Stress, Anxiety and Anxiety Related disorders

A nurse is assisting with a serious and prolonged mass casualty incident in the emergency department. Which of the following strategies should the nurse recommend helping prevent developing a trauma-related disorder? (chapter 12 ATI book)

1. Take breaks during the incident for food and water. 2. debrief with others following the incident. 3. Take advantage of offered counseling.

A nurse is performing data collection on a client who has generalized anxiety disorder. Which of the following findings should the nurse expect. (Chapter 11 ATI book)

1. excessive worry for 6 months 2.restlessness 3. Sleep disturbance

A nurse is discussing acute vs. prolonged stress with a client. Which of the following effects should the nurse identify as an acute stress response? (chapter 9 ATI book)

1.Depressed immune system 2.Increased blood pressure 3.Unhappiness

A nurse is caring for a client who is to begin taking fluoxetine for treatment of panic disorder. Which of the following statements indicates the client understands the use of this medication? (chapter 21 ATI book)

" I will need to discontinue this medication slowly."

A nurse is reinforcing teaching with a client about stress-reduction techniques. Which of the following client statements indicates understanding of the information? (chapter 9 ATI book)

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

A nurse is assisting with providing care for a client who has benzodiazepine toxicity. Which of the following actions is the nurse's priority? (chapter 21 ATI book)

Identify the client's level of orientation.

A nurse is assisting with the care of a client who has generalized anxiety disorder and is experiencing severe anxiety. Which of the following statements actions should the nurse make? (Chapter 11 ATI book)

"Tell me about how you are feeling right now. "

A nurse is caring for a client who has been newly diagnosed with a terminal illness and is experiencing significant stress. The client states, "Do you think a prayer would help?" Which of the following statements should the nurse make?

"You may find prayer gives comfort and lowers your stress."

A nurse is assisting in the care of a client whose partner recently died. The client asks, "Do you think meditation helps with stress?" Which of the following responses should the nurse make?

"You may find meditation gives comfort and lowers your stress."

A nurse is discussing risk factors of negative stress responses with a group of clients. The nurse should include which of the following risk factors in the discussion? (Select all that apply.)

Temperament Interpersonal violence Health behaviors

A nurse is caring for a client who is experiencing chronic stress. Which of the following does the nurse anticipate that the client will report? (Select all that apply.)

Increased anxiety Recurring sinus infections Feelings of depression

A nurse is caring for a client who states, "I'm so stressed at work because of my coworker. I am expected to finish others' work because of their laziness!" When discussing effective communication, which of the following statements by the client to the coworker indicates client understanding? (chapter 9 ATI book)

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

A nurse is leading a group of clients in an outpatient setting. The nurse should recognize which of the following client statements as an example of a maladaptive defense mechanism?

"When my partner yells at the dog I run and hide, but I don't know why I do that."

A nurse is caring for a client in a clinic. The client states, "I am overwhelmed by stress." Which of the following should the nurse identify as the highest priority question to ask the client?

"What kinds of things do you find helpful for coping with your stress?"

A nurse is facilitating a group session on adaptive defense mechanisms. The nurse should identify which of the following client statements as examples of adaptive defense mechanisms? (Select all that apply.)

"When I get stressed out, I like to go to the gym." "I volunteer at a local substance use help group."

A nurse is caring for a client who states, "I am so stressed over my upcoming reunion because I am not as successful as most of my classmates." Which of the following therapies for stress related disorders may benefit this client?

Cognitive reframing

A nurse is caring for a client who takes paroxetine to treat post-traumatic stress disorder. The client states, " I grind my teeth during the night, which causes pain in my mouth." The nurse should identify which of the following interventions as possible measures to manage the client's bruxism. (chapter 21 ATI book)

1. Concurrent administration of buspirone 2. Use of mouth guard 3. changing to a different class of antianxiety medication.

A nurse is leading a group of clients who are using the Holmes-Rahe Life Stress Inventory Scale to self-assess stressors in their life. Which of the following findings indicates the highest degree of stress?

A client who is returning to college following the loss of their job.

A nurse is caring for a client who is exhibiting manifestations of anxiety. Which of the following manifestations would the nurse expect to see increase during the client's flight or flight response? (Select all that apply.)

Blood pressure Heart rate Respiratory rate Pupillary response

A nurse is teaching a client about potential risks of chronic stress. Which of the following conditions should the nurse include as a potential risk?

Diabetes

A nurse is assisting with planning care for a client who has body dysmorphic disorder. Which of the following actions should the nurse expect to be assigned to perform first? (Chapter 11 ATI book)

Monitor the client's risk for self-harm.

A nurse in an acute mental health facility is assisting with planning care for a client who has dissociative fugue. Which of the following interventions should the nurse recommend? (chapter 12 ATI book)

Work with the client on grounding techniques.

A nurse is caring for a client undergoing a procedure and encourages the client to imagine themselves lying on the beach. Which of the following coping styles is the nurse suggesting?

guided imagery

A nurse is reinforcing teaching about physiological responses to stress with a group of clients. The nurse should include which of the following short-term physiological changes in the teaching? (Select all that apply.)

-Increase in muscular tension, blood pressure, and triglycerides. -Increase in heart rate and respiratory rate. -Corticosteroid release increases stamina and impedes digestion. -Cortisol release increases glucogenesis and reduces fluid loss.

A nurse in a mental health clinic is observing a client in the day room. The nurse should identify which of the following actions by the client as a maladaptive defense mechanism?

The client tells another client that all of the therapists are mean.

A nurse is assisting with an educational seminar on stress for other nursing staff. Which of the following information should the nurse recommend for inclusion? (chapter 9 ATI book)

Excessive stressors cause the client to experience distress.

A nurse is caring for a client who has a history of anxiety and hypertension. The nurse should recommend which of the following relaxation techniques for the client?

Biofeedback

A nurse is assisting in planning education for a group of teachers on personality traits. Which of the following traits describes a student who is eager to learn?

Openness

A nurse observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons? (Chapter 11 ATI book)

Attempt to reduce anxiety.

A nurse is providing teaching about stress with a client. The nurse should identify that which of the following client statements indicates an understanding of the teaching?

"My attitude about my stressor can influence my coping."

A nurse is assisting in the care of a client who states, "My cardiologist told me that I need to reduce stress. What is the best way for me to do that?" Which of the following responses should the nurse make first?

"Tell me more about the stressors that you are facing in your life."

A nurse is educating a group of clients on the concept of hardiness. Which of the following statements should the nurse include in the teaching?

"The foundation of hardiness is a positive self-perception and attitudes of hopefulness."

A nurse is caring for a client who is exhibiting hypervigilance and restlessness. The client states, "I need to figure a way out of this mess." The nurse should recognize that the client is most likely in which of the following stages of anxiety?

Mild

A nurse is assisting in the care of a client who attempted to die by suicide. The client is currently undergoing cognitive behavioral therapy. Which of the following statements by the client indicates that the therapy has been effective?

"I guess I am fortunate to have survived my suicide attempt."

A nurse working on an acute mental health unit is caring for a client who has posttraumatic stress disorder (PTSD). Which of the following findings should the nurse expect? (chapter 12 ATI book)

1. Difficulty concentrating on tasks. 2. negative self-image. 3. recurring nightmares.

A nurse is collecting data on a client 4hr after receiving an initial dose of fluoxetine. which of the following findings should the nurse report to the RN and provider as indications of serotonin syndrome? (chapter 21 ATI book)

1. Hallucinations 2. Diaphoresis 3. agitation

A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to reinforce necessary information to the client? (chapter 4 ATI book)

1.Discuss prior use of coping mechanisms with the client. 2.Demonstrate a calm manner while using simple and clear directions.

A nurse is assisting with collecting an admission history for a client who has acute stress disorder (ASD). Which of the following client behaviors should the nurse expect? (chapter 12 ATI book)

The client expresses a sense of unreality about the traumatic incident.

A nurse is talking with a client who reports experiencing increased stress because a new partner is "pressuring me and my kids to go live with him. I love him, but I'm not ready to do that." Which of the following recommendations should the nurse make to promote a change in the client's situation? (chapter 9 ATI book)

Use assertiveness techniques.

The nurse is caring for a client who has derealization disorder. Which of the following findings should the nurse identify as an indication of derealization? (chapter 12 ATI book)

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

A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing because I have that cold that everyone has been getting." The nurse should identify that the client is using which of the following defense mechanisms? (chapter 4 ATI book)

Denial

A nurse is assisting in the care of a client who states, "When I am stressed at work, I can't help coming home and arguing with my partner." The nurse should recognize that the client is exhibiting which of the following defense mechanisms?

Displacement

A nurse is providing care to a client who was recently involved in a motor-vehicle crash. The nurse should identify that the client is in the moderate stage of anxiety based on which of the following behaviors?

Practicing deep breathing with the nurse

A nurse is caring for a client who has emphysema and recently reduced their level of activity because they fear developing dyspnea. When teaching the client to use guided imagery, which of the following should the nurse encourage the client to visualize?

Dangling feet in a pool and taking regular deep breaths.

A nurse is reinforcing education to a client who is afraid of heights and is planning to drive across a high bridge. The nurse should identify that which of the following structures stimulates the automatic nervous system?

Hypothalamus

A nurse is reinforcing preoperative teaching with a client who was informed of the need for emergency surgery. The client has a respiratory rate 30/min, and says, "This is difficult to comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing which of the following levels of anxiety? (chapter 4 ATI book)

Moderate

A nurse is discussing individual and environmental factors of stress response with a group of newly licensed nurses. The nurse should include which of the following as individual factors? (Select all that apply.)

Perception temperament lifestyle

A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? (Chapter 11 ATI book)

Stay with the client and remain quiet.

A nurse is caring for a client who was in a motor-vehicle crash. The client states, "I had to get home before 6pm so I had to drive really fast." Which of the following defense mechanisms is the client exhibiting?

Rationalization

A nurse is reinforcing teaching with a client who has a new prescription for alprazolam for generalized anxiety disorder. Which of the following information should the nurse reinforce? (chapter 21 ATI book)

Report confusion as a potential indication of toxicity.