Varcarolis'sdCanadiandPsychiatricdMentaldHealthdNursingd2nddEditiondHalterdTestdBank
Chapterd12:dAnxietydanddRelateddDisorders
Halter:dVarcarolis’sdCanadiandPsychiatricdMentaldHealthdNursing,d2nddEdition
MULTIPLEdCHOICE
1. Adnursedwantsdtodteachdalternativedcopingdstrategiesdtodadpatientdexperiencingdseveredanxiety.d
Whichdactiondshoulddthednursedperformdfirst?
a. Verifydthedpatient’sdlearningdstyle.
b. Lowerdthedpatient’sdcurrentdanxiety.
c. Createdoutcomesdanddadteachingdplan.
d. Assessdhowdthedpatientdusesddefencedmechanisms.
ANS:d B
Adpatientdexperiencingdseveredanxietydhasdadmarkedlydnarroweddperceptualdfielddandddifficult
ydattendingdtodeventsdindthedenvironment.dAdpatientdexperiencingdseveredanxietydwilldnotdlearnd
readily.dDeterminingdpreferreddmodesdofdlearning,ddevisingdoutcomes,danddconstructingdteach
ingdplansdaredrelevantdtodthedtask,dbutdarednotdthedprioritydmeasure.dThednursedhasdalreadydasses
seddthedpatient’sdanxietydlevel.dUsedofddefencedmechanismsddoesdnotdapply.
DIF: CognitivedLevel:dApplyd(Application)
TOP: NursingdProcess:dImplementation MSC:d ClientdNeeds:dPsychosocialdIntegrity
2. Whichdisdandintermediatedindicatordofdthednursingdoutcomedofdanxietydself-control?
a. Maintainsdadequatedsleep
b. Monitorsdintensitydofda nNx i eR
c. Controlsdanxietydresponse
UdtSyddNIdT
dGdB.CdM
o
d. Usesdrelaxationdtechniquesdtodlowerdanxiety
ANS:d C
Intermediatedindicatorsdofdthednursingdoutcomedanxietydself-
controldaredcontrolsdanxietydresponsedanddmaintainsdroledperformance.dMaintainsdadequatedsle
ep,dmonitorsdintensitydofdanxietydanddusesdrelaxationdtechniquesdtodlowerdanxiety,daredshortdter
mdindicatorsdofdthedoutcomesdofdanxietydself-control.
DIF: CognitivedLevel:dUnderstandd(Comprehension)
TOP: NursingdProcess:dAssessment MSC:d ClientdNeeds:dPsychosocialdIntegrity
3. Adpatientdexperiencingdmoderatedanxietydsays,d“Idfeeldundone.”dAndappropriatedresponsedfordt
hednursedwoulddbedwhichdofdthedfollowing?
a. “Whatdwoulddyoudlikedmedtoddodtodhelpdyou?”
b. “Whyddodyoudsupposedyoudaredfeelingdanxious?”
c. “I’mdnotdsuredIdunderstand.dGivedmedandexample.”
d. “Youdmustdgetdyourdfeelingsdunderdcontroldbeforedwedcandcontinue.”
ANS:d C
,Varcarolis'sdCanadiandPsychiatricdMentaldHealthdNursingd2nddEditiondHalterdTestdBank
Increaseddanxietydresultsdindscattereddthoughtsdanddandinabilitydtodarticulatedclearly.dClarifying
dhelpsdthedpatientdidentifydthoughtsdanddfeelings.dAskingdthedpatientdwhydhedordshedfeelsdanxio
usdisdnontherapeutic;dthedpatientdlikelyddoesdnotdhavedandanswer.dThedpatientdmaydbedunabledtod
determinedwhatdhedordshedwoulddlikedthednursedtoddodindorderdtodhelp.dTellingdthedpatientdtodgetd
hisdordherdfeelingsdunderdcontroldisdaddirectivedthedpatientdisdprobablydunabledtodaccomplish.
DIF: CognitivedLevel:dApplyd(Application)
TOP: NursingdProcess:dImplementation MSC:d ClientdNeeds:dPsychosocialdIntegrity
4. Adpatientdfearfullydrunsdfromdchairdtodchair,dcrying,d“They’redcoming!dThey’redcoming!”dThedp
atientddoesdnotdfollowdthedstaff’sddirectionsdordresponddtodverbaldinterventions.dThedinitialdnurs
ingdinterventiondofdhighestdprioritydisdtoddodwhichdofdthedfollowing?
a. Providedfordthedpatient’sdsafety
b. Encouragedclarificationdofdfeelings
c. Respectdthedpatient’sdpersonaldspace
d. Offerdandoutletdfordthedpatient’sdenergy
ANS:d A
Safetydisdofdhighestdprioritydbecausedthedpatientdexperiencingdpanicdisdatdhighdriskdfor
self-injurydrelateddtodincreaseddnongoal-
directeddmotordactivity,ddistorteddperceptions,dandddisordereddthoughts.dOfferingdandoutletdford
thedpatient’sdenergydcandoccurdwhendthedcurrentdpanicdleveldsubsides.dRespectingdthedpatient’sd
personaldspacedisdadlowerdprioritydthandsafety.dClarificationdofdfeelingsdcannotdtakedplaceduntildt
hedleveldofdanxietydisdlowered.
DIF: CognitivedLevel:dAnalyzed(Analysis)
TOP: Nursingd Process:d PlN
anUnR
inSg I NG TB.C oM
MSC:d ClientdNeeds:dSafedEffectivedCaredEnvironment
5. Adpatientdfearfullydrunsdfromdchairdtodchair,dcrying,d“They’redcoming!dThey’redcoming!”dThedp
atientddoesdnotdfollowdthedstaff’sddirectionsdordresponddtodverbaldinterventions.dWhichdnursingd
diagnosisdhasdthedhighestdpriority?
a. Fear
b. Riskdfordinjury
c. Self-careddeficit
d. Disturbeddthoughtdprocesses
ANS:d B
Adpatientdexperiencingdpanic-
leveldanxietydisdatdhighdriskdfordinjurydrelateddtodincreaseddnongoal-
directeddmotordactivity,ddistorteddperceptions,dandddisordereddthoughts.dDatadarednotdpresentdto
dsupportdadnursingddiagnosisdofdself-careddeficitdorddisturbeddthoughtdprocesses.
Thedpatientdmaydhavedfear,dbutdthedriskdfordinjurydhasdadhigherdpriority.
DIF:
CognitivedLevel:dAnalyzed(Analysis)d
TOP: NursingdProcess:dDiagnosis/Analysis
MSC:d ClientdNeeds:dSafedEffectivedCaredEnvironment
,Varcarolis'sdCanadiandPsychiatricdMentaldHealthdNursingd2nddEditiondHalterdTestdBank
6. Adpatientdchecksdanddrechecksdelectricaldcordsdrelateddtodandobsessivedthoughtdthatdthedhoused
maydburnddown.dThednursedanddpatientdexploredthedlikelihooddofdandactualdfire.dThedpatientdsta
tesdthisdeventdisdnotdlikely.dThisdcounsellingddemonstratesdprinciplesdofdwhichdofdthedfollowin
g?
a. Flooding
b. Desensitization
c. Relaxationdtechnique
d. Cognitivedrestructuring
ANS:d d D
Cognitivedrestructuringdinvolvesdthedpatientdindtestingdautomaticdthoughtsdandddrawingdnewdc
onclusions.dDesensitizationdinvolvesdgraduateddexposuredtodadfeareddobject.dRelaxationdtraini
ngdteachesdthedpatientdtodproducedthedoppositedofdthedstressdresponse.dFloodingdexposesdthedpat
ientdtodadlargedamountdofdandundesirabledstimulusdindandeffortdtodextinguishdthedanxietydrespons
e.
DIF: CognitivedLevel:dUnderstandd(Comprehension)
TOP: NursingdProcess:dImplementation MSC:d ClientdNeeds:dPsychosocialdIntegrity
7. Adpatientdundergoingddiagnosticdtestsdsays,d“Nothingdisdwrongdwithdmedexceptdadstubborndc
hestdcold.”dThedspousedreportsdthedpatientdsmokes,dcoughsddaily,dlostd15dpounds,danddisdeas
ilydfatigued.dWhichddefencedmechanismdisdthedpatientdusing?
a. Displacement
b. Regression
c. Projection
d. Denial
ANS:d d D NURSINGTB.CoM
Denialdisdandunconsciousdblockingdofdthreateningdordpainfuldinformationdordfeelings.dRegressi
ondinvolvesdusingdbehavioursdappropriatedatdandearlierdstagedofdpsychosexualddevelopment.dDi
splacementdshiftsdfeelingsdtodadmoredneutraldpersondordobject.dProjectiondattributesdone’sdowndu
nacceptabledthoughtsdordfeelingsdtodanother.
DIF: CognitivedLevel:dUnderstandd(Comprehension)
TOP: NursingdProcess:dAssessment MSC:d ClientdNeeds:dPsychosocialdIntegrity
8. Adpatientdwithdandabdominaldmassdisdscheduleddfordadbiopsy.dThedpatientdhasddifficultydunder
standingdthednurse’sdcommentsdanddasks,d“Whatddodyoudmean?dWhatdaredtheydgoingdtoddo?”dA
ssessmentdfindingsdincludedtremulousdvoice,drespirationsd28,danddpulsed110.dWhatdisdthedpatie
nt’sdleveldofdanxiety?
a. Mild
b. Moderate
c. Severe
d. Panic
ANS:d B
Moderatedanxietydcausesdthedindividualdtodgraspdlessdinformationdanddreduces
problem-solvingdabilitydtodadless-than-
optimaldlevel.dMilddanxietydheightensdattentiondanddenhancesdproblemdsolving.dSeveredanx
ietydcausesdgreatdreductiondindthedperceptualdfield.dPanic-
leveldanxietydresultsdinddisorganizeddbehaviour.
, Varcarolis'sdCanadiandPsychiatricdMentaldHealthdNursingd2nddEditiondHalterdTestdBank
DIF:d d CognitivedLevel:dUnderstandd(Comprehension)
TOP:d d NursingdProcess:dAssessment MSC:d ClientdNeeds:dPhysiologicaldIntegrity
9. Adpatientdpreparingdfordsurgerydhasdmoderatedanxietydanddisdunabledtodunderstanddp
reoperativedinformation.dWhichdnursingdinterventiondisdmostdappropriate?
a. Reassuredthedpatientdthatdalldnursesdaredskilleddindprovidingdpostoperativedcare.
b. Presentdthedinformationdagaindindadcalmdmannerdusingdsimpledlanguage.
c. Telldthedpatientdthatdstaffdisdprepareddtodpromotedrecovery.
d. Encouragedthedpatientdtodexpressdfeelingsdtodfamily.
ANS:d d B
Givingdinformationdindadcalm,dsimpledmannerdwilldhelpdthedpatientdgraspdthedimportantdfacts.dI
ntroducingdextraneousdtopicsdasddescribeddindtheddistractersdwilldfurtherdscatterdthedpatient’sdat
tention.
DIF:d d CognitivedLevel:dApplyd(Application)
TOP:d d NursingdProcess:dImplementationd d MSC:d ClientdNeeds:dPsychosocialdIntegrity
10. Adpatientdisdexperiencingdmoderatedanxiety.dThednursedencouragesdthedpatientdtodtalkdaboutdf
eelingsdanddconcerns.dWhatdisdthedrationaledfordthisdintervention?
a. Offeringdhopedallaysdandddefusesdthedpatient’sdanxiety.
b. Concernsdstateddalouddbecomedlessdoverwhelmingdanddhelpdproblemdsolvingdbegin.
c. Anxietydisdreduceddbydfocusingdondanddvalidatingdwhatdisdoccurringdindthede
nvironment.
d. Encouragingdpatientsdtodexploredalternativesdincreasesdthedsensedofdcontroldand
lessensdanxiety.
ANS:d B
Alldprinciplesdlisteddaredvalid,dbutdthedonlydrationaleddirectlydrelateddtodthedinterventiondofda
ssistingdthedpatientdtodtalkdaboutdfeelingsdanddconcernsdisdthedonedthatdstatesdthatdconcernsdsp
okendalouddbecomedlessdoverwhelmingdanddhelpdproblemdsolvingdbegin.
DIF:d d CognitivedLevel:dUnderstandd(Comprehension)
TOP:d d NursingdProcess:dImplementationd d MSC:d ClientdNeeds:dPsychosocialdIntegrity
11. Adnursedassessesdadpatientdwithdadtentativeddiagnosisdofdgeneralizeddanxietyddisorder.dWhichdq
uestiondwoulddbedmostdappropriatedfordthednursedtodask?
a. “Havedyoudbeendadvictimdofdadcrimedordseendsomeonedbadlydinjureddordkilled?”
b. “Dodyoudfeeldespeciallyduncomfortabledindsocialdsituationsdinvolvingdpeople?”
c. “Dodyoudrepeatedlyddodcertaindthingsdoverdanddoverdagain?”
d. “Dodyoudfindditddifficultdtodcontroldyourdworrying?”
ANS:d D
Patientsdwithdgeneralizeddanxietyddisorderdfrequentlydengagedindexcessivedworrying.dTheydare
dlessdlikelydtodengagedindritualisticdbehaviour,dfeardsocialdsituations,dordhavedbeendinvolveddindad
highlydtraumaticdevent.
DIF: CognitivedLevel:dApplyd(Application)
TOP: NursingdProcess:dAssessment MSC:d ClientdNeeds:dPsychosocialdIntegrity
Chapterd12:dAnxietydanddRelateddDisorders
Halter:dVarcarolis’sdCanadiandPsychiatricdMentaldHealthdNursing,d2nddEdition
MULTIPLEdCHOICE
1. Adnursedwantsdtodteachdalternativedcopingdstrategiesdtodadpatientdexperiencingdseveredanxiety.d
Whichdactiondshoulddthednursedperformdfirst?
a. Verifydthedpatient’sdlearningdstyle.
b. Lowerdthedpatient’sdcurrentdanxiety.
c. Createdoutcomesdanddadteachingdplan.
d. Assessdhowdthedpatientdusesddefencedmechanisms.
ANS:d B
Adpatientdexperiencingdseveredanxietydhasdadmarkedlydnarroweddperceptualdfielddandddifficult
ydattendingdtodeventsdindthedenvironment.dAdpatientdexperiencingdseveredanxietydwilldnotdlearnd
readily.dDeterminingdpreferreddmodesdofdlearning,ddevisingdoutcomes,danddconstructingdteach
ingdplansdaredrelevantdtodthedtask,dbutdarednotdthedprioritydmeasure.dThednursedhasdalreadydasses
seddthedpatient’sdanxietydlevel.dUsedofddefencedmechanismsddoesdnotdapply.
DIF: CognitivedLevel:dApplyd(Application)
TOP: NursingdProcess:dImplementation MSC:d ClientdNeeds:dPsychosocialdIntegrity
2. Whichdisdandintermediatedindicatordofdthednursingdoutcomedofdanxietydself-control?
a. Maintainsdadequatedsleep
b. Monitorsdintensitydofda nNx i eR
c. Controlsdanxietydresponse
UdtSyddNIdT
dGdB.CdM
o
d. Usesdrelaxationdtechniquesdtodlowerdanxiety
ANS:d C
Intermediatedindicatorsdofdthednursingdoutcomedanxietydself-
controldaredcontrolsdanxietydresponsedanddmaintainsdroledperformance.dMaintainsdadequatedsle
ep,dmonitorsdintensitydofdanxietydanddusesdrelaxationdtechniquesdtodlowerdanxiety,daredshortdter
mdindicatorsdofdthedoutcomesdofdanxietydself-control.
DIF: CognitivedLevel:dUnderstandd(Comprehension)
TOP: NursingdProcess:dAssessment MSC:d ClientdNeeds:dPsychosocialdIntegrity
3. Adpatientdexperiencingdmoderatedanxietydsays,d“Idfeeldundone.”dAndappropriatedresponsedfordt
hednursedwoulddbedwhichdofdthedfollowing?
a. “Whatdwoulddyoudlikedmedtoddodtodhelpdyou?”
b. “Whyddodyoudsupposedyoudaredfeelingdanxious?”
c. “I’mdnotdsuredIdunderstand.dGivedmedandexample.”
d. “Youdmustdgetdyourdfeelingsdunderdcontroldbeforedwedcandcontinue.”
ANS:d C
,Varcarolis'sdCanadiandPsychiatricdMentaldHealthdNursingd2nddEditiondHalterdTestdBank
Increaseddanxietydresultsdindscattereddthoughtsdanddandinabilitydtodarticulatedclearly.dClarifying
dhelpsdthedpatientdidentifydthoughtsdanddfeelings.dAskingdthedpatientdwhydhedordshedfeelsdanxio
usdisdnontherapeutic;dthedpatientdlikelyddoesdnotdhavedandanswer.dThedpatientdmaydbedunabledtod
determinedwhatdhedordshedwoulddlikedthednursedtoddodindorderdtodhelp.dTellingdthedpatientdtodgetd
hisdordherdfeelingsdunderdcontroldisdaddirectivedthedpatientdisdprobablydunabledtodaccomplish.
DIF: CognitivedLevel:dApplyd(Application)
TOP: NursingdProcess:dImplementation MSC:d ClientdNeeds:dPsychosocialdIntegrity
4. Adpatientdfearfullydrunsdfromdchairdtodchair,dcrying,d“They’redcoming!dThey’redcoming!”dThedp
atientddoesdnotdfollowdthedstaff’sddirectionsdordresponddtodverbaldinterventions.dThedinitialdnurs
ingdinterventiondofdhighestdprioritydisdtoddodwhichdofdthedfollowing?
a. Providedfordthedpatient’sdsafety
b. Encouragedclarificationdofdfeelings
c. Respectdthedpatient’sdpersonaldspace
d. Offerdandoutletdfordthedpatient’sdenergy
ANS:d A
Safetydisdofdhighestdprioritydbecausedthedpatientdexperiencingdpanicdisdatdhighdriskdfor
self-injurydrelateddtodincreaseddnongoal-
directeddmotordactivity,ddistorteddperceptions,dandddisordereddthoughts.dOfferingdandoutletdford
thedpatient’sdenergydcandoccurdwhendthedcurrentdpanicdleveldsubsides.dRespectingdthedpatient’sd
personaldspacedisdadlowerdprioritydthandsafety.dClarificationdofdfeelingsdcannotdtakedplaceduntildt
hedleveldofdanxietydisdlowered.
DIF: CognitivedLevel:dAnalyzed(Analysis)
TOP: Nursingd Process:d PlN
anUnR
inSg I NG TB.C oM
MSC:d ClientdNeeds:dSafedEffectivedCaredEnvironment
5. Adpatientdfearfullydrunsdfromdchairdtodchair,dcrying,d“They’redcoming!dThey’redcoming!”dThedp
atientddoesdnotdfollowdthedstaff’sddirectionsdordresponddtodverbaldinterventions.dWhichdnursingd
diagnosisdhasdthedhighestdpriority?
a. Fear
b. Riskdfordinjury
c. Self-careddeficit
d. Disturbeddthoughtdprocesses
ANS:d B
Adpatientdexperiencingdpanic-
leveldanxietydisdatdhighdriskdfordinjurydrelateddtodincreaseddnongoal-
directeddmotordactivity,ddistorteddperceptions,dandddisordereddthoughts.dDatadarednotdpresentdto
dsupportdadnursingddiagnosisdofdself-careddeficitdorddisturbeddthoughtdprocesses.
Thedpatientdmaydhavedfear,dbutdthedriskdfordinjurydhasdadhigherdpriority.
DIF:
CognitivedLevel:dAnalyzed(Analysis)d
TOP: NursingdProcess:dDiagnosis/Analysis
MSC:d ClientdNeeds:dSafedEffectivedCaredEnvironment
,Varcarolis'sdCanadiandPsychiatricdMentaldHealthdNursingd2nddEditiondHalterdTestdBank
6. Adpatientdchecksdanddrechecksdelectricaldcordsdrelateddtodandobsessivedthoughtdthatdthedhoused
maydburnddown.dThednursedanddpatientdexploredthedlikelihooddofdandactualdfire.dThedpatientdsta
tesdthisdeventdisdnotdlikely.dThisdcounsellingddemonstratesdprinciplesdofdwhichdofdthedfollowin
g?
a. Flooding
b. Desensitization
c. Relaxationdtechnique
d. Cognitivedrestructuring
ANS:d d D
Cognitivedrestructuringdinvolvesdthedpatientdindtestingdautomaticdthoughtsdandddrawingdnewdc
onclusions.dDesensitizationdinvolvesdgraduateddexposuredtodadfeareddobject.dRelaxationdtraini
ngdteachesdthedpatientdtodproducedthedoppositedofdthedstressdresponse.dFloodingdexposesdthedpat
ientdtodadlargedamountdofdandundesirabledstimulusdindandeffortdtodextinguishdthedanxietydrespons
e.
DIF: CognitivedLevel:dUnderstandd(Comprehension)
TOP: NursingdProcess:dImplementation MSC:d ClientdNeeds:dPsychosocialdIntegrity
7. Adpatientdundergoingddiagnosticdtestsdsays,d“Nothingdisdwrongdwithdmedexceptdadstubborndc
hestdcold.”dThedspousedreportsdthedpatientdsmokes,dcoughsddaily,dlostd15dpounds,danddisdeas
ilydfatigued.dWhichddefencedmechanismdisdthedpatientdusing?
a. Displacement
b. Regression
c. Projection
d. Denial
ANS:d d D NURSINGTB.CoM
Denialdisdandunconsciousdblockingdofdthreateningdordpainfuldinformationdordfeelings.dRegressi
ondinvolvesdusingdbehavioursdappropriatedatdandearlierdstagedofdpsychosexualddevelopment.dDi
splacementdshiftsdfeelingsdtodadmoredneutraldpersondordobject.dProjectiondattributesdone’sdowndu
nacceptabledthoughtsdordfeelingsdtodanother.
DIF: CognitivedLevel:dUnderstandd(Comprehension)
TOP: NursingdProcess:dAssessment MSC:d ClientdNeeds:dPsychosocialdIntegrity
8. Adpatientdwithdandabdominaldmassdisdscheduleddfordadbiopsy.dThedpatientdhasddifficultydunder
standingdthednurse’sdcommentsdanddasks,d“Whatddodyoudmean?dWhatdaredtheydgoingdtoddo?”dA
ssessmentdfindingsdincludedtremulousdvoice,drespirationsd28,danddpulsed110.dWhatdisdthedpatie
nt’sdleveldofdanxiety?
a. Mild
b. Moderate
c. Severe
d. Panic
ANS:d B
Moderatedanxietydcausesdthedindividualdtodgraspdlessdinformationdanddreduces
problem-solvingdabilitydtodadless-than-
optimaldlevel.dMilddanxietydheightensdattentiondanddenhancesdproblemdsolving.dSeveredanx
ietydcausesdgreatdreductiondindthedperceptualdfield.dPanic-
leveldanxietydresultsdinddisorganizeddbehaviour.
, Varcarolis'sdCanadiandPsychiatricdMentaldHealthdNursingd2nddEditiondHalterdTestdBank
DIF:d d CognitivedLevel:dUnderstandd(Comprehension)
TOP:d d NursingdProcess:dAssessment MSC:d ClientdNeeds:dPhysiologicaldIntegrity
9. Adpatientdpreparingdfordsurgerydhasdmoderatedanxietydanddisdunabledtodunderstanddp
reoperativedinformation.dWhichdnursingdinterventiondisdmostdappropriate?
a. Reassuredthedpatientdthatdalldnursesdaredskilleddindprovidingdpostoperativedcare.
b. Presentdthedinformationdagaindindadcalmdmannerdusingdsimpledlanguage.
c. Telldthedpatientdthatdstaffdisdprepareddtodpromotedrecovery.
d. Encouragedthedpatientdtodexpressdfeelingsdtodfamily.
ANS:d d B
Givingdinformationdindadcalm,dsimpledmannerdwilldhelpdthedpatientdgraspdthedimportantdfacts.dI
ntroducingdextraneousdtopicsdasddescribeddindtheddistractersdwilldfurtherdscatterdthedpatient’sdat
tention.
DIF:d d CognitivedLevel:dApplyd(Application)
TOP:d d NursingdProcess:dImplementationd d MSC:d ClientdNeeds:dPsychosocialdIntegrity
10. Adpatientdisdexperiencingdmoderatedanxiety.dThednursedencouragesdthedpatientdtodtalkdaboutdf
eelingsdanddconcerns.dWhatdisdthedrationaledfordthisdintervention?
a. Offeringdhopedallaysdandddefusesdthedpatient’sdanxiety.
b. Concernsdstateddalouddbecomedlessdoverwhelmingdanddhelpdproblemdsolvingdbegin.
c. Anxietydisdreduceddbydfocusingdondanddvalidatingdwhatdisdoccurringdindthede
nvironment.
d. Encouragingdpatientsdtodexploredalternativesdincreasesdthedsensedofdcontroldand
lessensdanxiety.
ANS:d B
Alldprinciplesdlisteddaredvalid,dbutdthedonlydrationaleddirectlydrelateddtodthedinterventiondofda
ssistingdthedpatientdtodtalkdaboutdfeelingsdanddconcernsdisdthedonedthatdstatesdthatdconcernsdsp
okendalouddbecomedlessdoverwhelmingdanddhelpdproblemdsolvingdbegin.
DIF:d d CognitivedLevel:dUnderstandd(Comprehension)
TOP:d d NursingdProcess:dImplementationd d MSC:d ClientdNeeds:dPsychosocialdIntegrity
11. Adnursedassessesdadpatientdwithdadtentativeddiagnosisdofdgeneralizeddanxietyddisorder.dWhichdq
uestiondwoulddbedmostdappropriatedfordthednursedtodask?
a. “Havedyoudbeendadvictimdofdadcrimedordseendsomeonedbadlydinjureddordkilled?”
b. “Dodyoudfeeldespeciallyduncomfortabledindsocialdsituationsdinvolvingdpeople?”
c. “Dodyoudrepeatedlyddodcertaindthingsdoverdanddoverdagain?”
d. “Dodyoudfindditddifficultdtodcontroldyourdworrying?”
ANS:d D
Patientsdwithdgeneralizeddanxietyddisorderdfrequentlydengagedindexcessivedworrying.dTheydare
dlessdlikelydtodengagedindritualisticdbehaviour,dfeardsocialdsituations,dordhavedbeendinvolveddindad
highlydtraumaticdevent.
DIF: CognitivedLevel:dApplyd(Application)
TOP: NursingdProcess:dAssessment MSC:d ClientdNeeds:dPsychosocialdIntegrity
