PN120 PrepU Chapter 14 Exam Questions
With Correct Answers
A client comes in for a therapy session and begins to have a panic attack. The therapist asks the
client to relax in the chair and then gently asks the client to imagine the client in a very safe and
calm place. This technique, often useful in anxiety disorders, is called what? - answer✔✔Deep
breathing
Which would not be an initial intervention for the client with acute anxiety? -
answer✔✔Touching the client in an attempt to comfort the client
A 30-year-old client who has been unemployed secondary to anxiety disorder states that the
client would like to have a job where the client is alone and no one needs to evaluate the client's
work. The nurse interprets these comments as an indicator of what? - answer✔✔Social phobia
A client with generalized anxiety disorder states that the client is worried about the client's job.
The client never feels like the client has control over the client's responsibilities, even though the
client puts in extra hours. The client adds that the client is afraid the client will be fired. Which
response by the nurse is most therapeutic? - answer✔✔"Has something changed at work that is
causing you to worry?"
Relaxation techniques help clients with anxiety disorders because they can promote what? -
answer✔✔Reduction of autonomic arousal
An adolescent client reveals that she is about to take a math test from her tutor. Nursing
assessment reveals mild anxiety. The nurse explains that this level of anxiety does what? -
answer✔✔Is conducive to concentration and problem solving
In teaching a client who has been prescribed a benzodiazepine for panic disorder, the nurse must
be certain to do what? - answer✔✔Educate the client that this medication has a high risk for
withdrawal symptoms, and the client should not discontinue without a doctor's supervision.
Which question in the assessment of a client with anxiety is most clinically appropriate? -
answer✔✔"How do you feel about everything that is happening in your life right now?"
Which assessment question is most likely to allow the nurse to differentiate between anxiety
disorder due to a general medical condition and psychological factors affecting a medical
condition? - answer✔✔Establishing whether the client's anxiety preceded the medical problem
or whether the medical problem appeared first
Which medication classifications used in the treatment of panic disorder can cause physical
dependence? - answer✔✔Benzodiazepines
The nurse at the student health center is seeing a group of nursing students who are interested in
reducing their stress level. The nurse identifies guided imagery as an appropriate intervention.
What does guided imagery involve? - answer✔✔The mindful use of a word, phrase, or visual
image, which allows oneself to be distracted and temporarily escape from stressful situations
A young parent tells the nurse, "I can't stop smoking. That is what I do to make myself feel
better." What is the term used to describe this behavior? - answer✔✔Coping mechanism
In speaking with a client with moderate anxiety, the client becomes tangential discussing
unrelated topics. To help the client's attention from wandering, which is an effective
intervention? - answer✔✔The nurse should speak in short and simple sentences.
Which would be an appropriate intervention of a client experiencing a panic attack? -
answer✔✔Staying with the client and speaking in short sentences
After teaching a group of mental health nursing students about the care of a client experiencing a
panic attack, the instructor determines that additional education is required when the students
identify which as an appropriate intervention? - answer✔✔Touching the client in an attempt to
comfort the client
A 30-year-old client who has been unemployed secondary to the client's anxiety disorder states
that the client would like to have a job where the client is alone and no one needs to evaluate the
client's work. The nurse interprets these comments as an indicator of what? - answer✔✔Social
anxiety disorder
A nursing instructor is describing the care of a client with acute anxiety to a class of nursing
students. The instructor determines that more education is necessary when the students identify
which intervention as appropriate? - answer✔✔Providing the client with a comforting touch
Which condition involves a persistent, irrational fear attached to an object or situation that
objectively does not pose a significant danger? - answer✔✔Specific phobia
An adolescent who is seeing the school health nurse states, "I won't be able to hang out with my
friends on Friday night because I have two essays due Monday." What level of anxiety is the
adolescent experiencing? - answer✔✔mild
A client with a specific phobia of spiders is seeing a therapist for the first session of treatment.
The therapist hands the client a clear container with a large house spider inside. Which strategy
is being used to treat the client's specific phobia? - answer✔✔flooding
A client spends hours stacking and unstacking towels. The client is repeatedly checking to make
sure that the towels are in order of color. What term is used to identify this behavior? -
answer✔✔Compulsion
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