Mood and Affect - Anxiety

A

Personality disorders are identified in the DSM-V in clusters. How should the nurse describe the behaviors of an individual with a cluster A personality disorder? A: Odd and eccentric B: Anxious and fearful C: Dramatic and erratic D: Hostile and impulsive

C

A client is experiencing feelings of sadness and is having difficulty concentrating and sleeping. What are additional common signs and symptoms of depression that the nurse should expect when performing an assessment of this client? A: Rigidity and a narrowing of perception B: Alternating episodes of fatigue and high energy C: Diminished pleasure in activities and alteration in appetite D: Excessive socialization and interest in activities of daily living

A

A client is to be transferred from the coronary care unit to a progressive care unit. The client asks the nurse, "Are you sure I'm ready for this move?" What should the nurse determine that the client most likely is experiencing based on this statement? A: Fear B: Depression C: Dependency D: Ambivalence

B

A nurse is monitoring a client with the diagnosis of schizophrenia who is experiencing opposing emotions simultaneously. When providing a change-of-shift report, how should the nurse refer to this emotional experience of the client? A: Double bind B: Ambivalence C: Loose association D: Inappropriate affect

C

A nurse is planning care for a group of hospitalized children. Which age group does the nurse anticipate will have the most problem with separation anxiety? A: 5 to 11 years B: 12 to 18 years C: 6 to 30 months D:36 to 59 months

content reflection

In ________, the nurse repeats basically the same statement; in feeling reflection, the nurse verbalizes what seems to be implied about feelings in the comment. Reflecting, Exploring Acknowledging Refocusing, content reflection (paraphrasing)

D

Which drug is contraindicated in clients with blood dyscrasias (n. [医]体液不调；恶液质)? A: Duloxetine B: Bupropion C: Mirtazapine D: Chlorpromazine

reflecting

_______ is a technique used to either reiterate (vt. 重申) the content or the feeling message. Reflecting, Exploring Acknowledging Refocusing, content reflection (paraphrasing)

A

A client is found to have a borderline personality disorder. What is a realistic initial intervention for this client? A: Establishing clear boundaries B: Exploring job possibilities with the nurse C: Initiating a discussion of feelings of being victimized D: Spending 1 hour twice a day discussing problems with the nurse

B

A client who is to undergo dilation (n. 扩张) and curettage(n. [妇产] 刮除术) and conization of the cervix(n. 子宫颈) for cancer appears tense and anxious. What is the best approach for the nurse to support the client emotionally? A: Explaining that these procedures are considered minor surgery B: Asking whether something is troubling the client and whether she'd like to talk about it C: Stating that the procedures are routine and asking what the client is really worried about D: Explaining that everybody is fearful before the surgery even though there is little reason to worry

B

A client who lives with the parents is diagnosed with stage III Hodgkin disease with a grossly involved spleen and is scheduled for a splenectomy. After the nurse performs preoperative teaching, the client appears anxious. What is the best approach for the nurse to use at this time? A: Allow the client to regress at this time and rest quietly. B: State that that the client seems anxious and ask whether the client would like to talk for a while. C: Consider the reaction an unconscious response and inquire about the client's relationship with the parents. D: Understand that anxiety prevented the client from comprehending and repeat the information in simpler terms.

D

A client who suspects that she is 6 weeks pregnant appears mildly anxious as she is waiting for her first obstetric (adj. 产科的；) appointment. What symptom of mild anxiety does the nurse expect this client to experience? A: Dizziness B: Breathlessness C: Abdominal cramps D:Increased alertness

A

A client with heart failure has anxiety. Which effect of anxiety makes it particularly important for the nurse to reduce the anxiety of this client? A: Increases the cardiac workload B: Interferes with usual respirations C: Produces an elevation in temperature D: Decreases the amount of oxygen used

A, B, E

A college student is brought to the mental health clinic by parents with a diagnosis of borderline personality disorder. Which factors in the client's history support this diagnosis? Select all that apply. A: Impulsiveness(n. 冲动) B: Lability(n. 易变性) of mood C: Ritualistic(adj. 仪式的)behavior D: Psychomotor (adj. 精神运动的) retardation (n. 阻滞) E: Self-destructive(adj. 自毁的；表现自杀欲望的) behavior

A

The nurse identifies that a client who had extensive abdominal surgery appears depressed. Which nursing action is the most appropriate? A: Talking with the client and encouraging exploration of feelings B: Asking the client's primary healthcare provider to prescribe an antidepressant medication C: Understanding that the client's depression is an expected response to surgery D: Reassuring the client that feelings of depression will lift after returning home

A

The nurse is discussing discharge plans with a client who had a myocardial infarction. The client states, "I'm worried about going home." The nurse responds, "Tell me more about this." What interviewing technique did the nurse use? A: Exploring B: Reflecting C: Refocusing D: Acknowledging

C

Which reactions does a nurse expect of a 4-year-old child in response to illness and hospitalization (n. 住院治疗)? A: Anger, resentment over depersonalization, and loss of peer support B: Boredom, depression over separation from family, and fear of death C: Out-of-control behavior, regression to overdependency, and fear of bodily mutilation D: Intense panic, loss of security over separation from parents, and low frustration tolerance

exploring

_______ is a technique used to obtain more information to better understand the nature of the client's statement. Reflecting, Exploring Acknowledging Refocusing, content reflection (paraphrasing)

Exploring, Reflecting, content reflection, Refocusing, Acknowledging

_______ is a technique used to obtain more information to better understand the nature of the client's statement. _______ is a technique used to either reiterate the content or the feeling message. In ________, the nurse repeats basically the same statement; in feeling reflection, the nurse verbalizes what seems to be implied about feelings in the comment. _______ is bringing the client back to a previous point; there is no information that this was discussed previously. __________ is providing recognition for a change in behavior, an effort a client has made, or a contribution to a discussion. Reflecting, Exploring Acknowledging Refocusing, content reflection (paraphrasing)

refocusing

_______ is bringing the client back to a previous point; there is no information that this was discussed previously. Reflecting, Exploring Acknowledging Refocusing, content reflection (paraphrasing)

acknowledging

__________ is providing recognition for a change in behavior, an effort a client has made, or a contribution to a discussion. Reflecting, Exploring Acknowledging Refocusing, content reflection (paraphrasing)