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Nursing Interventions for Mental Health Clients

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0% found this document useful (0 votes)
501 views18 pages

Nursing Interventions for Mental Health Clients

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

117 QUIZZES

YBOA (FINALS)
1. A nurse notices that a client is mistrustful and shows hostile behavior. Which of the following types of
personality disorder is associated with these characteristics?

A. Antisocial
B. Avoidant
C. Borderline
D. Paranoid

2. Which of the following statements is typical for a client diagnosed with a personality disorder?

A. “I understand you’re the one to blame.”


B. “I must be seen first; it’s not negotiable.”
C. “I see nothing humorous in this situation.”
D. “I wish someone would select the outfit for me.”

3. Which of the following types of behavior is expected from a client diagnosed with a paranoid
personality disorder?

A. Eccentric
B. exploitative
C. Hypersensitive
D. Seductive

4. A client is admitted to the mental health unit because of a progressively increasing depression over
the past month. What clinical finding does a nurse expect during the initial assessment of the client?

A. Elated affect related to reaction formation


B. Loose associations related to thought disorder
C. Physical exhaustion resulting from decreased physical activity
D. Diminished verbal expression caused by a slowed thought process

5. A client who is being admitted to the mental health unit with bipolar disorder is depressed, avoids
eye contact, responds in a very low voice, and is tearful. What is most therapeutic for a nurse to say
during the assessment interview?

A. "You'll find that you'll get better faster if you try to help us to help you."
B. "Hold my hand. I know you are frightened. I will not allow anyone to harm you."
C. "I'm your nurse. I'll take you to the day room as soon as I get some information."
D. "I know this is difficult, but as soon as we are finished, I'll take you to your room."

6. A client who is being admitted to the mental health unit with bipolar disorder is depressed, avoids eye
contact, responds in a very low voice, and is tearful. What is most therapeutic for a nurse to say during
the assessment interview?
A. "You'll find that you'll get better faster if you try to help us to help you."

B. "Hold my hand. I know you are frightened. I will not allow anyone to harm you."

C. "I'm your nurse. I'll take you to the day room as soon as I get some information."

D. "I know this is difficult, but as soon as we are finished, I'll take you to your room."

7. A client is admitted to the mental health unit because of a progressively increasing depression over
the past month. What clinical finding does a nurse expect during the initial assessment of the client?

A. Elated affect related to reaction formation


B. Loose associations related to thought disorder
C. Physical exhaustion resulting from decreased physical activity
D. Diminished verbal expression caused by slowed thought processes

8. The activity that would be the least therapeutic for severely depressed clients would be:

a specific, simple instructions to be followed


b. simple, easily completed short-term projects
c. monotonous repetitive projects and activities
d. along the clients a plan their own activities

9. When caring for the extremely depressed client, the staff should set specific goals directed
toward helping the client:

a. set realistic goals


b. develop trust in others
c. express hostile feelings
d. get involved in activities

10. When developing a nursing care plan for depressed client, the approach that would be most
therapeutic would be:
A. Allowing time for the client's slowness when planning activities
B. Helping the client focus on family strengths and support systems
C. Encouraging the client to perform menial tasks to meet the need for punishment
D. Repeating again and again that the staff views the client as worthwhile and important

11. The statement that would be most appropriate for the nurse to use in interviewing a newly
admitted, 35-year-old, depressed client whose thoughts focus on feelings of unworthiness and
failure would be:

1. "Tell me how you feel about yourself."


2. "Tell me what has been bothering you."
3. "Why do you feel so bad about yourself?"
4. "What can we do to help you during your stay with us?"

12. An activity that would be most appropriate for a depressed client during the early part of
hospitalization would be a:

1. Game of Trivial Pursuit


2. Project involving drawing
3. Small dance-therapy group
4. Card game with three other clients

13. A female client is hospitalized because of a severe depression. while at home she refused to
eat, stayed in bed most of the time and did not talk with family members. finally, unable to cope
with the problem, her husband took her to the hospital. here the symptoms persist and she will
not leave her room. the nurse caring for her attempts to talk to her, asking questions but
receiving no answers. finally, in exasperation, the nurse tells the client that if she does not
respond she will be left alone. The nurse:

A. Recognizes that the client has the right to make the decision
B. Attempts to use reward and punishment to motivate the client
C. Is really assaulting the client and should have reframed from this
D. Should get her involved in group therapy rather than attempting one to one therapy

14. The first priority for nursing interventions with georgie upon his admission to the unit would be

A. monitor for lithium toxicity and hypertensive crisis


B. Close monitoring of her behavior and taking appropriate actions to ensure shes does not injure other
clients and maintains behavioral control
C. Taking George out of the milieu, medicating her for agitation, and putting her on 1:1 supervision
D. teaching George that her behavior negatively affects other clients and staff

15. After Georgie has been taking lithium for 2 weeks, she complains of vomiting, having diarrhea and
slurring her words. Which of the following represents the most appropriate nursing action?

A. Tell Georgie that these symptoms of mild toxicity that will go away as she becomes reaccustomed to
the lithium.
B. Immediately call the physician to inform her of Georgie’s symptoms and hold her next lithium dose.
C. Check to see that her last lithium level was safely between 1 and 2 mEg/L
D. Tell her to lie down, immediately drawing a blood glucose and giving her orange juice.

16. Therapeutic lithium levels range between

A. 2.0 to 7.9 mEq/L


B. 0.01 to 0.05 mEq/L
C. 1.0 to 1.5 mEq/L
D. 2.5 to 3.0 mEq/L

17. A 35-year-old client with depression lost his job and most of his investments because of his own
unethical business practices. He states his family would be better off without him because of the shame
he has brought to them. How should the nurse respond to this statement?

A. “Tell me more about the shame you feel?”


B. “Are you thinking of killing yourself?”
C. “Has your wife told you she wants a divorce?”
D. “You appear depressed.”

18. Dysthymia refers to


A. A less severe form of depressive disorder
B. A less severe form of bipolar 1 disorder
C. Normal sad moods that most people feel from time to time
D. A mood disorder related to dysfunction of the thymus gland

19. A 25-year-old male client has been in patient treatment for severe depression for 3 weeks. He will be
discharged soon, and the nurse is evaluating the effectiveness if the plan of care. Which outcome is the
most appropriate indicator that the client’s depression is resolving sufficiently for safe discharge?

A. The client has resumed caring for his physical appearance and always appears clean and groomed.
B. The client denies wanting to commit suicide
C. The client expresses a willingness to begin tapering his medication.
D. The client will sit in the public areas and will speak when addressed.

20. Which of the following variables has the most impact on relapse prevention for clients with
depressive or bipolar disorders?

A. Strong social support


B. High Economic Status
C. Stress-management skills
D. Medication Adherence

SABIO QUIZZES

psychosexual
1. When a nurse sees a patient masturbating in his room, she should do one of the following
A. tell the patient to stop doing it.
B. Criticized patient for doing it.
C. Tell the patient you are going to inform the physician about the behavior
D. Quietly leave the room

2. A female client is saying sexually provocative remarks to a male physician in the unit. The nurse
should
A. attempt to understand the meaning of the client’s sexual behavior
B. distract client’s attention by giving her a task to completion
C. Identify client’s need for sexual health education
D. None of the Above

3. The most important benefit of group therapy is:


A. Provide opportunity to improve social skills
B. Help the client develop greater insight into himself and his problems through feedback from the
group
C. Provides opportunity to use the client’s strength and build self-esteem.
D. A means of getting support and encouragement from the other persons.

4. Dennis and Yna are newly married couple and are interested to know more about sexuality. “Which of
the following characteristics is indicative that the couple are sexually healthy. The couple
A. Exhibit congruence of the various components of sexual identity
B. Manifest ability to a lasting relationship identity
C. Express their love through sexual intercourse
D. Demonstrate an integration of the somatic, emotional, intellectual, and social aspects of sexual well-
being.

5. Which of the following are physiologic changes during the excitement phase of the male sexual
response cycle?
A. Develops a recurring contractions of the muscles of the penis and deep perineum
B. A high level of sexual tension is maintained.
C. Heart and respiration may double and BP rises 67% above the resting level.
D. Vasocongestion of the penis shaft is diminished

6. Family therapy is the treatment of choice in one of the following situations


A. There is a need to uncover repressed feelings and concern of the clients
B. There is a need to provide an environment adapted to the individual client’s names
C. The primary problem is related marital conflict or sibling rivalry
D. The client requested for this type of therapy

7. Psychosexual disorders in which significant distress or an impairment in a domain of functioning


results from recurrent intense sexual urges, fantasies, or behaviors generally involving unusual object or
situation, is defined as
A. Psychological problems
B. Paraphilia
C. Sexual problems
D. None of the above.
8. A disorder that is characterized by a sexual fixation, fantasies, or behaviors towards an in animate
objects, called?
A. Fetishism
B. Voyeurism
C. Sexual Sadism
D. Sexual Masochism

9. The condition of experiencing sexual arousal in response to the extreme pain, suffering or humiliation
of others is termed as?
A. Sexual Sadism
B. Sexual Fetishism
C. Sadomasochism
D. Voyeurism

10. According to DSM V, a confirmatory diagnosis of Paraphilia's can be made only if the behaviour
persists for
a. 3
b. 2
C. 6
d. 9

11. In disorders of sexuality and sexual functioning the term gender identity disorder refers to
A. Problems with sexual fantasies
B. Sexual urges or fantasies involving unusual sources of gratification problems
C. Problems with Sexual Fantasies
D. An individual is dissatisfied with their own biological sex and have a strong desire to be a member of
opposite sex

12. A patient who is being treated at the community health clinic complains of lack of sexual desire and
mentions the problems this is causing in her marriage. Which of the following data is likely related to her
sexual dysfunction?
a. Being an adopted only child
b. Taking an antidepressant medication
c. Growing up in a dysfunctional family
d. Living in an isolated area in the country

3. Which assessment question demonstrates knowledge of possible risk factors for the development of a
paraphilic disorder?

a. "When were you first diagnosed with schizophrenia?"


b. "Are you aware of a family history of obsessive-compulsive disorder?
C. "When did you begin relying on printed pornography as a sexual stimulant?
d. "Why do you find it difficult to take your prescribed antianxiety medication?"
14. Sexual dysfunction may be closely associated with relationship problems. One way that this can be
explored is through:
a. Psychoanalysis
b. Self-instructional training
c. Couples therapy
d. Orgasmic orientation training

15. Female sexual arousal disorder is defined primarily in terms of a deficiency in a physical or
physiological response and as a result may be caused by a range of physical or physiological factors,
including
a. Hormone imbalances
b. Diabetes
c. Medications
d. All of the above

16. A male client has undergone surgery for the repair of an abdominal aortic aneurysm. Which of the
following responses is most appropriate to the client's wife when she asks if her husband will be
impotent?
a. "Don't worry; he will be all right."
b. "He has other problems to worry about.”
c. "We will cross that bridge when we come to it."
d. "There's a chance of impotence after repair of an abdominal aortic aneurysm."

17. Which of the following discharge instructions would be most accurate to provide to a female client
who has suffered a spinal cord injury at the C4 level?

a. After a spinal cord injury, women usually remain fertile; therefore, you may consider
c. Sexual intercourse shouldn't be different for you.
b. After a spinal cord injury, women are usually unable to conceive a child.
d. After a spinal cord injury, menstruation usually stops.

18. Which of the following permanent complications might the nurse expect to see in a client who has
just undergone a perineal prostatectomy?
a. Bleeding
b. Erectile dysfunction
c. Infection
d. Pneumonia

19. A client is admitted to the hospital for treatment of pedophilia and tells the nurse that he doesn't
want to talk to her about his sexual behaviors. Which of the following responses from the nurse is most
appropriate?
a. "I need to ask you the questions on the database."
b. "It is your right not to answer my questions."
c. "OK, I'll just write 'no comment."
d. "I know this must be difficult for you."
20. Which of the following treatments might be used for a patient with gender identity disorder?
a. Group therapy
b. Surgical sexual reassignment
c. Relaxation techniques
d. Antipsychotic agent

21. A 33-year-old female tells the nurse she has never had an orgasm. She tells the nurse that her
partner is upset that he can't meet her needs. Which of the following nursing interventions is most
appropriate?
a. Ask the client if she desires intercourse.
b. Assess the couple's perception of the problem.
c. Tell the client that most women don't reach orgasm.
d. Refer the client to a therapist because she has sexual aversion disorder.

YBOA (MIDTERM)

38. Mr. Bartowski who is newly diagnosed with rheumatoid arthritis asks the community nurse
how stress can affect his disease. The nurse would explain that:

A, the psychological experience of stress will not affect symptoms of physical disease.
B. psychological stress can cause painful emotions, which are harmful to a person with an
illness.
C, stress can overburden the body's immune system, and therefore one can experience
increased symptoms.
D. the body's stress response is stimulated when there are major disruptions in one's life.
39. David is preoccupied with numerous bodily complaints even after a careful diagnostic workup
reveals no physiologic problems. Which nursing intervention would be therapeutic for him?

A. Acknowledge that the complaints are real to the client, and refocus the client on other concerns and
problems.
B. Challenge the physical complaints by confronting the client with the normal diagnostic findings.
C. Ignore the client's complaints, but request that the client keep a list of all symptoms.
D. Listen to the client's complaints carefully, and question him about specific symptoms.

40. A middle-aged woman's father has passed away, and her mother requires physical and emotional
help due to disabilities. The woman is married and raising two children, along with working full time. All
of the factors described are

a) Stressors
b) Demands
c) Illnesses
d) Stimuli

41. An adolescent entering high school voices anxiety over changing schools. Stating anxiety is an act of
a) Valuation
b) Adaptation
c) Evaluation

42. You are the nurse caring for a 72-year-old female who is recovering from abdominal surgery on the
Medical Surgical unit. The surgery was very stressful and prolonged and you note on the chart that her
blood sugars are elevated yet she in not been diagnosed with diabetes. To what do you attribute this
elevation in blood sugars?

a) It is a result of antidiuretic hormone.


b) She must have had diabetes prior to surgery.
c) She has become a diabetic from the abdominal surgery.
d) The blood sugars are probably a result of the "fight-or-flight" reaction

43. You walk into your patients' room and find her sobbing uncontrollably. When you ask what the
problem is your patient responds "I am so scared. I have never known anyone who goes into a hospital
and comes out alive." On this patient's care plan you note a nursing diagnosis of "Ineffective coping
related to stress". What is the best outcome you can expect for this patient?

a) Patient will avoid stressful situations.


b) Patient will start anti-anxiety agent.
c) Patient will adapt relaxation techniques to reduce stress.
d) Patient will be stress free.

44. A nurse is caring for a client who is grieving the loss of a spouse. The nurse understands that grief is
a combination of various factors including all except:
a. Moral
b. Psychological
c. Biological
d. Behavioral

45. A nurse is conducting a grief and loss assessment interview and understands that the current loss,
the history of previous losses, and lifestyle are all a part of this assessment. What question will the nurse
ask the client to assess the current loss?
a. "Do you drink on a regular basis?"
b. "Are you having trouble carrying on with your normal activities?"
c. "What types of coping mechanisms have you employed to work through your grief?
d. "Do you have an active support system?"

46. The concept system for classifying and diagnosing mental disorders was established by the
a. American Nurses Association
b. Professional Regulation Commission
c. American Psychiatric Association
d. American Mental Health Association

47. A client is admitted for surgery. Although not physically distressed, the client appears apprehensive
and withdrawn. What is the nurse's best action?
1. Orient the client to the unit environment.
2. Have a copy of hospital regulations available.
3. Explain that there is no reason to be concerned.
4. Reassure the client that the staff is available to answer questions.

48. An acutely ill client with the diagnosis of schizophrenia has just been admitted to the mental health
unit. When working with this client initially, the nurse's most therapeutic action should be to:
1. Spend time with the client to build trust and demonstrate acceptance
2. Involve the client in occupational therapy and use diversional activity
3. Delay one-to-one interactions until medications reduce psychiatric symptoms
4. Involve the client in multiple small-group discussions to distract attention from the fantasy world

49. The statement that best describes the practice of psychiatric nursing is:
a. Helps people with present or potential mental health problems
b. Ensures clients' legal and ethical rights by acting as a client advocate
c. Focuses interpersonal skills on people with physical or emotional problems
d. Acts in a therapeutic way with people who are diagnosed as having a mental disorder

50. A nurse asks the supervisor, “What coping strategy could I develop to prevent over-responding to
stress in the future?” The supervisor could best respond
a. Monitor your problem solving skills
b. Improve your time management skills
c. Ignore situations that you can change
d. Develop a wide variety of coping strategies

SABIO (MIDTERM)
1. An 18-year old college student, Glady's has lost 35 lbs. for five weeks. Her parents brought
her to take hospital for medical evaluation. The working diagnosis: Anorexia nervosa. Upon
admission, Gladys says to the nurse, "Why am I here. I am not sick. I don't have any health
problem." This statement exemplifies a common defense mechanism used by anorectic client
known as one of the following
a. Conversion
b. Denial
c. Regression
d. Suppression
2. A behavior modification program is to be carried out for Gladys. An appropriate nursing
intervention would be one of the following:

a. Help her to accept that she has problematic


b. Involve her in any dietary planning to solve her
c. Allow her to express her feelings and concerns
d. Give positive rewards for gradual weight gain

3. In caring for client with anorexia nervosa, the appropriate attitudes of the nurse is one of the
following:

a. Consistency and friendliness


b. Accepting and non-judgmental
c. Firm and directive
d. Non-confrontational and accepting

4. Clients with anorexia nervosa usually manifest one of the following behaviors:
a. Low self-esteem
b. Assertiveness
c. Hostility
d. Impulsiveness

5. An effective nursing intervention the nurse can carry out is:

a. Telling you she will report to the physician if she does not
b. Allow her time to eat
a. Ethnic background
b. Life experiences

6. A community health nurse is preparing a lecture on crisis intervention to be given in a


gathering of health workers in a community. In the assessment of a person in crisis, which one
of the following information is most important?

a. Ethnic background
b. Life experiences
c. Socio-economic level
d. Educational background

7. Which of the following statements is TRUE of crisis intervention?

a. Focuses on identifying the stressors in the client's life


b. Help the client develop problem solving skills
c. Focusing on the coping mechanism which was used by the client
d. All persons experiencing crisis present similar

8. Which of the following best describes a crisis state which will help the nurse develop a plan
of care for the client?

a. A crisis state may indicate that the client is suffering from emotional disturbance
b. A crisis state is a good indicator that the client is suffering from a mental illness
c. A person responds to crisis differently
d. All persons experiencing crisis present similar

9. Which of the following is the first step in crisis intervention?

a. Encourage client to use adaptive mechanism


b. Identify stress producing situations for the client
c. Initial referral to relevant community resources which can help the client
d. Assessment of the situation thoroughly

10. Which of the following statements describe crisis:

a. Feeling of apprehension to anticipation of external threat or danger


b. Internal disturbance that results from a stressful event
c. Unpleasant feeling of discomfort due to consciously recognized and realistic danger
d. State of intense anxiety due to stressful event.

11. Nurse Maureen is developing a plan of care for a female client with anorexia nervosa.
Which action should the nurse include in the plan?

a. Provide privacy during meals


b. Set-up strict eating plan for the client
c. Encourage client to exercise to reduce anxiety
d. Restrict visits with the family

12. A client is experiencing anxiety attack. The most appropriate nursing intervention should
include?

a. Turning on the television


b. Leaving the client alone
c. Staying with client and speak in short sentences
d. Ask the client to play with other clients

13. Nurse Claire is caring for a client diagnosed with bulimia! The most appropriate initial goal
for a client diagnosed with bulimia is?

a. Encourage to avoid foods


b. Identity anxiety causing situations
c. Eat only three meals a day
d. Avoid shopping plenty of groceries

14. To establish open and trusting relationship with a female client who has been hospitalized
nurse in charge should?

a. Encourage the staff to have frequent interaction with the client


b. Share an activity with the client
c. Give client feedback about behavior
d. Respect client’s need for personal space

15. Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an
attempt to alleviate Linda's anxiety. The most therapeutic question by the nurse would be?

a. Would you like to watch TV?


b. Would you like me to talk with you?
c. Are feeling upset now?
d. Ignore the client

16. Nurse Penny is aware that the symptoms that distinguish post-traumatic stress disorder
from other anxiety disorder would be:

A. Avoidance of situation & certain activities that resemble the stress


B. Depression and a blunted affect when discussing the traumatic situation
C. Lack of interest in family & others
D. Re-experiencing the trauma in dreams or flashback

17. A characteristic that would suggest to Nurse Anne that an adolescent may have bulimia
would be

a. Frequent regurgitation & re-swallowing of food s


b. Previous history of gastritis
c. Badly stained teeth
d. Positive body image
18. When planning the discharge of a client with chronic anxiety. Nurse Chris evaluates
achievement of the discharge maintenance goals. Which goal would be most appropriately
having been included in the plan of care requiring evaluation?

A. The client eliminates all anxiety from daily situation


b. The client ignores feelings of anxiety
c. The client identifies anxiety producing situations
d. The client maintains contact with a crisis counselor

19. Nurse Cardo is caring for a client diagnosed with bulimia. The most appropriate initial goal
for a client diagnosed with bulimia is to:

a. Avoid shopping for large amounts of food.


b. Control eating
c. Identify anxiety-causing situations
d. Eat only three meals per day

20. Lovie a nursing student is anxious about the upcoming board examination but is able to
study intently and does not become distracted by a roommate's talking and loud music. The
student's ability to ignore distractions and to focus on studying demonstrates:

a. Mild-level anxiety
b. Panic-level anxiety
c. Severe-level anxiety
d. Moderate-level anxiety

21. Anxiety is
a. An abnormal response to everyday stress
b. A sense of psychological distress
c. A physiological response to stress
e. A normal response to everyday stress

22. Mild levels of Anxiety result in

a. A heightened sense of awareness


b. Distorted sensory awareness
c. Mild forgetfulness
d. Impaired ability to concentrate

23. Generalized anxiety disorder is characterized by


a. Excessive worry or anxiety lasting more than 6 months
b. Flashbacks and feelings of unreality
c. Fear of going outdoors
d. Repetitive, ritualized behavior

24. A Client comes to the mental health clinic saying she has been “on edge” lately. She states
she has been preoccupied with work, is making mistakes because she can’t concentrate, and is
forgetting important meetings. She says she thinks she’s going crazy. These symptoms of
anxiety are

a. affective
b. physiologic
c. cognitive
d. behavior

25. A client with generalized anxiety disorders states she is worried about her finances. She has
substantial savings that are managed by reputable financial company. She says she is afraid the
company will go bankrupt and she will lose her money. Which response by the nurse is most
therapeutic?

a. “It’s sounds to me like you have managed your money responsibly”


b “Your money is insured; there is no need to worry”
c. “Has something changed that is causing you to worry”
d. “Why do you think the company will go bankrupt?”

26. A 40- year old man with a history of panic attacks complains that his attacks are becoming
more frequent. He is a good and health and exercises regularly. He states he occasionally drinks
wine with dinner. Which of the following interventions should the nurse discussed with the
client?

a. Desensitization
b. Lifestyle challenges
c. Problem-solving strategies
d. Controlled breathing techniques

27. A nurse is discussing treatment options with client has intense fear of snakes. The nurse
correctly describes the treatment approach when she makes which of the following?

a. “You will meet weekly with a psychiatrist who will discuss childhood issues with you”
b. “You will be treated with medications; antidepressants that affect serotonin levels are the
treatment of choice for phobias”
c. “You will be gradually exposed to the object you fear until you become desensitized to it”
d. “You will be taught a problem-solving technique that will help you manage everyday stress,
which is contributing to your phobic response”

28. A nurse is developing a care plan for a female client with post-traumatic stress disorder.
Which of the following would she do initially?

A. Instruct the client to use distraction techniques to cope with flashbacks.


B. Encourage the client to put the past in proper perspective.
C. Encourage the client to verbalize thoughts and feelings about the trauma.
D. Avoid discussing the traumatic event with the client.

29. The psychiatric nurse uses cognitive-behavioral techniques when working with a client who
experiences panic attacks. Which of the following techniques are common to this theoretical
framework? (Select all that apply.)

A. Administering anti-anxiety medication as prescribed


B. Encouraging the client to restructure thoughts
C. Helping the client to use controlled relaxation breathing
D. Helping the client examine evidence of stressors
E. Questioning the client about early childhood relationships
F. Teaching the client about anxiety and panic

31. Mandy, a nurse who works at Nurseslabs Rehabilitation Center is assessing a client for
recent stressful life events. She recognizes that stressful life events are both:

a. desirable and growth-promoting.


b. positive and negative.
c. undesirable and harmful.
d. predictable and controllable.

32. During a community visit, volunteer nurses teach stress management to the participants.
The nurses will most likely advocate which belief as a method of coping with stressful life
events?

a. Avoidance of stress is an important goal for living.


b. Control over one's response to stress is possible.
c. Most people have no control over their level of stress.
d. Significant others are important to provide care and concern.

33. Genevieve only attends social events when a family member is also present. She exhibits
behavior typical of which anxiety disorder?

a. Agoraphobia
b. Generalized Anxiety disorder
c. Obsessive Compulsive behavior
d. Post-traumatic stress disorder

34. When assessing a client with anxiety, the nurse’s questions should be:

a. Avoided until the anxiety is gone


b. Open ended
c. Postponed until the client volunteer information
d. Specific and Direct

35. During the assessment, the client tells the nurse that she cannot stop worrying about her
appearance and
that she often removes "old" makeup and applies fresh makeup every hour or two throughout
the day. The nurse identifies this behavior as indicative of a

a. Acute stress disorder


b. Generalized anxiety disorder
c. Panic disorder
d. Obsessive-compulsive disorder

34. When assessing a client with anxiety, the nurse’s questions should be:

a. Avoided until the anxiety is gone


b. Open ended
c. Postponed until the client volunteer information
d. Specific and Direct

35. During the assessment, the client tells the nurse that she cannot stop worrying about her
appearance and
that she often removes "old" makeup and applies fresh makeup every hour or two throughout
the day. The nurse identifies this behavior as indicative of a

a. Acute stress disorder


b. Generalized anxiety disorder
c. Panic disorder
d. Obsessive-compulsive disorder

36. The best goal for a client learning a relaxation technique is that the client will

a. Confront the source of anxiety directly


b. Experience anxiety without feeling overwhelmed
c. Report no episodes of anxiety
d. Suppress anxious thoughts

37. The nurse observes a client who is becoming increasingly upset. He is rapidly pacing,
hyperventilating, clenching his jaw, wringing his hands, and trembling. His speech is high
pitched and random; he seems preoccupied with his thoughts. He is pounding his fist into his
other hand. The nurse identifies his anxiety level as

a. Mild
b. Moderate
c. Severe
d. Panic

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