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Question 1
Free
Multiple Choice

A nurse wishes to teach alternative coping strategies to a patient experiencing severe anxiety. The nurse will first need to:

Choose correct answer/s
A

verify the patient's learning style.

B

create outcomes and a teaching plan.

C

lower the patient's current anxiety level.

D

assess how the patient uses defense mechanisms.

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Question 2
Free
Multiple Choice

A patient approaches the nurse and impatiently blurts out, "You've got to help me! Something terrible is happening. My heart is pounding." The nurse responds, "It's almost time for visiting hours. Let's get your hair combed." Which approach has the nurse used?

Choose correct answer/s
A

Bringing up an irrelevant topic

B

Responding to physical needs

C

Addressing false cognitions

D

Focusing

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Question 3
Free
Multiple Choice

A patient experiencing moderate anxiety says, "I feel undone." An appropriate response for the nurse would be:

Choose correct answer/s
A

"Why do you suppose you are feeling anxious?"

B

"What would you like me to do to help you?"

C

"I'm not sure I understand. Give me an example."

D

"You must get your feelings under control before we can continue."

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Question 4
Free
Multiple Choice

A patient with a high level of motor activity runs from chair to chair and cries, "They're coming! They're coming!" The patient does not follow instructions or respond to verbal interventions from staff. The initial nursing intervention of highest priority is to:

Choose correct answer/s
A

provide for patient safety.

B

increase environmental stimuli.

C

respect the patient's personal space.

D

encourage the clarification of feelings.

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Question 5
Free
Multiple Choice

A patient with a high level of motor activity runs from chair to chair and cries, "They're coming! They're coming!" The patient is unable to follow instructions or respond to verbal interventions from staff. Which nursing diagnosis has the highest priority?

Choose correct answer/s
A

Risk for injury

B

Self-care deficit

C

Disturbed energy field

D

Disturbed thought processes

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Question 6
Multiple Choice

A supervisor assigns a worker a new project. The worker initially agrees but feels resentful. The next day, when asked about the project, the worker says, "I've been working on other things." When asked 4 hours later, the worker says, "Someone else was using the copier, so I couldn't finish it." The worker's behavior demonstrates:

Choose correct answer/s
A
acting out.
B
projection.
C
suppression.
D
passive aggression.
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Question 7
Multiple Choice

A patient is undergoing diagnostic tests. The patient says, "Nothing is wrong with me except a stubborn chest cold." The spouse reports that the patient smokes, coughs daily, has recently lost 15 pounds, and is easily fatigued. Which defense mechanism is the patient using?

Choose correct answer/s
A
Displacement
B
Regression
C
Projection
D
Denial
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Question 8
Multiple Choice

A patient with a mass in the left upper lobe of the lung is scheduled for a biopsy. The patient has difficulty understanding the nurse's comments and asks, "What are they going to do?" Assessment findings include a tremulous voice, respirations 28 breaths per minute, and pulse rate 110 beats per minute. What is the patient's level of anxiety?

Choose correct answer/s
A
Mild
B
Moderate
C
Severe
D
Panic
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Question 9
Multiple Choice

A patient who is preparing for surgery has moderate anxiety and is unable to understand preoperative information. Which nursing intervention is appropriate?

Choose correct answer/s
A
Reassure the patient that all nurses are skilled in providing postoperative care.
B
Describe the procedure again in a calm manner, using simple language.
C
Tell the patient that the staff is prepared to promote recovery.
D
Encourage the patient to express feelings to his or her family.
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Question 10
Multiple Choice

A nurse encourages an anxious patient to talk about feelings and concerns. What is the rationale for this intervention?

Choose correct answer/s
A
Offering hope allays and defuses the patient's anxiety.
B
Concerns stated aloud become less overwhelming and help problem solving to begin.
C
Anxiety is reduced by focusing on and validating what is occurring in the environment.
D
Encouraging patients to explore alternatives increases the sense of control and lessens anxiety.
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Question 11
Multiple Choice

Which assessment question would be most appropriate for the nurse to ask a patient who has possible generalized anxiety disorder (GAD)?

Choose correct answer/s
A
"Have you been a victim of a crime or seen someone badly injured or killed?"
B
"Do you feel especially uncomfortable in social situations involving people?"
C
"Do you repeatedly do certain things over and over again?"
D
"Do you find it difficult to control your worrying?"
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Question 12
Multiple Choice

A patient in the emergency department has no physical injuries but exhibits disorganized behavior and incoherence after a minor traffic accident. In which room should the nurse place the patient?

Choose correct answer/s
A
Interview room furnished with a desk and two chairs
B
Small, empty storage room with no windows or furniture
C
Room with an examining table, instrument cabinets, desk, and chair
D
Nurse's office, furnished with chairs, files, magazines, and bookcases
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Question 13
Multiple Choice

A person has minor physical injuries after an automobile accident. The person is unable to focus and says, "I feel like something awful is going to happen." This person has nausea, dizziness, tachycardia, and hyperventilation. What is this person's level of anxiety?

Choose correct answer/s
A
Mild
B
Moderate
C
Severe
D
Panic
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Question 14
Multiple Choice

Two staff nurses applied for a charge nurse position. After the promotion was announced, the nurse who was not promoted said, "The nurse manager had a headache the day I was interviewed." Which defense mechanism is evident?

Choose correct answer/s
A
Introjection
B
Conversion
C
Projection
D
Splitting
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Question 15
Multiple Choice

A patient tells a nurse, "My new friend is the most perfect person one could imagine-kind, considerate, and good looking. I can't find a single flaw." This patient is demonstrating:

Choose correct answer/s
A
denial.
B
projection.
C
idealization.
D
compensation.
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Question 16
Multiple Choice

A patient experiences an episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to administer as an as-needed (PRN) anxiolytic medication?

Choose correct answer/s
A
Buspirone (BuSpar)
B
Lorazepam (Ativan)
C
Amitriptyline (Elavil)
D
Desipramine (Norpramin)
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Question 17
Multiple Choice

Two staff nurses applied for promotion to nurse manager. Initially, the nurse not promoted had feelings of loss but then became supportive of the new manager by helping make the transition smooth and encouraging others. Which term best describes the nurse's response?

Choose correct answer/s
A
Altruism
B
Sublimation
C
Suppression
D
Passive aggression
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Question 18
Multiple Choice

A person who feels unattractive repeatedly says, "Although I'm not beautiful, I am smart." This is an example of:

Choose correct answer/s
A
repression.
B
devaluation.
C
identification.
D
compensation.
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Question 19
Multiple Choice

A person who is speaking about a contender for a significant other's affection says in a gushy, syrupy voice, "What a lovely person. That's someone I simply adore." The individual is demonstrating:

Choose correct answer/s
A
reaction formation.
B
repression.
C
projection.
D
denial.
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Question 20
Multiple Choice

An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromantic. Which defense mechanism is evident?

Choose correct answer/s
A
Rationalization
B
Compensation
C
Introjection
D
Regression
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