NURS 222 Week 4 | Updated
2026/2027 Exam Questions &
Answers | Comprehensive Exam
Review with Rationales
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
56 Questions 11 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 56 verified questions with correct answers and detailed rationales covering mental
health and related nursing interventions. It is suitable for comprehensive exam review, course study, and
certification preparation within the nursing field.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Explores the physiological and psychological responses to
stress, including symptoms and interventions for anxiety
Stress and Anxiety Management disorders. 9 Qs 16.1%
Covers various relaxation methods and therapeutic
Relaxation Techniques interventions to alleviate anxiety and stress. 5 Qs 8.9%
Focuses on the symptoms, diagnosis, and treatment options
Generalized Anxiety Disorder for generalized anxiety disorder. 5 Qs 8.9%
Discusses the use, effects, side effects, and contraindications
Benzodiazepines in Anxiety of benzodiazepines like alprazolam for treating anxiety
Treatment disorders. 6 Qs 10.7%
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Identifies signs and symptoms of child abuse, including
shaken baby syndrome and behavioral indicators from
Child Abuse Recognition caregivers. 4 Qs 7.1%
Details nursing responsibilities and interventions when caring
Crisis Intervention for clients in crisis situations. 4 Qs 7.1%
Examines the risk factors and interventions related to family
and community violence, including spousal and sexual
Family and Community Violence assault. 5 Qs 8.9%
Coping Mechanisms and Discusses the importance of coping strategies and supportive
Support communication for clients experiencing anxiety. 5 Qs 8.9%
Pharmacology of Anxiety Explains the pharmacological treatments for anxiety
Disorders disorders, including non-benzodiazepine alternatives. 5 Qs 8.9%
Psychological Theories and Analyzes psychological concepts such as denial, regression,
Concepts and undoing in the context of mental health. 4 Qs 7.1%
Assessment of Anxiety Highlights the assessment techniques for evaluating anxiety
Symptoms levels and symptoms in clients. 4 Qs 7.1%
Total Exam Coverage 11 Integrated Topic Modules 56 Qs 100.0%
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TOPIC 1: STRESS AND ANXIETY MANAGEMENT
9 Questions • 16.1% of Exam • Explores the physiological and psychological responses to stress, including symptoms and
interventions for anxiety disorders.
QUESTION 1
A client with chronic ongoing stress complains of physical symptoms. The nurse
caring for him is aware that the most common chronic problem caused by stress is
which of the following?
Answer: Headaches.
Rationale: Chronic stress commonly manifests somatically, with tension headaches being a prevalent physical symptom
due to sustained muscle contraction and altered neurotransmitter activity. The underlying principle is the body's
physiological response to prolonged psychological distress.
QUESTION 2
Stress reduction is likely to result in which of the following?
Answer: Reduced pain
-Lower blood pressure
-decreased gastrointestinal problems.
Rationale: Stress reduction attenuates the sympathetic nervous system's fight-or-flight response, thereby decreasing
physiological arousal that exacerbates pain perception, elevates blood pressure, and disrupts gastrointestinal motility. This
principle highlights the psychophysiological link between mental state and somatic symptoms.
QUESTION 3
A patient nervously says, "financial problems are stressing my marriage. I've heard
rumors about cutbacks at work; I am afraid I might get laid off." The patient's pulse is
112/minute; respirations are 26/minute; and blood pressure is 166/88. Which nursing
intervention will the nurse implement?
Answer: Direct the patient in slow and deep breathing via use of a positive, repeated word.
Rationale: Slow, deep diaphragmatic breathing, often facilitated by a mantra, activates the parasympathetic nervous
system to counteract the sympathetic "fight-or-flight" response, thereby lowering elevated heart rate and blood pressure.
This intervention addresses the physiological manifestations of acute anxiety by promoting relaxation and reducing stress
hormones.
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