Exam (elaborations)
Test Bank For Ackley And Ladwig’s Nursing Diagnosis Handbook, 13th - 2023 All Chapters - 9780323776837
- Course
- Institution
Test Bank For Ackley And Ladwig’s Nursing Diagnosis Handbook, 13th - 2023 All Chapters
[Show more]
Content preview
Test Bank For Ackley and Ladwig’s Nursing Diagnosis Handbook 13th Edition Chapter 01 - Anxiety Chapter 01 - Anxiety 1. A client presents to the urgent care clinic complaining of a feeling of unease and anxiety without a known cause. While conducting the assessment, what other finding should the nurse be most alert for? *a. Diarrhea b. Heart failure c. Diabetes d. Excessive salivation General Feedback: Diarrhea is a common manifestation of anxiety resulting from activation of the sympathetic nervous system. The other assessment findings are not related to anxiety. DIF: Cognitive Level: Know ledge/Remembering TOP: Nursing Process: Assessment MSC: Psychosocial Integrity Feedback: *a) Diarrhea is a common manifestation of anxiety resulting from activation of the sympathetic nervous system. The other assessment findings are not related to anxiety. DIF: Cognitive Level: Knowledge/Remembering TOP: Nursing Process: Assessment MSC: Psychosocial Integrity 2. A nurse has provided discharge teaching to a client with moderate anxiety. Which statement by the client indicates the teaching has been effective? a. “If I practice my breathing exercises, I will never be anxious again.” *b. “I will keep the phone number for the anxiety hotline with me.” c. “I can double my medications if I feel really anxious sometimes.” d. “It’s OK to have 1-2 drinks a day to help relieve my anxiety.” General Feedback: The use of appropriate community resources is an important teaching topic for the client with anxiety. Breathing exercises may help but will not “cure” the client. Doubling medications on one ’s own can be dangerous and is not advised. Drinking, or using other substances to relieve anxiety, is not recommended and can lead to substance misuse. DIF: Cognitive Level: Comprehension/Understanding TOP: Nursing Process: Evaluation MSC: Psychosocial Integrity Feedback: *b) The use of appropriate community resources is an important teaching topic for the client with anxiety. Breathing exercises may help but will not “cure” the client. Doubling medications on one’s own can be dangerous and is not ad vised. Drinking, or using other substances to relieve anxiety, is not recommended and can lead to substance misuse. DIF: Cognitive Level: Comprehension/Understanding TOP: Nursing Process: Evaluation MSC: Psychosocial Integrity 1 Test Bank For Ackley and Ladwig’s Nursing Diagnosis Handbook 13th Edition Chapter 01 - Anxiety 3. The nurse’s aide is tak ing vital signs on a client admitted with severe anxiety. The aide reports a blood pressure of 90/58 mm Hg, a pulse of 56 beats per minute, and respirations of 10 breaths per minute. Which statement by the nurse is most accurate? a. “The client must be l ess anxious than previously.” b. “Vital signs do not give accurate information about anxiety.” c. “If he were anxious, his blood pressure would be sky -high.” *d. “Lowered blood pressure and pulse can be a sign of anxiety.” General Feedback: Defining characteristics for this diagnosis include changes in vital signs from either sympathetic or parasympathetic input. A lowered blood pressure and pulse result from parasympathetic input. DIF: Cognitive Level: Knowledge/Remembering TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity Feedback: *d) Defining characteristics for this diagnosis include changes in vital signs from either sympathetic or parasympathetic input. A lowered blood pressur e and pulse result from parasympathetic input. DIF: Cognitive Level: Knowledge/Remembering TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity 4. Which of the following does the nurse understand about anxiety? a. The client never knows the source of the anxiety. b. The client always knows the source of the anxiety. *c. Often the source of the anxiety is not known to the client. d. There are no physical manifestations of anxiety. General Feedback: The source of a client’s anxiety may not be known to the client and results in a vague, uneasy sense of dread that is hard to pinpoint. DIF: Cognitive Level: Knowledge/Remembering TOP: Nursing Process: Assessment MSC: Psychosocial Integrity Feedback: *c) The source of a client’s anxiety may not be known to the client and results in a vague, uneasy sense of dread that is hard to pinpoint. DIF: Cognitive Level: Knowledge/Rem embering TOP: Nursing Process: Assessment MSC: Psychosocial Integrity 2 Test Bank For Ackley and Ladwig’s Nursing Diagnosis Handbook 13th Edition Chapter 01 - Anxiety 5. A client presents to the emergency department with symptoms of severe anxiety. Which question or statement by the nurse would be most important? a. “Does anyone else in your family have anxiety?” *b. “Have you been using alcohol or other drugs recently?” c. “You look fine to me. Why are you so anxious?” d. “What problems are you having in your life right now?” General Feedback: Withdrawal from cigarettes, alcohol, or ot her drugs can precipitate anxiety. A family history may be contributory but should not be prioritized before the possibility of withdrawal. Telling a client that he or she looks fine is patronizing and minimizes the client’s concerns, while asking the clie nt “why” presents a communication block Asking the client about problems may not yield a useful answer as the cause of anxiety is often unknown. DIF: Cognitive Level: Application/Applying TOP: Nursing Process: Assessment MSC: Psychosocial Integrity Feedback: *b) Withdrawal from cigarettes, alcohol, or other drugs can precipitate anxiety. A family history may be contributory but should not be prioritized before the possibility of withdrawal. Telling a client that he or she looks fine is patronizing and minimizes the client’s concerns, while asking the client “why” presents a communication block Asking the client about problems may not yield a useful answer as the cause of anxiety is often unknown. DIF: Cognitive Level: Application/Applying TOP: Nursing Process: Assessment MSC: Psychosocial Integrity 3The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TestBankToday. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $49.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73314 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now