NUR 448 Exam 2 (Practice |\ |\ |\ |\ |\
Questions) with answers |\ |\
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 - CORRECT ANSWERS ✔✔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 -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔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). - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔D |\
Which term describes the final stage in the normal process of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
anxiety?
a.
Panic
b.
Crisis
c.
Disorganization
d.
Coping - CORRECT ANSWERS ✔✔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. - CORRECT ANSWERS ✔✔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. - CORRECT ANSWERS ✔✔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.
|\ |\ |\
c.
providing firm guidance and control.
|\ |\ |\ |\
d.
administering a parenteral antianxiety drug. - CORRECT |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔B |\
Questions) with answers |\ |\
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 - CORRECT ANSWERS ✔✔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 -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔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). - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔D |\
Which term describes the final stage in the normal process of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
anxiety?
a.
Panic
b.
Crisis
c.
Disorganization
d.
Coping - CORRECT ANSWERS ✔✔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. - CORRECT ANSWERS ✔✔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. - CORRECT ANSWERS ✔✔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.
|\ |\ |\
c.
providing firm guidance and control.
|\ |\ |\ |\
d.
administering a parenteral antianxiety drug. - CORRECT |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔B |\
