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NUR 448 Exam 2 (Practice Questions) with Correct Answers

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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 ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/80 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. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/80 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. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/80 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. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/80 d. panic, +4. - Ans:-C A patient is demonstrating severe (+3) anxiety. Nursing interventions will center around: a. encouraging ventilation and refocusing attention. b. discussing possible sources of anxiety. c. taking control to guide the patient. d. decreasing stimuli and pressure. - Ans:-D The nurse is assigned to care for a patient with moderate anxiety (+2). The most effective nursing intervention will be: a. use of time-out

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

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
Page 1/80

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




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.


Page 2/80

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




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.

Page 3/80

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




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.

Page 4/80

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