FIRST PUBLISH OCTOBER 2024
NUR 448 Exam 2 (Practice Questions)
with Correct Answers
Anxiety is a symptom that can result from which of the following physiological conditions? Select all that
apply.
A. Chronic obstructive pulmonary disease
B. Hyperthyroidism
C. Hypertension
D. Diverticulosis
E. Hypoglycemia - Ans:✔✔-ABE
Which of the following would the nurse expect to assess in a client diagnosed with posttraumatic stress
disorder? Select all that apply.
A. Dissociative events
B. Intense fear and helplessness
C. Excessive attachment and dependence toward others
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D. Full range of affect
E. Avoidance of activities that are associated with trauma - Ans:✔✔-ABE
A patient has taken clonazepam (Klonopin) for years to manage panic attacks but impulsively stopped
the drug. Thirty hours later, the patient comes to the emergency room in distress. What is the nurse's
priority action?
a. Begin seizure precautions.
b. Refer the patient for addiction counseling.
c. Institute a behavior modification program.
d. Prepare to administer Lexapro (Escitalopram). - Ans:✔✔-A
5. When working with a patient diagnosed with dissociative amnesia, the nurse should begin by:
a.
setting mutual goals for behavioral changes.
b.
instituting measures to prevent identity diffusion.
c.
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identifying and supporting the patient's strengths.
d.
helping the patient develop a realistic self-concept. - Ans:✔✔-C
A patient with panic attacks awakens from sleep complaining of chest pain. The patient is diaphoretic
and breathlessly says, "I feel like I'm going to die." Select the nurse's priority action.
a.
Have the patient lie flat and relax.
b.
Bring the crash cart to the patient's room.
c.
Shake the patient and shout, "Are you okay?"
d.
Instruct the patient to breathe into a paper bag. - Ans:✔✔-D
Which term describes the final stage in the normal process of anxiety?
a.
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Panic
b.
Crisis
c.
Disorganization
d.
Coping - Ans:✔✔-D
An anxious patient has distorted perceptions and ineffective reasoning. On an anxiety rating scale, the
nurse would expect to record the patient's level of anxiety as:
a.
mild, +1.
b.
moderate, +2.
c.
severe, +3.
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