A patient is demonstrating severe (+3) anxiety. Nursing interventions will center around
a. encouraging ventilation and refocusing attention.
b. discussing possible sources of anxiety.
c. taking control to guide the patient.
d. decreasing stimuli and pressure.
Question 2A patient with insomnia reports taking diazepam (Valium) and wine in increasing amounts to be able to sleep. The nurse should teach the patient about
a. dangers of central nervous system (CNS) depression.
b. risks of acetaldehyde toxicity.
c. risks of fetal alcohol syndrome.
d. diazepam and dietary precautions.
Question 3During the rehabilitation phase of alcoholism treatment, the medication is prescribed to reduce the pleasurable effects of drinking alcohol. The nurse can expect to teach the patient about
a. chlordiazepoxide (Librium).
b. disulfiram (Antabuse).
c. lorazepam (Ativan).
d. naltrexone (Revia).
Question 4If a patient's threshold set point for anxiety is lowered, the nurse can expect subsequent stressors to
a. have a lesser effect.
b. easily reactivate the anxiety response.
c. produce marked personality disorganization.
d. be easily managed using familiar coping strategies.
Question 5Which social event would likely be most disturbing for this soldier diagnosed with PTSD?
a. Halloween festival with neighborhood children
b. Picnic and fireworks display on July 4th
c. Singing carols around a Christmas tree
d. A family outing to the seashore
Question 6The effects of stress can be seen by measurement of clinical changes of the body. This statement is a tenet of which theorist?
a. Freud
b. Selye
c. Peplau
d. Sullivan
Question 7Which assessment findings would prompt the nurse to suspect a disulfiram (Antabuse) reaction?
a. Skin rash, itching, and urticaria
b. Pallor, hypotension, and muscle cramping
c. Dry skin, bradycardia, fatigue, and headache
d. Headache, dyspnea, nausea, vomiting, and flushing
Question 8A soldier was diagnosed with post-traumatic stress disorder (PTSD). The soldier's spouse reports that when a telephone rings during the night, the soldier rolls out of bed and assumes an aggressive stance. How will the nurse document this finding?
a. Flashback
b. Avoidance
c. Hyperarousal
d. Reexperiencing
Question 9Which term describes the final stage in the normal process of anxiety?
a. Panic
b. Crisis
c. Disorganization
d. Coping
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