NUR 398 ANXIETY QUESTIONS WITH VERIFIED
ANSWERS
A client is scheduled for head and neck surgery. Although the healthcare provider has
explained the surgery, the client still has moderate to severe anxiety. Which action
should the nurse take initially?
1
Attempt to discover what the client is concerned about.
2
Elaborate on what the healthcare provider has already said.
3
Teach the client to use the suction equipment preoperatively.
4
Plan for postoperative communication because a tracheostomy is likely. - Answers - 1
Various aspects of hospitalization and diagnosis may cause the client to become
anxious. The nurse should identify what concerns the client the most. Anxiety interferes
with learning, and it is the healthcare provider's responsibility to explain the surgery.
Teaching the client to use the suction equipment preoperatively may cause the client
unnecessary anxiety. A tracheostomy may not be performed; it depends on the type of
surgery.
During a group therapy session one of the clients asks a client with the diagnosis of
antisocial personality disorder why the client is in the hospital. What response might the
nurse expect from a client with this disorder?
1
"I need a lot of help with my troubles."
2
"Society makes people follow rules that don't apply to me."
3
"This might help me straighten out my life."
4
"I decided that it's time that I own up to my problems." - Answers - 2
The client is incapable of accepting responsibility for self-created problems and blames
society for the behavior. An admission that the client needs a lot of help, that the
therapy may help the client straighten out, or that it's time for the client to own up to
problems demonstrates insight, and these individuals rarely develop insight into their
problems.Test-Taking Tip: If the question asks for an immediate action or response, all
of the answers may be correct, so base your selection on identified priorities for action.
A client with rheumatoid arthritis asks the nurse why it is necessary to inject
hydrocortisone into the knee joint. What reason should the nurse include in a response
to this question?
1
, Lubricate the joint
2
Reduce inflammation
3
Provide physiotherapy
4
Prevent ankylosis of the joint - Answers - 2
Steroids have an antiinflammatory effect that can reduce arthritic pannus formation.
Lubricating the joint does not provide lubrication. Injection of a drug into a joint is not
physiotherapy. Ankylosis refers to fusion of joints. It is only indirectly influenced by
steroids, which exert their major effect on the inflammatory process.Test-Taking Tip:
Many times the correct answer is the longest alternative given, but do not count on it.
Item writers (those who write the questions) are also aware of this and attempt to avoid
offering you such "helpful hints."
An 18-year-old adolescent who was diagnosed with new-onset type 1 diabetes mellitus
has stress and reports not having a menstrual cycle for a long time. Which condition is
the adolescent experiencing?
1
Amenorrhea
2
Primary amenorrhea
3
Female athlete triad
4
Hypogonadotropic amenorrhea - Answers - 4
Hypogonadotropic amenorrhea may occur in type 1 diabetic adolescents experiencing
stress. This condition can also result from sudden and severe weight loss, eating
disorders, strenuous exercise, and mental illness.
A client who uses a complex ritual says to the nurse, "I feel so guilty. None of this
makes any sense. Everyone must really think I'm crazy." What is the most therapeutic
response by the nurse?
1
"Your behavior is bizarre, but it serves a useful purpose."
2
"You're concerned about what other people are thinking about you."
3
"I am sure people understand that you can't help this behavior right now."
4
"Guilt serves no useful purpose. It just helps you stay stuck where you are." - Answers -
2
Paraphrasing encourages further ventilation of feelings and concerns by the client.
Telling the client that the behavior is bizarre but that it serves a useful purpose is a
negative response that may increase the client's fears about being "crazy." Saying "I'm
sure people understand that you can't help this behavior right now" provides false
ANSWERS
A client is scheduled for head and neck surgery. Although the healthcare provider has
explained the surgery, the client still has moderate to severe anxiety. Which action
should the nurse take initially?
1
Attempt to discover what the client is concerned about.
2
Elaborate on what the healthcare provider has already said.
3
Teach the client to use the suction equipment preoperatively.
4
Plan for postoperative communication because a tracheostomy is likely. - Answers - 1
Various aspects of hospitalization and diagnosis may cause the client to become
anxious. The nurse should identify what concerns the client the most. Anxiety interferes
with learning, and it is the healthcare provider's responsibility to explain the surgery.
Teaching the client to use the suction equipment preoperatively may cause the client
unnecessary anxiety. A tracheostomy may not be performed; it depends on the type of
surgery.
During a group therapy session one of the clients asks a client with the diagnosis of
antisocial personality disorder why the client is in the hospital. What response might the
nurse expect from a client with this disorder?
1
"I need a lot of help with my troubles."
2
"Society makes people follow rules that don't apply to me."
3
"This might help me straighten out my life."
4
"I decided that it's time that I own up to my problems." - Answers - 2
The client is incapable of accepting responsibility for self-created problems and blames
society for the behavior. An admission that the client needs a lot of help, that the
therapy may help the client straighten out, or that it's time for the client to own up to
problems demonstrates insight, and these individuals rarely develop insight into their
problems.Test-Taking Tip: If the question asks for an immediate action or response, all
of the answers may be correct, so base your selection on identified priorities for action.
A client with rheumatoid arthritis asks the nurse why it is necessary to inject
hydrocortisone into the knee joint. What reason should the nurse include in a response
to this question?
1
, Lubricate the joint
2
Reduce inflammation
3
Provide physiotherapy
4
Prevent ankylosis of the joint - Answers - 2
Steroids have an antiinflammatory effect that can reduce arthritic pannus formation.
Lubricating the joint does not provide lubrication. Injection of a drug into a joint is not
physiotherapy. Ankylosis refers to fusion of joints. It is only indirectly influenced by
steroids, which exert their major effect on the inflammatory process.Test-Taking Tip:
Many times the correct answer is the longest alternative given, but do not count on it.
Item writers (those who write the questions) are also aware of this and attempt to avoid
offering you such "helpful hints."
An 18-year-old adolescent who was diagnosed with new-onset type 1 diabetes mellitus
has stress and reports not having a menstrual cycle for a long time. Which condition is
the adolescent experiencing?
1
Amenorrhea
2
Primary amenorrhea
3
Female athlete triad
4
Hypogonadotropic amenorrhea - Answers - 4
Hypogonadotropic amenorrhea may occur in type 1 diabetic adolescents experiencing
stress. This condition can also result from sudden and severe weight loss, eating
disorders, strenuous exercise, and mental illness.
A client who uses a complex ritual says to the nurse, "I feel so guilty. None of this
makes any sense. Everyone must really think I'm crazy." What is the most therapeutic
response by the nurse?
1
"Your behavior is bizarre, but it serves a useful purpose."
2
"You're concerned about what other people are thinking about you."
3
"I am sure people understand that you can't help this behavior right now."
4
"Guilt serves no useful purpose. It just helps you stay stuck where you are." - Answers -
2
Paraphrasing encourages further ventilation of feelings and concerns by the client.
Telling the client that the behavior is bizarre but that it serves a useful purpose is a
negative response that may increase the client's fears about being "crazy." Saying "I'm
sure people understand that you can't help this behavior right now" provides false
