Anxiety, Anger - Mental Health

d. "You must have been embarrassed when your father yelled at you in the grocery store."

Which of the following statements would be an empathetic response in a client interaction? a. "Why do you think your father chose that time and place to yell at you?" b. "Well, it sounds like your father has difficulty controlling his temper." c. "You really should find your own housing and get out of the situation with your father." d. "You must have been embarrassed when your father yelled at you in the grocery store."

d. appraise his situation more realistically.

A patient states, "I will just die if I don't get this job." The nurse then asks the patient, "What will be the worst that will happen if you don't get the job?" The nurse is using this response to: a. clarify the patient's meaning. b. assess if the patient has health problems compounded by stress. c. assist the patient to make alternative plans for the future. d. appraise his situation more realistically.

a. Broad opening

A client is fearful and reluctant to talk. Which of the following techniques is most effective when trying to engage the client in interaction? a. Broad opening b. Focusing c. Giving information d. Silence

a. "This is a means of keeping you and others safe."

A client lost control of his behavior, broke a window, and made verbal threats to staff and other clients. The client was placed in mechanical restraints. The nurse will explain the reason for restraints to the client by saying, a. "This is a means of keeping you and others safe." b. "This is what happens when you lose control." c. "The staff will monitor your behavior closely." d. "The length of time you'll be in restraints is undetermined."

d. "You seem angry. Tell me more about how you're feeling."

A client suddenly jumps up from the chair and begins yelling and cursing at the nurse. The best response by the nurse would be, a. "I can see that you need attention; you should calmly ask for what you want." b. "I don't want to hear that kind of language; don't ever do that again." c. "I will limit your smoking privileges if you can't control yourself." d. "You seem angry. Tell me more about how you're feeling."

b. Use brief statements and questions to obtain information

A client who has been physically aggressive arrives at the emergency room for a psychiatric assessment. The best approach by the nurse would be to a. Use open-ended questions so the client can elaborate b. Use brief statements and questions to obtain information c. Provide close contact to increase the client's sense of safety d. Have a sense of humor to show a lack of fear

b. "I feel unappreciated when you criticize me."

A married man expresses to the nurse that his wife's frequent nagging angers him. The nurse role plays assertive communication techniques with husband. Which of the following indicates the husband understands how to use assertive techniques effectively? a. "Are you telling me you want me to change?" b. "I feel unappreciated when you criticize me." c. "You are not perfect either." d. "I really wish you would stop nagging me."

a. "Anger is a normal feeling and you can use it to solve problems."

A nurse is working with a patient that has frequent angry outbursts. Which of the following statements is most helpful when working with this patient? a. "Anger is a normal feeling and you can use it to solve problems." b. "You need to learn to suppress your angry feelings." c. "You can reduce your anger by hitting a punching bag." d. "You need to learn how to be less assertive in your communications."

a. Systematic desensitization

A patient experiences panic attacks when confronted with riding in elevators. The therapist is teaching the patient ways to relax while incrementally exposing the patient to getting on an elevator. This technique is called: a. Systematic desensitization b. Flooding c. Cognitive restructuring d. Exposure therapy

b. Crisis

A patient is observed pacing the hall with clenched fists, and swearing at others. The nurse intervenes immediately to prevent the patient from escalating to which phase of the aggressing cycle? a. Recovery b. Crisis c. Escalation d. Triggering

b. "What happened that got you so upset?"

After an angry outburst, a patient quickly appears more calm and rational. The nurse approaches the client. Which of the following is the most helpful response to the patient at this time? a. "What can you do differently next time you get angry?" b. "What happened that got you so upset?" c."You really scared me. I'm glad you are okay." d. "We will have to talk about this later."

d. "What could you have done when you first started to feel angry?"

After an angry outburst, the patient is tearful and remorseful. The nurse can be most supportive to the patient through which of the following responses? a. "You still need to work on your problem-solving skills." b. "I will not allow you to get that angry again.' c. "You should not have let your anger build up like you did." d. "What could you have done when you first started to feel angry?"

d. "This medication will relax me so I can focus on problem solving."

The client has an order for an anxiolytic agent, lorazepam (Ativan). Which of the following statements by the client would indicate that client education about this medication has been effective? a. "My anxiety will be eliminated if I take this medication as prescribed." b. "This medication presents no risk of addiction or dependence." c. "I will probably always need to take this medication for my anxiety." d. "This medication will relax me so I can focus on problem solving."

c. Give the client permission to be angry.

The client identifies anger management as a problem. What is the next step in planning therapeutic interactions? a. Tell the client not to be angry all the time. b. Point out the senselessness of anger. c. Give the client permission to be angry. d. Give the client a variety of choices on how to express anger.

c. Explaining the consequences the client will face if control is lost

The nurse is interviewing a client with a history of physical aggression. Which of the following should the nurse avoid? a. Responding to verbal threats by terminating the interview and obtaining assistance b. Interviewing the client with another staff member present c. Explaining the consequences the client will face if control is lost d. Anticipating that a loss of control is possible and planning accordingly

c. Practice the techniques when relatively calm

The nurse is teaching a patient with an anxiety disorder ways to manage anxiety. The nurse suggests the following schedule for practicing stress management techniques: a. Practice the techniques each morning and night as part of a daily a routine b. Use the techniques as needed when experiencing severe anxiety c. Practice the techniques when relatively calm d. Expect to practice the techniques when meeting with a therapist

b. Move the client to a quiet environment

When a client is experiencing severe anxiety, which of the following is the priority intervention? a. Give the client medication immediately b. Move the client to a quiet environment c. Offer the client therapy to calm down d. Put the client in seclusion temporarily

a. Caffeine

When teaching a client with generalized anxiety disorder, the nurse instructs the client to avoid which of the following? a. Caffeine b. High-fat foods c. Refined sugars d. Sodium

a. Anxiety is learned in childhood through interactions with caregivers

Which of the following best explains the etiology of anxiety disorders from an interpersonal perspective? a. Anxiety is learned in childhood through interactions with caregivers b. Anxiety is a learned throughout life as a response to life experiences c. Anxiety stems from an unconscious attempt to control awareness d. Anxiety results from conforming to the norms of a cultural group

d. Stand or sit in the center of the client's visual field to facilitate attention.

Which of the following communication techniques is most effective to use with anxious clients? a. Ask open-ended questions to facilitate self-expression. b. Provide an open, populated area to decrease fears of abandonment. c. Speak slightly louder than usual to improve communication. d. Stand or sit in the center of the client's visual field to facilitate attention.