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Mental health- Linda Waterfalls Vsim Exam Graded A+

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Pre- (Linda Waterfall) Which characteristics are associated with anxiety? Select all that apply - ANSWER--A feeling that is unavoidable and life. -A vague feeling of apprehension. -A reaction to internal or external stimuli. Which of the following best defines normal anxiety? - ANSWER-Dread that is appropriate to the situation in intensity and duration. Which physiological response describes an individual preparing to defend himself or herself against a perceive stressor? - ANSWER-Fight-or-flight What is a characteristic of modern anxiety? - ANSWER-Concentrating independently is difficult. Which statement below is true only of the panic stage of anxiety? - ANSWER-Learning is impossible. Which anxiety related assessment tool is administered by a healthcare professional? - ANSWER-Hamilton rating scale for anxiety. What are the positive functions associated with normal anxiety? Select all that apply - ANSWER--It triggers action to resolve an existing crisis. -It serves to bring about a solution to a problem. Which individual characteristic has the greatest influence on one's personal health believes and practices? - ANSWER-Culture Post- Which response by the nurse would best address Ms. Waterfall's doubt about the effectiveness of relaxation techniques to help manage her anxiety? - ANSWER-"The exercise will help u regain ur sense of calmness so u can better address ur health concerns." which statement made by a nurse best demonstrates an understanding of cultural competence relating to mental health issues? - ANSWER-"It's easy to forget, but not all members of a cultural group always think alike." which interventions should the nurse implement initially to help establish a therapeutic rapport with Ms. Waterfall when she is demonstrating anxiety-related behaviors? (select all that apply.) - ANSWER-Correct: - Ask open-ended qsns to confirm and clarify her statements - Clarify understanding of her concerns - Actively listen to her as she describes her concerns - Present reflective responses to show interest which factors should the nurse consider when determining what influenced the state of Ms. Waterfall's perceived crisis? (select all that apply) - ANSWER-Correct: - Physical distance from her family - Her pre-existing cancer diagnosis - Circumstances surrounding her mother's death - Her cultural belief in the power of a medicine bundle What is the basic foundation for the nurse's response to the high degree of importance Ms. Waterfall places on her missing medicine bundle? - ANSWER-Her feelings and beliefs should be accepted without judgement. Which interventions best demonstrates the nurse acting as an advocate for Ms. Waterfall as she experiences an emotional crisis regarding her impending surgery? - ANSWER-Effectively communicating to Ms. Waterfall's surgeon her wish to delay surgery Which interventions demonstrate advocacy for Ms. Waterfall's decision to delay surgery? (select all that apply) - ANSWER-- Provide all appropriate info she requests - Present the info to her in a clear, concise manner - Make all interventions focus on Ms. Waterfall Which s/s would indicate that Ms. Waterfall is experiencing a MI? (select all that apply) - ANSWER-- Diaphoresis - Substernal pain - Nausea - Vomiting Which nursing intervention would be most effective for assessing Ms. Waterfall's anxiety level? - ANSWER-Encouraging her to express her feeling and concerns Which of Ms. Waterfall's behaviors of characteristics does the Hamilton Rating Scale for Anxiety consider? (select all that apply) - ANSWER-- Her statement, "I feel like I'm going to die" - That she is pacing about the room - Her statement, "I can't breathe" Post- (Li Na Chen) The pt has been prescribed sertaline n venlafaxine. the nurse recognizes that these meds given together can cause which condition? - ANSWER-Confusion

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