Anxiety and Stress
1.pacing and complains of racing thoughts. Nurse Lally asks the client if something upsetting happened, and Marty’s response is vague and not focused on the question. Nurse Lally assess Marty’s level of anxiety as:
A.mild.
B.moderate.(answer)
C.severe.
D.panic
Explanation:
When the client has difficulty focusing and exhibits excessive motor activity, the level of anxiety is severe. Mild anxiety is characterized by increased alertness and problem-solving ability. Moderate anxiety is characterized by the ability to focus on central concerns but the inability to problem-solve without assistance. Panic level of anxiety is characterized by complete inability to focus and reduced perceptions
2.During a community visit, volunteer nurses teach stress management to the participants. The nurses will most likely advocate which belief as a method of coping with stressful life events?
A.Avoidance of stress is an important goal for living.
B.Control over one’s response to stress is possible.(answer)
C.Most people have no control over their level of stress.
D.Significant others are important to provide care and concern.
Explanation:
When learning to manage stress, clients find it helpful to believe that they have the ability to control their response to it. It is impossible to avoid stress, which is a normal life experience. Stress can be positive and growth enhancing as well as harmful. The belief that one has some control is the significant factor in minimizing stress response.
3.Nurse Vicky is assessing a newly admitted client for symptoms of post-traumatic stress disorder (PTSD). Which symptoms are typically seen with this diagnosis? Select all that apply.
A.Anger with numbing of other emotions
B.Exaggerated startle response
C.Feeling that one is having a heart attack
D.Frequent thoughts about contamination
E.Survivor’s guilt (ความผิดของผู้รอดชีวิต)(answer)
Explanation:
These are common symptoms of PTSD. Option C is common in panic disorder, and option D is characteristic of obsessive-compulsive disorder
Lose
4.A patient is hospitalized with severe depression after her divorce is finalized. Which type of loss is the patient experiencing?
A.Actual (answer)
B.Perceived
C.Physical
D.External
Rationale:
The loss of a relationship is an actual loss. An actual loss is a reality that can be identified by others, not just by the person experiencing it. Perceived loss is internal; it can only be identified by the person experiencing the loss. Physical loss includes injuries, removal of an organ or body part, or loss of function. An external loss is an actual loss of an object.
5.Which plan is most appropriate for meeting the needs for a hindu family after the loved one has died? A.Allow the family to wash the body (answer)
B.Allow the preiest to touch the body
C.allow chanting to be done during the "last rites"
D.Do not consult with family about organ donations since it is considered a sin
6. A risk that nurses experience as a result of multiple losses in the course of work with a failure to adequately process them.
A. Grief overload
B. Loss overload
C. Bereavement overload(answer)
D. Burntout overload
Depress
7.An individual with depression has a deficiency in which neurotransmitters, based on the biogenic amine theory?
A.Dopamine and thyroxin
B.GABA and acetylcholine
C.Cortisone and epinephrine
D.Serotonin and norepinephrine
ตอบ.D
8.Nurse Rica is teaching a client and her family about the causes of depression. Which of the following causative factors should the nurse emphasize as the most significant?
A.Brain structure abnormalities
B.Chemical imbalance
C.Social environment
D.Recessive gene transmission
ตอบ B
9.In working with a depressed client, the nurse should understand that depression is most directly related to a person’s
a. Having experienced a sense of loss.
b. Remembering his traumatic childhood.
c. Stage in life.
d. Experiencing poor interpersonal relationships with others.
ตอบ A
Angry
10. Barbara is a client with borderline personality disorder. She is defensive and emotionally labile and often becomes suddenly and explosively angry.When interacting with her, you as nurse would
A.point out how angry Barbara is becoming, and confront the behavior.
B.take a calm, quiet, and non confrontational approach, and avoid arguing with Barbara.
C.tell Barbara to calm down and to avoid becoming explosive or restraints will be used.
D.Use gentle touch and a caring approach to calm Barbara.(answer)