Question 1

A 72-year-old client presents to the clinic with complaints of restlessness, muscle tension, and increased perspiration. Her vital signs are P 112, R 23, BP 131/85, and T 97.8°F. The nurse recognizes these manifestations as signs and symptoms of moderate anxiety. However, the client reports that she does not feel anxious about anything and has never before been diagnosed with an anxiety disorder. What other factor must the nurse consider based on this client's age?
A)These manifestations could instead be related to a medical illness.
B)These manifestations could be related to an overdose of antianxiety medications.
C)These manifestations could indicate a change in the client's cognitive functioning.
D)These manifestations could be related to drug-drug interactions between selective serotonin reuptake inhibitors (SSRIs)and other medications.

Accepted Answer

A)The scenario indicates that the client has not been previously diagnosed with an anxiety disorder, so these symptoms are not likely due to an overdose of antianxiety medications or drug-drug interactions between SSRIs and other medications. The client also does not present with symptoms that indicate cognitive function is declining. The most likely explanation is that these symptoms are related to a medical illness other than anxiety, because manifestations of anxiety often overlap with manifestations of other medical illnesses in older adults.
B)The scenario indicates that the client has not been previously diagnosed with an anxiety disorder, so these symptoms are not likely due to an overdose of antianxiety medications or drug-drug interactions between SSRIs and other medications. The client also does not present with symptom that indicate cognitive function is declining. The most likely explanation is that these symptoms are related to a medical illness other than anxiety, because manifestations of anxiety often overlap with manifestations of other medical illnesses in older adults.
C)The scenario indicates that the client has not been previously diagnosed with an anxiety disorder, so these symptoms are not likely due to an overdose of antianxiety medications or drug-drug interactions between SSRIs and other medications. The client also does not present with symptoms that indicate cognitive function is declining. The most likely explanation is that these symptoms are related to a medical illness other than anxiety, because manifestations of anxiety often overlap with manifestations of other medical illnesses in older adults.
D)The scenario indicates that the client has not been previously diagnosed with an anxiety disorder, so these symptoms are not likely due to an overdose of antianxiety medications or drug-drug interactions between SSRIs and other medications. The client also does not present with symptoms that indicate cognitive function is declining. The most likely explanation is that these symptoms are related to a medical illness other than anxiety, because manifestations of anxiety often overlap with manifestations of other medical illnesses in older adults.

Question 2

A client tells a nurse that he believes he has an anxiety disorder because his mom and sister both have anxiety disorders. The nurse recognizes that the client believes in which theory related to the etiology of anxiety disorders?
A)Neurochemical theories
B)Neurobiological theories
C)Genetic theories
D)Humanistic theories

Accepted Answer

A)Genetic theories state that genetic predisposition plays a part in the development of anxiety disorders, with first-order family members being at higher risk of developing an anxiety disorder. Humanistic theories state that multiple factors contribute to the development of anxiety disorders. Neurochemical theories state that anxiety disorders are related to a disruption in neurotransmitter regulation. Neurobiological theories state that anxiety disorders are related to specific areas of the brain.
B)Genetic theories state that genetic predisposition plays a part in the development of anxiety disorders, with first-order family members being at higher risk of developing an anxiety disorder. Humanistic theories state that multiple factors contribute to the development of anxiety disorders. Neurochemical theories state that anxiety disorders are related to a disruption in neurotransmitter regulation. Neurobiological theories state that anxiety disorders are related to specific areas of the brain.
C)Genetic theories state that genetic predisposition plays a part in the development of anxiety disorders, with first-order family members being at higher risk of developing an anxiety disorder. Humanistic theories state that multiple factors contribute to the development of anxiety disorders. Neurochemical theories state that anxiety disorders are related to a disruption in neurotransmitter regulation. Neurobiological theories state that anxiety disorders are related to specific areas of the brain.
D)Genetic theories state that genetic predisposition plays a part in the development of anxiety disorders, with first-order family members being at higher risk of developing an anxiety disorder. Humanistic theories state that multiple factors contribute to the development of anxiety disorders. Neurochemical theories state that anxiety disorders are related to a disruption in neurotransmitter regulation. Neurobiological theories state that anxiety disorders are related to specific areas of the brain.

Question 3

A nurse is providing care to a woman who recently got married and would like to try to become pregnant. The woman has been on an antianxiety medication, paroxetine (Paxil), for the past year. The woman feels that she needs to continue receiving treatment for anxiety, especially if she gets pregnant. What information should the nurse provide regarding treatment options during pregnancy?
A)The woman should consider switching to a different SSRI such as fluoxetine (Prozac).
B)The woman should consider switching to cognitive-behavioral therapy (CBT)rather than medication.
C)The woman should consider stopping all medications immediately.
D)The woman should consider gradually decreasing medication until she finds out she is pregnant.

Accepted Answer

A)For women who are pregnant or trying to become pregnant, nonpharmacologic therapies such as CBT and relaxation techniques are the safest for reducing anxiety and preventing harm to the fetus. The woman should not stop all treatment immediately. When stopping medication, the medication should be tapered off, but this should continue even after she finds out she is pregnant, not until she finds out she is pregnant. If she changes to a different SSRI, she should change to sertraline (Zoloft), which does not have the same risk of birth defects as paroxetine or fluoxetine.
B)For women who are pregnant or trying to become pregnant, nonpharmacologic therapies such as CBT and relaxation techniques are the safest for reducing anxiety and preventing harm to the fetus. The woman should not stop all treatment immediately. When stopping medication, the medication should be tapered off, but this should continue even after she finds out she is pregnant, not until she finds out she is pregnant. If she changes to a different SSRI, she should change to sertraline (Zoloft), which does not have the same risk of birth defects as paroxetine or fluoxetine.
C)For women who are pregnant or trying to become pregnant, nonpharmacologic therapies such as CBT and relaxation techniques are the safest for reducing anxiety and preventing harm to the fetus. The woman should not stop all treatment immediately. When stopping medication, the medication should be tapered off, but this should continue even after she finds out she is pregnant, not until she finds out she is pregnant. If she changes to a different SSRI, she should change to sertraline (Zoloft), which does not have the same risk of birth defects as paroxetine or fluoxetine.
D)For women who are pregnant or trying to become pregnant, nonpharmacologic therapies such as CBT and relaxation techniques are the safest for reducing anxiety and preventing harm to the fetus. The woman should not stop all treatment immediately. When stopping medication, the medication should be tapered off, but this should continue even after she finds out she is pregnant, not until she finds out she is pregnant. If she changes to a different SSRI, she should change to sertraline (Zoloft), which does not have the same risk of birth defects as paroxetine or fluoxetine.

Question 4

After an assessment, the nurse determines that an older adolescent client is experiencing a maturational crisis because of which findings? Select all that apply.
A)Relationship with significant other ended
B)Inability to focus on school studies
C)Cannot sleep at night and skips classes
D)Recent death of a friend
E)Graduating from high school in 2 months

Accepted Answer

A)Senior year is a transition to work or college. This is a developmental progression to the next level of maturity, a predictable event experienced by nearly all individuals. The client is demonstrating stressors unique to progressing to the next level of maturity. The recent death of a friend and having a relationship with a significant other end are situational crises.
B)Senior year is a transition to work or college. This is a developmental progression to the next level of maturity, a predictable event experienced by nearly all individuals. The client is demonstrating stressors unique to progressing to the next level of maturity. The recent death of a friend and having a relationship with a significant other end are situational crises.
C)Senior year is a transition to work or college. This is a developmental progression to the next level of maturity, a predictable event experienced by nearly all individuals. The client is demonstrating stressors unique to progressing to the next level of maturity. The recent death of a friend and having a relationship with a significant other end are situational crises.
D)Senior year is a transition to work or college. This is a developmental progression to the next level of maturity, a predictable event experienced by nearly all individuals. The client is demonstrating stressors unique to progressing to the next level of maturity. The recent death of a friend and having a relationship with a significant other end are situational crises.
E)Senior year is a transition to work or college. This is a developmental progression to the next level of maturity, a predictable event experienced by nearly all individuals. The client is demonstrating stressors unique to progressing to the next level of maturity. The recent death of a friend and having a relationship with a significant other end are situational crises.

Question 5

The nurse is providing care to a client who is experiencing a crisis. Which statement by the client indicates that the goals of care have not been met?
A)"I came up with some ideas on how to cope when I am in this position."
B)"I feel like I am in control and can begin managing things now."
C)"I am not sure whom I am going to call when I start feeling like this again."
D)"I can deal with this, I am a strong person, and I have a lot of friends and family."

Accepted Answer

A)The client who is unsure of whom to call in a crisis has not met goals yet. The other statements demonstrate a good understanding of managing a crisis.
B)The client who is unsure of whom to call in a crisis has not met goals yet. The other statements demonstrate a good understanding of managing a crisis.
C)The client who is unsure of whom to call in a crisis has not met goals yet. The other statements demonstrate a good understanding of managing a crisis.
D)The client who is unsure of whom to call in a crisis has not met goals yet. The other statements demonstrate a good understanding of managing a crisis.

Question 6

Free-floating anxiety is often connected to what stimulus?
A)Elevators
B)Airplanes
C)No specific stimulus
D)Water

Accepted Answer

A)Free-floating anxiety is characterized by excessive worry that is hard to control and whose focus may shift from moment to moment. Free-floating anxiety is anxiety that is not connected to a specific stimulus. Anxiety caused by elevators, airplanes, and water is linked to a specific stimulus.
B)Free-floating anxiety is characterized by excessive worry that is hard to control and whose focus may shift from moment to moment. Free-floating anxiety is anxiety that is not connected to a specific stimulus. Anxiety caused by elevators, airplanes, and water is linked to a specific stimulus.
C)Free-floating anxiety is characterized by excessive worry that is hard to control and whose focus may shift from moment to moment. Free-floating anxiety is anxiety that is not connected to a specific stimulus. Anxiety caused by elevators, airplanes, and water is linked to a specific stimulus.
D)Free-floating anxiety is characterized by excessive worry that is hard to control and whose focus may shift from moment to moment. Free-floating anxiety is anxiety that is not connected to a specific stimulus. Anxiety caused by elevators, airplanes, and water is linked to a specific stimulus.

Question 7

Which of these is an accurate description of a crisis?
A)An acute event that is detrimental
B)A chronic event that is intermittent
C)A chronic event that is consistent and ongoing
D)An acute event that will resolve

Accepted Answer

A)A crisis is an acute event, not a chronic event. Crises usually resolve within 4-6 weeks. A crisis can provide opportunities for growth or deterioration, so not all crises are detrimental.
B)A crisis is an acute event, not a chronic event. Crises usually resolve within 4-6 weeks. A crisis can provide opportunities for growth or deterioration, so not all crises are detrimental.
C)A crisis is an acute event, not a chronic event. Crises usually resolve within 4-6 weeks. A crisis can provide opportunities for growth or deterioration, so not all crises are detrimental.
D)A crisis is an acute event, not a chronic event. Crises usually resolve within 4-6 weeks. A crisis can provide opportunities for growth or deterioration, so not all crises are detrimental.

Question 8

The nurse is discharging a client diagnosed with general anxiety disorder (GAD). The client is prescribed a selective serotonin reuptake inhibitor (SSRI). Which statement made by the client would indicate to the nurse a need for further education?
A)"This medicine could make me feel like I have the jitters."
B)"I may experience some nausea while on this medication."
C)"My doctor will start me off on a high dose and then decrease the dose."
D)"This medicine alters the levels of the neurotransmitter serotonin in the brain."

Accepted Answer

A)SSRIs are generally started at low doses and then increased as their effectiveness becomes apparent; therefore, this statement made by the client is inaccurate and indicates a lack of understanding and the need for further teaching. The other statements are accurate so do not require further teaching.
B)SSRIs are generally started at low doses and then increased as their effectiveness becomes apparent; therefore, this statement made by the client is inaccurate and indicates a lack of understanding and the need for further teaching. The other statements are accurate so do not require further teaching.
C)SSRIs are generally started at low doses and then increased as their effectiveness becomes apparent; therefore, this statement made by the client is inaccurate and indicates a lack of understanding and the need for further teaching. The other statements are accurate so do not require further teaching.
D)SSRIs are generally started at low doses and then increased as their effectiveness becomes apparent; therefore, this statement made by the client is inaccurate and indicates a lack of understanding and the need for further teaching. The other statements are accurate so do not require further teaching.

Question 9

What characteristic is essential for individuals to adapt to crisis in a positive way?
A)Security
B)Strength
C)Resilience
D)Independence

Accepted Answer

A)Resilience is the way in which individuals adapt successfully to crisis events to develop positive outcomes. Security, strength, and independence are all positive character traits that may be helpful during a crisis, but even individuals without these characteristics can respond to a crisis in a positive way if they have resilience.
B)Resilience is the way in which individuals adapt successfully to crisis events to develop positive outcomes. Security, strength, and independence are all positive character traits that may be helpful during a crisis, but even individuals without these characteristics can respond to a crisis in a positive way if they have resilience.
C)Resilience is the way in which individuals adapt successfully to crisis events to develop positive outcomes. Security, strength, and independence are all positive character traits that may be helpful during a crisis, but even individuals without these characteristics can respond to a crisis in a positive way if they have resilience.
D)Resilience is the way in which individuals adapt successfully to crisis events to develop positive outcomes. Security, strength, and independence are all positive character traits that may be helpful during a crisis, but even individuals without these characteristics can respond to a crisis in a positive way if they have resilience.

Question 10

The nurse is beginning crisis counseling with a client. What actions will the nurse use when counseling the client? Select all that apply.
A)Assist in coping with the problem.
B)Conduct follow-up assessments.
C)Boil down the problem.
D)Achieve rapport.
E)Assess physiologic status.

Accepted Answer

A)When conducting crisis counseling with a client, the nurse will achieve rapport, boil down the problem, and assist the client in coping with the problem. Assessing physiologic status and conducting follow-up assessments are not steps within crisis counseling.
B)When conducting crisis counseling with a client, the nurse will achieve rapport, boil down the problem, and assist the client in coping with the problem. Assessing physiologic status and conducting follow-up assessments are not steps within crisis counseling.
C)When conducting crisis counseling with a client, the nurse will achieve rapport, boil down the problem, and assist the client in coping with the problem. Assessing physiologic status and conducting follow-up assessments are not steps within crisis counseling.
D)When conducting crisis counseling with a client, the nurse will achieve rapport, boil down the problem, and assist the client in coping with the problem. Assessing physiologic status and conducting follow-up assessments are not steps within crisis counseling.
E)When conducting crisis counseling with a client, the nurse will achieve rapport, boil down the problem, and assist the client in coping with the problem. Assessing physiologic status and conducting follow-up assessments are not steps within crisis counseling.

Question 11

A client with what level of anxiety would be most receptive to learning tools that would help the client recognize triggers?
A)Mild
B)Moderate
C)Severe
D)Panic

Accepted Answer

A)Clients with mild anxiety would be able to learn about how to recognize triggers. Clients with higher levels of anxiety may be unable to learn new tools and would first need other interventions to help reduce their level of anxiety before they could learn how to recognize triggers for anxiety.
B)Clients with mild anxiety would be able to learn about how to recognize triggers. Clients with higher levels of anxiety may be unable to learn new tools and would first need other interventions to help reduce their level of anxiety before they could learn how to recognize triggers for anxiety.
C)Clients with mild anxiety would be able to learn about how to recognize triggers. Clients with higher levels of anxiety may be unable to learn new tools and would first need other interventions to help reduce their level of anxiety before they could learn how to recognize triggers for anxiety.
D)Clients with mild anxiety would be able to learn about how to recognize triggers. Clients with higher levels of anxiety may be unable to learn new tools and would first need other interventions to help reduce their level of anxiety before they could learn how to recognize triggers for anxiety.

Question 12

A client states, "I haven't left my house for 6 years." Based on this data, which diagnosis does the nurse anticipate for this client?
A)Hematophobia
B)Social anxiety disorder
C)Pathophobia
D)Agoraphobia

Accepted Answer

A)Agoraphobia is characterized by anxiety associated with two or more of the following situations: being in enclosed spaces, being in open spaces, using public transportation, being in a crowd or standing in a line of people, or being alone outside the home environment. Social anxiety disorder is a fear of one or more social situations that may lead to scrutiny by others. Hematophobia is the fear of blood. Pathophobia is the fear of disease.
B)Agoraphobia is characterized by anxiety associated with two or more of the following situations: being in enclosed spaces, being in open spaces, using public transportation, being in a crowd or standing in a line of people, or being alone outside the home environment. Social anxiety disorder is a fear of one or more social situations that may lead to scrutiny by others. Hematophobia is the fear of blood. Pathophobia is the fear of disease.
C)Agoraphobia is characterized by anxiety associated with two or more of the following situations: being in enclosed spaces, being in open spaces, using public transportation, being in a crowd or standing in a line of people, or being alone outside the home environment. Social anxiety disorder is a fear of one or more social situations that may lead to scrutiny by others. Hematophobia is the fear of blood. Pathophobia is the fear of disease.
D)Agoraphobia is characterized by anxiety associated with two or more of the following situations: being in enclosed spaces, being in open spaces, using public transportation, being in a crowd or standing in a line of people, or being alone outside the home environment. Social anxiety disorder is a fear of one or more social situations that may lead to scrutiny by others. Hematophobia is the fear of blood. Pathophobia is the fear of disease.

Question 13

The nurse is providing care to a client who is "in crisis." The client recently lost a job, was served with divorce papers, and has been sick with back-to-back colds for 1 month. Which nursing statement demonstrates understanding of the care of a client in crisis?
A)"Experiencing a crisis is never positive, so we must work to relieve your anxiety as soon as possible."
B)"People generally find it easier to work through a crisis if someone is working with them."
C)"Men often handle crisis better individually, whereas women do better with a counselor."
D)"Once you reach the crisis state, you may remain there for several months until you recover."

Accepted Answer

A)In general, people are more successful in working through a crisis if they have someone to help them. This need for help is not gender dependent. A crisis results in such a state of disequilibrium that it is generally self-limiting and not a long-term event. Experiencing a crisis may actually offer the family or individual a potential for growth and change.
B)In general, people are more successful in working through a crisis if they have someone to help them. This need for help is not gender dependent. A crisis results in such a state of disequilibrium that it is generally self-limiting and not a long-term event. Experiencing a crisis may actually offer the family or individual a potential for growth and change.
C)In general, people are more successful in working through a crisis if they have someone to help them. This need for help is not gender dependent. A crisis results in such a state of disequilibrium that it is generally self-limiting and not a long-term event. Experiencing a crisis may actually offer the family or individual a potential for growth and change.
D)In general, people are more successful in working through a crisis if they have someone to help them. This need for help is not gender dependent. A crisis results in such a state of disequilibrium that it is generally self-limiting and not a long-term event. Experiencing a crisis may actually offer the family or individual a potential for growth and change.

Question 14

Which nursing diagnosis would be a priority for a client who is experiencing a situational crisis?
A)Ineffective Coping
B)Ineffective Activity Planning
C)Readiness for Enhanced Communication
D)Chronic Low Self-Esteem

Accepted Answer

A)Ineffective Coping is a common nursing diagnosis for clients in crisis. Ineffective activity planning would likely be the result of ineffective coping strategies. Clients will not be ready for enhanced communication until they have begun to effectively cope with the crisis. Situational crisis is an acute event that is not the result of chronic low self-esteem.
B)Ineffective Coping is a common nursing diagnosis for clients in crisis. Ineffective activity planning would likely be the result of ineffective coping strategies. Clients will not be ready for enhanced communication until they have begun to effectively cope with the crisis. Situational crisis is an acute event that is not the result of chronic low self-esteem.
C)Ineffective Coping is a common nursing diagnosis for clients in crisis. Ineffective activity planning would likely be the result of ineffective coping strategies. Clients will not be ready for enhanced communication until they have begun to effectively cope with the crisis. Situational crisis is an acute event that is not the result of chronic low self-esteem.
D)Ineffective Coping is a common nursing diagnosis for clients in crisis. Ineffective activity planning would likely be the result of ineffective coping strategies. Clients will not be ready for enhanced communication until they have begun to effectively cope with the crisis. Situational crisis is an acute event that is not the result of chronic low self-esteem.

Question 15

A clinic nurse is assessing a client who is experiencing crisis. The nurse needs to determine the client's immediate needs. Which is the priority action by the nurse?
A)Scan for physical distress.
B)Explore perceptions of the crisis.
C)Develop a follow-up plan.
D)Assess for immediate safety needs.

Accepted Answer

A)Assessing for immediate safety needs would take priority. Scanning for physical distress and exploring perceptions of the crisis are important, but do not take priority over safety. Developing a follow-up plan would occur only after other interventions have been implemented.
B)Assessing for immediate safety needs would take priority. Scanning for physical distress and exploring perceptions of the crisis are important, but do not take priority over safety. Developing a follow-up plan would occur only after other interventions have been implemented.
C)Assessing for immediate safety needs would take priority. Scanning for physical distress and exploring perceptions of the crisis are important, but do not take priority over safety. Developing a follow-up plan would occur only after other interventions have been implemented.
D)Assessing for immediate safety needs would take priority. Scanning for physical distress and exploring perceptions of the crisis are important, but do not take priority over safety. Developing a follow-up plan would occur only after other interventions have been implemented.

Question 16

The nurse needs to plan interventions to address a client's crisis. Which action by the nurse is appropriate?
A)Develop the plan prior to meeting with the client.
B)Conduct a complete assessment.
C)Determine follow-up.
D)Focus on long-term problems.

Accepted Answer

A)Nursing care is based on assessment. Thus, a plan cannot be developed prior to meeting with the client. The time frame, whether short term or long term, and the need for follow-up will be determined by the findings of the assessment.
B)Nursing care is based on assessment. Thus, a plan cannot be developed prior to meeting with the client. The time frame, whether short term or long term, and the need for follow-up will be determined by the findings of the assessment.
C)Nursing care is based on assessment. Thus, a plan cannot be developed prior to meeting with the client. The time frame, whether short term or long term, and the need for follow-up will be determined by the findings of the assessment.
D)Nursing care is based on assessment. Thus, a plan cannot be developed prior to meeting with the client. The time frame, whether short term or long term, and the need for follow-up will be determined by the findings of the assessment.

Question 17

A nurse is caring for a client in crisis. While providing care it is imperative that the nurse communicate effectively with this client. Which is true when communicating with clients in crisis? Select all that apply.
A)Communication should be frequent.
B)Communication should be brief.
C)Communication should be simple.
D)Communication should be detailed.
E)Communication should be directive.

Accepted Answer

A)Communicating with individuals in crisis requires frequent, brief, simple, and often directive communication. Biologically speaking, the brain of the individual in crisis is in the process of being bombarded with electrochemical reactions. Concentration and the ability to remember and retain information can be impaired.
B)Communicating with individuals in crisis requires frequent, brief, simple, and often directive communication. Biologically speaking, the brain of the individual in crisis is in the process of being bombarded with electrochemical reactions. Concentration and the ability to remember and retain information can be impaired.
C)Communicating with individuals in crisis requires frequent, brief, simple, and often directive communication. Biologically speaking, the brain of the individual in crisis is in the process of being bombarded with electrochemical reactions. Concentration and the ability to remember and retain information can be impaired.
D)Detailed communication would be contraindicated. Communicating with individuals in crisis requires frequent, brief, simple, and often directive communication. Biologically speaking, the brain of the individual in crisis is in the process of being bombarded with electrochemical reactions. Concentration and the ability to remember and retain information can be impaired.
E)Communicating with individuals in crisis requires frequent, brief, simple, and often directive communication. Biologically speaking, the brain of the individual in crisis is in the process of being bombarded with electrochemical reactions. Concentration and the ability to remember and retain information can be impaired.

Question 18

A nurse on the behavioral health unit is leading a group regarding risk factors for anxiety. At the completion of group work, which comment made by a client would indicate the need for further teaching?
A)"A lack of social interaction places me at risk for anxiety."
B)"My personality could place me at risk for anxiety because I am shy."
C)"Chronic illness is not a risk factor unless I am also unemployed."
D)"I experienced a traumatic event that placed me at risk for having this anxiety disorder."

Accepted Answer

A)Chronic illness is a risk factor for anxiety disorders with or without the unemployment factor. For some clients multiple stressors, such as chronic illness with loss of employment, are risk factors. So this statement indicates a need for further teaching. The other statements are accurate and therefore do not require further teaching.
B)Chronic illness is a risk factor for anxiety disorders with or without the unemployment factor. For some clients multiple stressors, such as chronic illness with loss of employment, are risk factors. So this statement indicates a need for further teaching. The other statements are accurate and therefore do not require further teaching.
C)Chronic illness is a risk factor for anxiety disorders with or without the unemployment factor. For some clients multiple stressors, such as chronic illness with loss of employment, are risk factors. So this statement indicates a need for further teaching. The other statements are accurate and therefore do not require further teaching.
D)Chronic illness is a risk factor for anxiety disorders with or without the unemployment factor. For some clients multiple stressors, such as chronic illness with loss of employment, are risk factors. So this statement indicates a need for further teaching. The other statements are accurate and therefore do not require further teaching.

Question 19

A client who has just experienced a crisis is likely to present to the emergency department with which clinical manifestation?
A)Depression
B)Disorientation
C)Fatigue
D)Sleeplessness

Accepted Answer

A)Immediately after experiencing a crisis, the client is likely to present with disorientation. The client likely will not yet be feeling fatigue or sleeplessness immediately after the event, although they may experience these symptoms over the next few days. Depression is a chronic condition that develops over time, not as the immediate result of a crisis.
B)Immediately after experiencing a crisis, the client is likely to present with disorientation. The client likely will not yet be feeling fatigue or sleeplessness immediately after the event, although they may experience these symptoms over the next few days. Depression is a chronic condition that develops over time, not as the immediate result of a crisis.
C)Immediately after experiencing a crisis, the client is likely to present with disorientation. The client likely will not yet be feeling fatigue or sleeplessness immediately after the event, although they may experience these symptoms over the next few days. Depression is a chronic condition that develops over time, not as the immediate result of a crisis.
D)Immediately after experiencing a crisis, the client is likely to present with disorientation. The client likely will not yet be feeling fatigue or sleeplessness immediately after the event, although they may experience these symptoms over the next few days. Depression is a chronic condition that develops over time, not as the immediate result of a crisis.

Question 20

A client states to the nurse, "I experience shortness of breath and dizziness every time I get into an elevator." Which actions by the nurse are appropriate based on this data? Select all that apply.
A)Assist the client to rethink the degree of anxiety associated with elevators.
B)Ask the client how he has survived in life so far with elevators.
C)Instruct the client in deep breathing exercises.
D)Suggest that the client should avoid elevators.
E)Tell the client that elevators are completely safe.

Accepted Answer

A)Deep breathing exercises can help the client reduce the anxiety associated with a fearful situation, such as entering an elevator. Assisting the client to rethink the degree of anxiety associated with elevators helps the client learn to manage the anxiety. Suggesting that the client avoid elevators will not help the client. Asking the client how he has survived in life so far with elevators will not help the situation. Telling the client that elevators are completely safe might not be true and should not be said to the client.
B)Deep breathing exercises can help the client reduce the anxiety associated with a fearful situation, such as entering an elevator. Assisting the client to rethink the degree of anxiety associated with elevators helps the client learn to manage the anxiety. Suggesting that the client avoid elevators will not help the client. Asking the client how he has survived in life so far with elevators will not help the situation. Telling the client that elevators are completely safe might not be true and should not be said to the client.
C)Deep breathing exercises can help the client reduce the anxiety associated with a fearful situation, such as entering an elevator. Assisting the client to rethink the degree of anxiety associated with elevators helps the client learn to manage the anxiety. Suggesting that the client avoid elevators will not help the client. Asking the client how he has survived in life so far with elevators will not help the situation. Telling the client that elevators are completely safe might not be true and should not be said to the client.
D)Deep breathing exercises can help the client reduce the anxiety associated with a fearful situation, such as entering an elevator. Assisting the client to rethink the degree of anxiety associated with elevators helps the client learn to manage the anxiety. Suggesting that the client avoid elevators will not help the client. Asking the client how he has survived in life so far with elevators will not help the situation. Telling the client that elevators are completely safe might not be true and should not be said to the client.
E)Deep breathing exercises can help the client reduce the anxiety associated with a fearful situation, such as entering an elevator. Assisting the client to rethink the degree of anxiety associated with elevators helps the client learn to manage the anxiety. Suggesting that the client avoid elevators will not help the client. Asking the client how he has survived in life so far with elevators will not help the situation. Telling the client that elevators are completely safe might not be true and should not be said to the client.

Quiz 31: Stress and Coping

A client tells a nurse that he believes he has an anxiety disorder because his mom and sister both have anxiety disorders. The nurse recognizes that the client believes in which theory related to the etiology of anxiety disorders?

After an assessment, the nurse determines that an older adolescent client is experiencing a maturational crisis because of which findings? Select all that apply.

The nurse is providing care to a client who is experiencing a crisis. Which statement by the client indicates that the goals of care have not been met?

Free-floating anxiety is often connected to what stimulus?

Which of these is an accurate description of a crisis?

The nurse is discharging a client diagnosed with general anxiety disorder (GAD) . The client is prescribed a selective serotonin reuptake inhibitor (SSRI) . Which statement made by the client would indicate to the nurse a need for further education?

What characteristic is essential for individuals to adapt to crisis in a positive way?

The nurse is beginning crisis counseling with a client. What actions will the nurse use when counseling the client? Select all that apply.

A client with what level of anxiety would be most receptive to learning tools that would help the client recognize triggers?

A client states, "I haven't left my house for 6 years." Based on this data, which diagnosis does the nurse anticipate for this client?

The nurse is providing care to a client who is "in crisis." The client recently lost a job, was served with divorce papers, and has been sick with back-to-back colds for 1 month. Which nursing statement demonstrates understanding of the care of a client in crisis?

Which nursing diagnosis would be a priority for a client who is experiencing a situational crisis?

A clinic nurse is assessing a client who is experiencing crisis. The nurse needs to determine the client's immediate needs. Which is the priority action by the nurse?

The nurse needs to plan interventions to address a client's crisis. Which action by the nurse is appropriate?

A nurse is caring for a client in crisis. While providing care it is imperative that the nurse communicate effectively with this client. Which is true when communicating with clients in crisis? Select all that apply.

A nurse on the behavioral health unit is leading a group regarding risk factors for anxiety. At the completion of group work, which comment made by a client would indicate the need for further teaching?

A client who has just experienced a crisis is likely to present to the emergency department with which clinical manifestation?

A client states to the nurse, "I experience shortness of breath and dizziness every time I get into an elevator." Which actions by the nurse are appropriate based on this data? Select all that apply.