A nurse wants to teach alternative coping strategies to a patient experiencing severe anxiety. Which action should the nurse perform first?

____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.

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b. Lower the patient’s current anxiety.

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c. Create outcomes and a teaching plan.

d. Assess how the patient uses defense mechanisms.  

____ 2. A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states this event is not likely. This counseling demonstrates principles of:

a. flooding.

b. desensitization.

c. relaxation technique.

d. cognitive restructuring.

____3. A patient undergoing diagnostic tests says, “Nothing is wrong with me except a stubborn chest cold.” The spouse reports the patient smokes, coughs daily, lost 15 pounds, and is easily fatigued. Which defense mechanism is the patient using?

a. Displacement

b. Regression

c. Projection

d. Denial

____ 4. A patient preparing for surgery has moderate anxiety and is unable to understand preoperative information. Which nursing intervention is most appropriate?

a. Reassure the patient that all nurses are skilled in providing postoperative care.

b. Present the information again in a calm manner using simple language.

c. Tell the patient that staff is prepared to promote recovery.

d. Encourage the patient to express feelings to family.

____ 5. A person has minor physical injuries after an auto accident. The person is unable to focus and says, “I feel like something awful is going to happen.” This person has nausea, dizziness, tachycardia, and hyperventilation. What is the person’s level of anxiety?

a. Mild

b. Moderate

c. Severe

d. Panic

____ 6. A soldier returned home from active duty in a combat zone in Afghanistan and was diagnosed with posttraumatic stress disorder (PTSD). The soldier says, “If there’s a loud noise at night, I get under my bed because I think we’re getting bombed.” What type of experience has the soldier described?

a. Illusion

b. Flashback

c. Nightmare

d. Auditory hallucination

____7. A patient diagnosed with borderline personality disorder was hospitalized several times after self-mutilating episodes. The patient remains impulsive. Which nursing diagnosis is the initial focus of this therapy?

a. Risk for self-directed violence

b. Impaired skin integrity

c. Risk for injury

d. Powerlessness

____8. When preparing to interview a patient diagnosed with narcissistic personality disorder, a nurse can anticipate the assessment findings will include:

a. preoccupation with minute details; perfectionist.

b. charm, drama, seductiveness; seeking admiration.

c. difficulty being alone; indecisive, submissiveness.

d. grandiosity, self-importance, and a sense of entitlement.

____ 9. The nurse caring for an individual demonstrating symptoms of schizotypal personality disorder would expect assessment findings to include:

a. arrogant, grandiose, and a sense of self-importance.

b. attention seeking, melodramatic, and flirtatious.

c. impulsive, restless, socially aggressive behavior.

d. socially anxious, rambling stories, peculiar ideas.

____ 10.   A nurse plans care for an individual diagnosed with antisocial personality disorder. Which characteristic behaviors will the nurse expect? Select all that apply.

a. Reclusive behavior

b. Callous attitude

c. Perfectionism

d. Aggression

e. Clinginess

f. Anxiety

 

 

In: Nursing

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