Deck 34: Anxiety

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Question
The nurse is assessing the social support of a patient who is recently divorced and has moved from their hometown to the city due to change in jobs. Which response related to social support would be most therapeutic?

A) Encourage the patient to begin dating again, perhaps with members of her church.
B) Discuss how divorce support groups could increase coping and social support.
C) Note that being so particular about potential friends reduces social contact.
D) Discuss using the Internet as a way to find supportive others with similar values.
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Question
A patient is newly diagnosed with anxiety and placed on a selective serotonin reuptake inhibitors (SSRIs). The nurse is developing the plan of care for this patient. How long will it take for this medication to become effective?

A) The medication will become effective immediately.
B) The medication may take up to 12 weeks to become effective.
C) The medication may take up to 6 weeks to become effective.
D) The medication may take up to 4 weeks to become effective.
Question
The nurse is teaching a hospitalized patient to use mindfulness to reduce anxiety. Which statement by the nurse is appropriate?

A) "How do you feel about what happened to you as a child?"
B) "How do you feel about what is going on right now?"
C) "Remember a time when you were calm."
D) "Tap your hands until the feeling goes away."
Question
The nurse wishes to use guided imagery to help an anxious patient relax. Which comment would be appropriate to include in the guided imagery script? (Select all that apply.)

A) "Imagine others treating you the way they should, the way you want to be treated…"
B) "With each breath, you are feeling calmer, more relaxed, almost as if you are floating…"
C) "You are alone on a beach; the sun is warm; and you hear only the sound of the surf…"
D) "You have taken control; nothing can hurt you now; everything is going your way…"
E) "You have grown calm; your mind is still; there is nothing to disturb your well-being…"
F) "You will feel better as work calms down, as your boss becomes more understanding…"
Question
A patient complains of insomnia during his stay in the hospital. Which nursing diagnosis would be a top priority for this patient?

A) Anxiety related to hospitalization
B) Ineffective Coping related to hospitalization
C) Denial related to hospitalization
D) High Risk for Insomnia related to hospitalization
Question
A patient reports that he is overwhelmed with anxiety. Which question would be most important to use in assessing the patient during your first meeting?

A) "What kinds of things do you do to reduce or cope with your stress?"
B) "Tell me about your family history-do any relatives have problems with stress?"
C) "Tell me about exercise-how far do you typically run when you go jogging?"
D) "Stress can interfere with sleep. How much did you sleep last night?"
Question
The nurse knows that which of the following medical conditions are most commonly associated with anxiety? (Select all that apply.)

A) Cancer
B) Pancreatitis
C) Hypothyroidism
D) Dysrhythmias
E) Encephalitis
F) Hyperthyroidism
Question
A female patient is anxious after receiving the news that she needs a breast biopsy to rule out breast cancer. The nurse is assisting with a breast biopsy. Which relaxation technique will be best to use at this time?

A) Massage
B) Meditation
C) Guided imagery
D) Relaxation breathing
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Deck 34: Anxiety
1
The nurse is assessing the social support of a patient who is recently divorced and has moved from their hometown to the city due to change in jobs. Which response related to social support would be most therapeutic?

A) Encourage the patient to begin dating again, perhaps with members of her church.
B) Discuss how divorce support groups could increase coping and social support.
C) Note that being so particular about potential friends reduces social contact.
D) Discuss using the Internet as a way to find supportive others with similar values.
Discuss how divorce support groups could increase coping and social support.
2
A patient is newly diagnosed with anxiety and placed on a selective serotonin reuptake inhibitors (SSRIs). The nurse is developing the plan of care for this patient. How long will it take for this medication to become effective?

A) The medication will become effective immediately.
B) The medication may take up to 12 weeks to become effective.
C) The medication may take up to 6 weeks to become effective.
D) The medication may take up to 4 weeks to become effective.
The medication may take up to 12 weeks to become effective.
3
The nurse is teaching a hospitalized patient to use mindfulness to reduce anxiety. Which statement by the nurse is appropriate?

A) "How do you feel about what happened to you as a child?"
B) "How do you feel about what is going on right now?"
C) "Remember a time when you were calm."
D) "Tap your hands until the feeling goes away."
"How do you feel about what is going on right now?"
4
The nurse wishes to use guided imagery to help an anxious patient relax. Which comment would be appropriate to include in the guided imagery script? (Select all that apply.)

A) "Imagine others treating you the way they should, the way you want to be treated…"
B) "With each breath, you are feeling calmer, more relaxed, almost as if you are floating…"
C) "You are alone on a beach; the sun is warm; and you hear only the sound of the surf…"
D) "You have taken control; nothing can hurt you now; everything is going your way…"
E) "You have grown calm; your mind is still; there is nothing to disturb your well-being…"
F) "You will feel better as work calms down, as your boss becomes more understanding…"
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5
A patient complains of insomnia during his stay in the hospital. Which nursing diagnosis would be a top priority for this patient?

A) Anxiety related to hospitalization
B) Ineffective Coping related to hospitalization
C) Denial related to hospitalization
D) High Risk for Insomnia related to hospitalization
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6
A patient reports that he is overwhelmed with anxiety. Which question would be most important to use in assessing the patient during your first meeting?

A) "What kinds of things do you do to reduce or cope with your stress?"
B) "Tell me about your family history-do any relatives have problems with stress?"
C) "Tell me about exercise-how far do you typically run when you go jogging?"
D) "Stress can interfere with sleep. How much did you sleep last night?"
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7
The nurse knows that which of the following medical conditions are most commonly associated with anxiety? (Select all that apply.)

A) Cancer
B) Pancreatitis
C) Hypothyroidism
D) Dysrhythmias
E) Encephalitis
F) Hyperthyroidism
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Unlock for access to all 8 flashcards in this deck.
Unlock Deck
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8
A female patient is anxious after receiving the news that she needs a breast biopsy to rule out breast cancer. The nurse is assisting with a breast biopsy. Which relaxation technique will be best to use at this time?

A) Massage
B) Meditation
C) Guided imagery
D) Relaxation breathing
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Unlock for access to all 8 flashcards in this deck.
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Unlock Deck
Unlock for access to all 8 flashcards in this deck.