Question

  

____1. A nurse wants to teach alternative coping strategies to a patient experiencing severe anxiety. Which action should the nurse perform first?

a. Verify the patient’s learning style.

b. Lower the patient’s current anxiety.

c. Create outcomes and a teaching plan.

d. Assess how the patient uses defense mechanisms.  

____ 2. A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states this event is not likely. This counseling demonstrates principles of:

a. flooding.

b. desensitization.

c. relaxation technique.

d. cognitive restructuring.

____3. A patient undergoing diagnostic tests says, “Nothing is wrong with me except a stubborn chest cold.” The spouse reports the patient smokes, coughs daily, lost 15 pounds, and is easily fatigued. Which defense mechanism is the patient using?

a. Displacement

b. Regression

c. Projection

d. Denial

____ 4. A patient preparing for surgery has moderate anxiety and is unable to understand preoperative information. Which nursing intervention is most appropriate?

a. Reassure the patient that all nurses are skilled in providing postoperative care.

b. Present the information again in a calm manner using simple language.

c. Tell the patient that staff is prepared to promote recovery.

d. Encourage the patient to express feelings to family.

____ 5. A person has minor physical injuries after an auto 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 the person’s level of anxiety?

a. Mild

b. Moderate

c. Severe

d. Panic

____ 6. A soldier returned home from active duty in a combat zone in Afghanistan and was diagnosed with posttraumatic stress disorder (PTSD). The soldier says, “If there’s a loud noise at night, I get under my bed because I think we’re getting bombed.” What type of experience has the soldier described?

a. Illusion

b. Flashback

c. Nightmare

d. Auditory hallucination

____7. A patient diagnosed with borderline personality disorder was hospitalized several times after self-mutilating episodes. The patient remains impulsive. Which nursing diagnosis is the initial focus of this therapy?

a. Risk for self-directed violence

b. Impaired skin integrity

c. Risk for injury

d. Powerlessness

____8. When preparing to interview a patient diagnosed with narcissistic personality disorder, a nurse can anticipate the assessment findings will include:

a. preoccupation with minute details; perfectionist.

b. charm, drama, seductiveness; seeking admiration.

c. difficulty being alone; indecisive, submissiveness.

d. grandiosity, self-importance, and a sense of entitlement.

____ 9. The nurse caring for an individual demonstrating symptoms of schizotypal personality disorder would expect assessment findings to include:

a. arrogant, grandiose, and a sense of self-importance.

b. attention seeking, melodramatic, and flirtatious.

c. impulsive, restless, socially aggressive behavior.

d. socially anxious, rambling stories, peculiar ideas.

____ 10.   A nurse plans care for an individual diagnosed with antisocial personality disorder. Which characteristic behaviors will the nurse expect? Select all that apply.

a. Reclusive behavior

b. Callous attitude

c. Perfectionism

d. Aggression

e. Clinginess

f. Anxiety

Answer 1

1. Correct option is d. Assess how the patient uses defence mechanism. Onlh by this the nurse can understand how effective he does iþ it help him other alternatives to cope up the situation

2. Correct answer is b. Desensitization

It is a behavoural therapy based on classical conditioning. This aims to remove the fear response of phobia and substitute a relaxation response to the conditional stimulus dradually by encountring the situation.

3. Correct answer is option d. Denial defence mechanism

Here the patient is not ready to accept the reality and blocks external events from awarness

Other options are wrong

projection is when unacceptable phsycological traits or impulses in onself are artributed to others.

Displacement redirects the expression of our negative feelings to a less threatning subject

Regression is when inorder to cope up with situation patient regress to earlier development stages

4. Correct option is b. Present the information again in a calm manner in a simple language.

Before anyprocedure is done it should be explained to the patient relieving anxiety each person has gheir own way. As anurse we have to reaassure them and calmly explain them the procedure so that they understand and can cope up with anxiety.

5. Correct answer is option c. Severe.

Anxiety disorders are defined as excessive worry and hyperarousal that are disruptive to normal functioning.

it can be graded as mild moderate and severe.

Mild is usually subclinical and has impact on emotional professional and social functioning. Here it may be shyness in childhood or soxmcial anxiety which if not treated can lead to problems in future

In moderate anxiety they have more frequent symptoms but their daily functions are not affected badly.

Severe anxiety symptoms is clinically significant anxiety disorder. These patients have lower functioning capability and have high disstress, they have major depression, increased heart rate, feeling of panic and social withdrawal as in this case

6. The correct option is b. Flashback.

The patient feels like the event has reoccured.

Flashback is a re experiemcing symptom of PTSD. Here the patient feels or act as if the traumatic event is happening again.  All the other options are wrong. Illusion is misinterpretation of a sensory stimulus.

Auditory hallucination is false perception of sound and these are rare in ptsd.

7. The correct option is a. Risk of self directed violence.

Borderline lersonality disorder is a mental illness that effects the way a person manages their emotion self image and behaviour. And they do not have a clear idea of themselves and judge them depending upon solutions. Gheir main characteristic is causing self ahrm. They do not do it for attention seeking and is stubborn in behaviour to cause harm.

All the other options are wrong.since the patient rrmains impulsive his main moto will be to cause harm to himself. Powerlessness or risk of injuryor impaired skin integrity is not the first concern. First we should ensure the patientis not possessing harm to self.

8. The correct option is d.grandiosity, self importance and a sense of entitlement.

Narcissisgic persobality disorder is a mental disorder in where people have an inflated sense of their own importance, a deep need of exessive attention and admiration, troubled relationships and lack of empathy for others.

Here the patient thinks of himself as very importqmt and wanted to be credited for all he does and gets annoyed or angry when he is not given the attention or appreciation he needs.

All the other options are wrong. He is not a perfectionist. Nor is he good in relation and does not have the charm seductiveness or does not create drama. He needs continuous validation from others on him being exellent.

9. The correct option is d. Socially anxious, rambling stories and peculiar ideas.

Shizotypal personality disorder is a conditon where person is odd or eccentric. They do not u derstant relationships or motivations and thinks of it as distrur or as people are trying to harm them. They have severe anxiety issues and always avoid social situations.

Due to these reasons all other options are wrong. These patients are never arrogent attention seekin grandious or has self esteem. They are never melodramatic flirtaseous and attension seeking.They do not have socially aggressive behaviour and are not impulsive too

10. In antisocial personality disorder patient may be reclusive behaviour ie shuts himself from all others. Can have anxiety so option a and f are correct.

Callous attitude is not having any empathy to enyone. Cligyness is to hold on to some one. Aggression comes as a part of selfesteem hence allthese are not features of anti social behaviour