NURS 311. Quiz 7

175. A client arrives at the mental health clinic disheveled, agitated, and demanding that the nurse "do something to end this feeling." What clinical manifestation is evident? 1. Feelings of panic 2. Suicidal tendencies 3. Narcissistic ideation 4. Demanding personality

1. Feelings of panic

180. A nurse speaks with a client who just experienced a panic attack. Which statement is most therapeutic when addressing the client's concerns? 1. "I would have been upset, too" 2. "You are concerned that this might happen again" 3. "Episodes like this can be upsetting even though they do end." 4. "Your family must have thought you were having a heart attack."

2. "You are concerned that this might happen again"

174. A nurse is caring for a client with a generalized anxiety disorder. Which factor should be assessed to determine the client's present status? 1. Memory 2. Behavior 3. Judgement 4. Responsiveness

2. Behavior

181. People who are involved in a bioterrorism attack exhibit immediate reactions to the traumatic event. Which responses can a nurse expect in survivors during the immediate period after a traumatic event? Select all that apply. 1. Guilt 2. Denial 3. Altruism 4. Confusion 5. Helplessness

2. Denial 4. Confusion 5. Helplessness

179. An adult reports anxiety, palpitations, and a feeling of impending doom. After a thorough physical examination, the health care provider diagnoses a panic attack. Lorazepam (Ativan) 1.5 mg po stat is prescribed. The Ativan is available in 0.5 mg tablets. How many tablets should the nurse administer?

3 tablets

182. The parents of an adolescent who is experiencing Post Traumatic Stress Disorder have decided to care for their child at home. What is the priority intervention that the home health nurse must include in the plan of care? 1. Encourage the parents to keep their child within the home environment 2. Help the parents identify their child's problems that cause them to be fearful. 3. Assist the parents to understand that their child may avoid emotional attachments. 4. Discuss with the parents their feelings of ambivalence about what their child is enduring

3. Assist the parents to understand that their child may avoid emotional attachments.

177. In what situation should a nurse anticipate that a client will experience a phobic reaction? 1. Seeking attention from others 2. Thinking about the feared object 3. Coming into contact with the feared object 4. Being exposed to an unfamiliar environment

3. Coming into contact with the feared object

176. A client's severe anxiety and panic are often considered to be "contagious." What action should be taken when a nurse's personal feelings of anxiety are increasing? 1. Refocus the conversation on some pleasant topics 2. Say to the client, "Calm down. You are making me anxious too." 3. Say, "Another staff member is coming in. I will leave and return later." 4. Remain quiet so that personal feelings of anxiety do not become apparent to the client.

3. Say, "Another staff member is coming in. I will leave and return later."

183. A client with a general anxiety disorder says to the nurse, "What can I do to prevent overreacting to stress?" What is the nurse's best response? 1. "Hone your problem-solving skills." 2. "Improve your time management skills" 3. "Ignore situations that you cannot change." 4. "Develop a wide variety of coping strategies"

4. "Develop a wide variety of coping strategies"

173. A client is diagnosed with generalized anxiety disorder. For what behavior should the nurse assess a client to determine the effectiveness of therapy? 1. Participates in activities 2. Learns how to avoid anxiety 3. Takes medication as prescribed 4. Identifies when anxiety is developing

4. Identifies when anxiety is developing

178. A nurse is interviewing a client with a phobia. Which treatment should the nurse inform the client has the highest success rate? 1. Insight therapy to determine the origin of the fear 2. Systematic desensitization using relaxation techniques 3. Psychotherapy aimed at rearranging psychotic thought processes 4. Psychoanalytic exploration of repressed conflicts of an earlier developmental phase

2. Systematic desensitization using relaxation techniques

172. A client's admitting history indicates signs of akathisia. What clinical finding should the nurse expect when assessing for akathisia? 1. Facial tics 2. Motor restlessness 3. Maintaining a body position for hours 4. Repeating the movements of another person

2. Motor restlessness