Exam 4 #39-50

39. A nurse caring for a client with generalized anxiety disorder tells a supervisor, "I find myself feeling uncomfortable and anxious when the client starts trembling and perspiring. I develop cold clammy hands and my pulse races." In such an interaction, the client will most likely develop which of the following? A. Increased Anxiety B. Fatigue C. Improved self-esteem D. Claustrophobia

A. Increased Anxiety

42. A nurse is collecting data from a client who has PTSD following a sexual assault. Which of the following is an expected finding? A. Increasing feelings of anger B. Increasing sense of attachment to others C. Constant need to talk about the event D. Sleeping for 12 hours or more per day

A. Increasing feelings of anger

41. A nurse is caring for a client who witnessed her brother's homicide and has PTSD. Which of the following should the nurse expect? A. The client is easily startled by loud voices B. The client is constantly drowsy and sleeps 11-12 hours daily C. The client reports satisfying relationships with family and friends D. The client talks constantly about the traumatic experience

A. The client is easily startled by loud voices

48. A nurse is reinforcing teaching to a client about stress reduction techniques. Which of the following client statements indicates understanding of the teaching? A. "Mindfulness allows me to prioritize the stressors that I have in my life so that I will have less anxiety." B. "Cognitive reframing will help me change my irrational thoughts to something positive." C. "Biofeedback causes my body to release endorphins so that I feel less stress and anxiety." D. "Progressive muscle relaxation uses a mechanical device to help me gain control over my pulse rate."

B. "Cognitive reframing will help me change my irrational thoughts to something positive."

43. A nurse is assisting with the admission assessment for a client who is receiving treatment following a situational crisis. Which of the following actions is the nurse's priority? A. Identifying the client's coping skills B. Determining if the client has thoughts of self-harm C. Identifying if friends and family are available to help D. Asking the client to identify the cause of the crisis

B. Determining if the client has thoughts of self-harm

49. A nurse is caring for a client who states, "I'm so stressed at work because of my coworker. He expects me to finish his work because he's too lazy!" When discussing effective communication, which of the following statements by the client to his coworker indicates client understanding? A. "It's not fair to expect me to complete your work. If you continue, then I will report your behavior to our supervisor." B. "Why do you expect me to complete your work? You must realize I have my own responsibilities." C. "When I have to pick up extra work, I feel very overwhelmed. I need to focus on my own responsibilities." D. "You really should complete your own work. I don't think it's right to expect me to complete your responsibilities."

C. "When I have to pick up extra work, I feel very overwhelmed. I need to focus on my own responsibilities."

45. A nurse is collecting data from a client who underwent a stressful event and is experiencing fight or flight syndrome. Which of the following findings should the nurse expect as an immediate response in the client? A. Increased fluid retention B. Increased basal metabolic rate C. Decreased gastrointestinal motility D. Decreased immune response

C. Decreased gastrointestinal motility

46. A nurse is collecting data from a client whose husband died during a hurricane a year ago. The client reports having nightmares about the hurricane, persistent thoughts of blaming herself for her husband's death, and has stopped participating in her usual activities. The nurse should identify that the client is experiencing which of the following disorders? A.Obsessive personality disorder B. Histrionic personality disorder C. PTSD D. Dependent personality disorder

C. PTSD

50. A nurse is caring for a client who has derealization disorder. Which of the following findings should the nurse identify as an indication of derealization? A. The client has the idea that someone is trying to kill her and steal her money B. The client cannot recall anything that happened the past two weeks C. The client states that the furniture in the room seems to be small and far away D. The client explains that her body seems to be floating about the ground

C. The client states that the furniture in the room seems to be small and far away

44. A nurse is collecting data on a client who is experiencing chronic stress. Which of the following is an expected finding? A. Hypotension B. Increased energy C. Viral infection D. Increased cognitive awareness

C. Viral infection

47. A nurse is collecting data from a client who lost his job and who states he is, "under a lot of stress right now." The nurse should recognize that which of the following statements by the client indicates the presence of a protective factor against stress? A. "I doubt that I can get another job soon." B. "My friends live several hundred miles away in my home town." C. "I am being treated for bacterial pneumonia." D. "I spend some time praying every day."

D. "I spend some time praying every day."

40. A nurse detects that a client is experiencing panic-level anxiety. Which intervention should be immediately implemented? A. Gather a show of force in preparation for physical control B. Teach relaxation techniques C. Administer anxiolytic medication D. Provide calm, brief, directive communication

D. Provide calm, brief, directive communication