Varcarolis Chapter 15 Guaranteed Success
Question 1:
A nurse wants to teach alternative coping strategies to a patient experiencing severe anxiety. Which
action should the nurse perform first? - a. Verify the patient's learning style. - b. Lower the patient's current anxiety. - c. Create outc...
A nurse wants to teach alternative coping strategies to a patient experiencing severe anxiety. Which
action should the nurse perform first?
- a. Verify the patient's learning style.
- b. Lower the patient's current anxiety.
- c. Create outcomes and a teaching plan.
- d. Assess how the patient uses defense mechanisms.
Answer: b. Lower the patient's current anxiety.
Feedback: Reducing the patient’s anxiety level is essential before effective teaching can occur. High
anxiety can impede the ability to learn new coping strategies.
---
Question 2:
A woman is 5'7", 160 lbs., and wears a size 8 shoe. She says, "My feet are huge. I've asked three
orthopedists to surgically reduce my feet." This person tries to buy shoes to make her feet look smaller
and, in social settings, conceals both feet under a table or chair. Which health problem is likely?
- a. Social anxiety disorder
- b. Body dysmorphic disorder
- c. Separation anxiety disorder
- d. Obsessive-compulsive disorder due to a medical condition.
Answer: b. Body dysmorphic disorder.
Feedback: This disorder is characterized by the obsession with perceived flaws in appearance, leading to
significant distress or impairment.
---
, Question 3:
A patient experiencing moderate anxiety says, "I feel undone." An appropriate response for the nurse
would be:
- a. "What would you like me to do to help you?"
- b. "Why do you suppose you are feeling anxious?"
- c. "I'm not sure I understand. Give me an example."
- d. "You must get your feelings under control before we can continue."
Answer: c. "I'm not sure I understand. Give me an example."
Feedback: This response encourages the patient to elaborate on their feelings, which can help the nurse
better understand the patient's experience and guide further intervention.
---
Question 4:
A patient fearfully runs from chair to chair crying, "They're coming! They're coming!" The patient does
not follow the staff's directions or respond to verbal interventions. The initial nursing intervention of
highest priority is to:
- a. Provide for the patient's safety.
- b. Encourage clarification of feelings.
- c. Respect the patient's personal space.
- d. Offer an outlet for the patient's energy.
Answer: a. Provide for the patient's safety.
Feedback: Ensuring the patient's immediate safety is the primary concern in this situation, especially
given the patient's intense fear and disorientation.
---
Question 5:
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