSD. There has been an absence of
controlled studies demonstrating the efficiency of
benzodiazepines. Their addictive properties make them less
desirable than other medications used in treatment for PTSD.
Paroxetine and Sertraline (antidepressants) have been approved
by the FDA for the treatment of PTSD.
A client has just been admitted to the psychiatric unit with a
diagnosis of major depressive disorder. Which of the following
behavioral manifestations might the nurse expect to assess?
(Select ALL that apply)
A. Slumped posture
B. Delusional thinking
C. Feelings of despair
D. Feels best early in the morning and worse as the day
progresses
E. Anorexia Correct Answers A, B, C, E
Rationale: Behavioral symptoms of severe depression include
slumped posture, walking slowly, virtually nonexistent
communication, delusional thinking, no personal hygiene.
Affective symptoms of depression include feelings of total
despair, hopelessness, and worthlessness, flat unchanging affect,
sadness, and inability to feel pleasure.
, Physiological symptoms of severe depression include
constipation, urinary retention, anorexia, weight loss, difficulty
falling asleep and awakening very early in the morning.
D is incorrect because -- people with severe depression feel
worse early in the morning and somewhat better as the day
progresses.
* Individuals with Moderate depression experience feeling
better early in the morning and worse as the day progresses.
A family asks the nurse why their son was diagnosed with PTSD
and others in the accident were not. Which of the following
information should the nurse offer? (Select all that apply.)
A. An individual's religious affiliation can affect response to
trauma.
B. Responses are affected by how an individual handled
previous trauma.
C. Protectiveness of family and friends can help an individual
deal with trauma.
D. Control over the possibility of recurrence can affect the
response to trauma.
E. The time in which the trauma occurred can affect the
individual's response. Correct Answers Answer: B, C, D, E
Rationale: Variables that affect whether an individual exposed to
massive trauma develops trauma-related disorders depends on
the traumatic experience, the individual, and the recovery
environment. Spiritual beliefs can affect the individual's
response; however, an individual's specific religious affiliation
should have no bearing or influence.
Complete Solutions
1. A 30-year-old patient diagnosed with major depressive
disorder has a nursing diagnosis of Situational Low Self-Esteem
related to negative view of self. Which of the following are
appropriate interventions by the nurse? (Select all that apply.)
1. Encourage reconnecting with high school friends.
2. Role-play to increase assertiveness skills.
3. Focus on identifying strengths and accomplishments.
4. Provide time for journaling to explore underlying thoughts
and feelings.
5. Explore new job opportunities. Correct Answers 2, 4
2: Increasing assertiveness can help increase levels of self
confidence which is beneficial for a patient with Low-Self-
Esteem.
4: Allowing the patient to journal helps the patient identify what
is causing them to have low-self-esteem and to identify possible
methods to mitigate the issues.
A client diagnosed with PTSD states, "Why did my doctor
prescribe an antidepressant rather than an antianxiety drug for
me?" Which of the following are the most appropriate nursing
responses? (Select all that apply.)
A. "I'm not sure, because antianxiety drugs have been approved
by the FDA for PTSD."
B. "Antidepressants are now considered first-line treatment
choice for PTSD."
,C. "Many people have adverse reactions to antianxiety drugs."
D. "Because of their addictive properties, antianxiety drugs are
less desirable."
E. "There have been no controlled studies on the effect of
antianxiety drugs on PTSD." Correct Answers Answer: B, D, E
Rationale: Antidepressants are now considered the first-line
treatment of choice for PTSD. There has been an absence of
controlled studies demonstrating the efficiency of
benzodiazepines. Their addictive properties make them less
desirable than other medications used in treatment for PTSD.
Paroxetine and Sertraline (antidepressants) have been approved
by the FDA for the treatment of PTSD.
A client has just been admitted to the psychiatric unit with a
diagnosis of major depressive disorder. Which of the following
behavioral manifestations might the nurse expect to assess?
(Select ALL that apply)
A. Slumped posture
B. Delusional thinking
C. Feelings of despair
D. Feels best early in the morning and worse as the day
progresses
E. Anorexia Correct Answers A, B, C, E
Rationale: Behavioral symptoms of severe depression include
slumped posture, walking slowly, virtually nonexistent
communication, delusional thinking, no personal hygiene.
Affective symptoms of depression include feelings of total
despair, hopelessness, and worthlessness, flat unchanging affect,
sadness, and inability to feel pleasure.
, Physiological symptoms of severe depression include
constipation, urinary retention, anorexia, weight loss, difficulty
falling asleep and awakening very early in the morning.
D is incorrect because -- people with severe depression feel
worse early in the morning and somewhat better as the day
progresses.
* Individuals with Moderate depression experience feeling
better early in the morning and worse as the day progresses.
A family asks the nurse why their son was diagnosed with PTSD
and others in the accident were not. Which of the following
information should the nurse offer? (Select all that apply.)
A. An individual's religious affiliation can affect response to
trauma.
B. Responses are affected by how an individual handled
previous trauma.
C. Protectiveness of family and friends can help an individual
deal with trauma.
D. Control over the possibility of recurrence can affect the
response to trauma.
E. The time in which the trauma occurred can affect the
individual's response. Correct Answers Answer: B, C, D, E
Rationale: Variables that affect whether an individual exposed to
massive trauma develops trauma-related disorders depends on
the traumatic experience, the individual, and the recovery
environment. Spiritual beliefs can affect the individual's
response; however, an individual's specific religious affiliation
should have no bearing or influence.
