Question 1

The nurse is instructing a client with an anxiety disorder on behavioral tools to help with coping.Which tools to help with coping should the nurse include in the teaching session? Select all that apply.

Accepted Answer

A)  Reading self-help literature 
B)  Thought stopping 
C)  Journaling 
D)  Distraction 
E)  Practicing yoga

Question 2

The nurse is beginning crisis counseling with a client.What actions will the nurse utilize when counseling the client? Select all that apply.

Accepted Answer

A)  Assist in coping with the problem. 
B)  Conduct follow-up assessments. 
C)  Boil down the problem. 
D)  Achieve contact. 
E)  Assess physiologic status.

Question 3

Which intervention would help a client who is demonstrating stress about being hospitalized and concerned about the needs of the children at home?

Accepted Answer

A)  Ask the client if there is anything that is needed once discharged to home. 
B)  Ask the client if there is anyone who would be able to help with the family needs at home during recuperation. 
C)  Find out if the children can be sent to a grandparent's home until the client fully recovers. 
D)  Suggest the client be transferred to a long-term care facility to ensure a full recovery.

Question 4

A client complains about the stress of having to work long hours and missing daily exercise routines.Which response by the nurse is appropriate?

Accepted Answer

A)  "There are other ways to reduce stress, such as meditation." 
B)  "Exercise helps reduce the impact of stress on the body and would be a good thing." 
C)  "Drinking a small glass of wine each day does help reduce stress." 
D)  "Maybe exercising, with all of the work, would be too much for your body anyway."

Question 5

A client diagnosed with obsessive-compulsive disorder (OCD)is being admitted as an inpatient.The client is obsessed with thoughts of symmetry.Which compulsive behaviors does the nurse anticipate when performing the admission assessment? Select all that apply.

Accepted Answer

A)  The client repeatedly washes his hands. 
B)  The client repeatedly taps both wrists on the bedside table. 
C)  The client avoids shaking the nurse's hand 
D)  The client begins counting the floor tiles. 
E)  The client repeatedly cleans the top of the bedside table.

Question 6

A nurse is developing a plan of care for a client diagnosed with post-traumatic stress disorder (PTSD).The client was recently admitted to the hospital for suicide ideations and sleep disturbance due to frequent nightmares.Which is the priority goal to include in the client's plan of care?

Accepted Answer

A)  The client will report a reduction in or cessation of nightmares. 
B)  The client will report a decreased perception of anxiety. 
C)  The client will discuss emotions related to traumatic experiences. 
D)  The client will remain free from injury or harm.

Question 7

A client,who is experiencing slight anxiety,is trembling and communicating in a manner that makes it difficult for the nurse to understand the client's needs.Based on this data,which level of anxiety is the client likely experiencing?

Accepted Answer

A)  Panic 
B)  Severe 
C)  Moderate 
D)  Mild

Question 8

A client diagnosed with posttraumatic stress disorder is experiencing insomnia.Which interventions would be beneficial for this client? Select all that apply.

Accepted Answer

A)  Discuss the importance of exercise before sleep. 
B)  Instruct in relaxation techniques. 
C)  Encourage the use of sedatives. 
D)  Suggest daytime naps. 
E)  Coach in the use of guided imagery.

Question 9

The nurse is providing care to a client who is experiencing a crisis.Which statement by the client indicates that the goals of care have not been met?

Accepted Answer

A)  "I came up with some ideas on how to cope when I am in this position." 
B)  "I feel like I am in control and can begin managing things now." 
C)  "I am not sure whom I am going to call when I start feeling like this again." 
D)  "I can deal with this, I am a strong person, and I have a lot of friends and family."

Question 10

The nurse is evaluating medication teaching for a client who recently started taking fluoxetine (Prozac)for anxiety.Which statement by the client indicates appropriate understanding of the information presented?

Accepted Answer

A)  "My medication will take 1 week to become effective." 
B)  "My medication will take 4 weeks to become effective." 
C)  "My medication will become effective immediately after I start taking it." 
D)  "My medication will not begin to work for 12 weeks."

Question 11

A client who has been divorced for 1 year begins to take classes at a community college and has enrolled the children in daycare.When documenting the client's actions,which phrase is the most appropriate for the nurse to use?

Accepted Answer

A)  Turning point in life 
B)  Maturational crisis 
C)  Situational crisis 
D)  Responding to stress

Question 12

The nurse is providing teaching to a client diagnosed with a social phobia.Which client statement indicates appropriate understanding of the information presented?

Accepted Answer

A)  "I try to avoid all situations where I am expected to talk in front of other people." 
B)  "I can control anxiety by deep breathing and relaxing before talking in front of other people." 
C)  "I take an antianxiety pill before I have to do anything in front of other people." 
D)  "I can have a drink before I speak in front of other people."

Question 13

The nurse is evaluating the care plan for a client diagnosed with agoraphobia.Which client statement indicates the goals of treatment have been met?

Accepted Answer

A)  "I will be able to make it to my outpatient appointments as long as I can find someone to go with me. It is just easier if I ride with someone." 
B)  "I can't participate in counseling once I get discharged because I hate to leave the house if I don't have to. Other people hate to leave their house for no reason." 
C)  "It is not going to be easy but I will be making it to my appointments even if I have to leave the house by myself. I have been practicing and deep breathing exercises are helping." 
D)  "Every time I try to leave the house I panic and I feel like passing out. I just don't know how this is going to get any better."

Question 14

The nurse is providing care to a client who is "in crisis." The client recently lost a job,was served with divorce papers,and has been sick with a cold for 1 month.Which nursing statement demonstrates understanding of the care of a client in crisis?

Accepted Answer

A)  "Experiencing a crisis is never positive, so we must work to relieve your anxiety as soon as possible." 
B)  "People generally find it easier to work through a crisis if someone is working with them." 
C)  "Men often handle crisis better individually, whereas women do better with a counselor." 
D)  "Once you reach the crisis state, you may remain there for several months until you recover."

Question 15

The nurse suspects a client is experiencing posttraumatic stress disorder when which are noted during the assessment process? Select all that apply.

Accepted Answer

A)  Observed family member be raped and murdered 
B)  Restores antique automobiles as a hobby 
C)  Lives with spouse and has a garden 
D)  Has a history of anxiety disorder 
E)  Recently terminated from employment

Question 16

While attempting to choose a nursing diagnosis,the nurse must decide whether a client is experiencing anxiety or fear.Which key point would allow the nurse to plan care based on the nursing diagnosis of Anxiety?

Accepted Answer

A)  The source of fear is identifiable, but anxiety may be vague. 
B)  Anxiety is a milder form of fear. 
C)  Fear results in a physiologic response, whereas anxiety is psychological. 
D)  Anxiety is generally based in reality, whereas fear is not.

Question 17

A nurse is developing a plan of care for a client diagnosed with post-traumatic stress disorder (PTSD)who was admitted to the hospital for suicide ideations and sleep disturbance due to frequent nightmares.Which is the priority nursing diagnosis for this client?

Accepted Answer

A)  Disturbed Sleep Pattern 
B)  Post-Trauma Syndrome 
C)  Risk for Other-Directed Violence 
D)  Risk for Self-Directed Violence

Question 18

A client is admitted with a diagnosis of post-traumatic stress disorder (PTSD).During a review of the client's history,the nurse is made aware that the client suffers from depression and suicidal thoughts.While interviewing the client,the client tells the nurse he is feeling extremely irritable and that the main reason he is there is because he has been having frequent nightmares.Based on the assessment findings,which medication prescription does the nurse anticipate for this client?

Accepted Answer

A)  Propanolol (Inderal) 
B)  Prazosin (Minipress) 
C)  Risperidone (Risperdal) 
D)  Fluvoxamine (Luvox)

Question 19

The nurse is admitting a client with panic anxiety to the behavioral health unit.Which clinical manifestations would indicate that the client's anxiety is at a panic level of severity? Select all that apply.

Accepted Answer

A)  Inability to focus 
B)  Dilated pupils 
C)  Feelings of doom 
D)  Self-absorption 
E)  Rapid speech

Question 20

Which nursing diagnoses would be applicable for a client who is experiencing a situational crisis? Select all that apply.

Accepted Answer

A)  Ineffective Coping 
B)  Risk for Self-Directed Violence 
C)  Spiritual Distress 
D)  Risk for Loneliness

Exam 31: Stress and Coping