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Crisis 1 - Exam 2 ATI/NCLEX Questions
with Answers
A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm
coughing because I have that cold that everyone has been getting." The nurse should
identify that the client is using which of the following defense mechanisms?
A. reaction formation
B. denial
C. displacement
D. sublimation
Ans: B. denial
A nurse is providing preoperative teaching for a client who was informed of the need
for emergency surgery. The client has a respiratory rate 30/min, and says, "This is
difficult to comprehend. I feel shaky and nervous." The nurse should identify that the
client is experiencing which of the following levels of anxiety?
A. mild
B. moderate
C. severe
D. panic
Ans: B. moderate
A nurse is caring for a client who is experiencing moderate anxiety. Which of the
following actions should the nurse take when trying to give necessary information to
the client? (select all that apply)
A. reassure the client that everything will be okay
B. discuss prior use of coping mechanisms with the client
C. ignore the client's anxiety so that she will not be embarrassed
D. demonstrate a calm manner while using simple and clear directions
E. gather information from the client using close-ended questions
Ans: B. discuss prior use of coping mechanisms with the client
D. demonstrate a calm manner while using simple and clear directions
A nurse is preparing an educational seminar on stress for other nursing staff. Which of
the following information should the nurse include in the discussion?
A. excessive stressors cause the client to experience distress
B. the body's initial adaptive response to stress is denial
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C. absence of stressors results in homeostasis
D. negative, rather than positive, stressors produce a biological response
Ans: A. excessive stressors cause the client to experience distress
A nurse is discussing acute vs. prolonged stress with a client. Which of the following
effects should the nurse identify as an acute stress response? (select all that apply)
A. chronic pain
B. depressed immune system
C. increased blood pressure
D. panic attacks
E. unhappiness
Ans: B. depressed immune system
C. increased blood pressure
E. unhappiness
A nurse is teaching a client about stress-reduction techniques. Which of the following
client statements indicates understanding of the teaching?
A. "Cognitive reframing will help me change my irrational thoughts to something
positive."
B. "Progressive muscle relaxation uses a mechanical device to help me gain control over
my pulse rate."
C. "Biofeedback causes my body to release endorphins so that I feel less stress and
anxiety."
D. "Mindfulness allows me to prioritize the stressors that I have in my life so that I have
less anxiety."
Ans: A. "Cognitive reframing will help me change my irrational thoughts to something
positive."
A nurse is talking with a client who reports experiencing increased stress because a
new partner is "pressuring me and my kids to go live with him. I love him, but I'm not
ready to do that." Which of the following recommendations should the nurse make to
promote a change in the client's situation?
A. learn to practice mindfulness
B. use assertiveness techniques
C. exercise regularly
D. rely on the support of a close friend
Ans: B. use assertiveness techniques
A nurse is caring for a client who states, "I'm so stressed at work because of my
coworker. I am expected to finish others' work because of their laziness!" When
discussing effective communication, which of the following statements by the client to
the coworker indicates client understanding?
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A. "You really should complete your own work. I don't think it's right to expect me to
complete your responsibilities."
B. "Why do you expect me to finish your work? You must realize that I have my own
responsibilities."
C. "It is not fair to expect me to complete your work. If you continue, I will report your
behavior to our supervisor."
D. "When I have to pick up extra work, I feel overwhelmed. I need to focus on my own
responsibilities."
Ans: D. "When I have to pick up extra work, I feel overwhelmed. I need to focus on my own
responsibilities."
A nurse observes a client who has OCD repeatedly applying, removing, and then
reapplying makeup. The nurse identifies that repetitive behavior in a client who has
OCD is due to which of the following underlying reasons?
A. narcissistic behavior
B. fear of rejection from staff
C. attempt to reduce anxiety
D. adverse effect of antidepressant medication
Ans: C. attempt to reduce anxiety
A nurse is caring for a client who is experiencing a panic attack. Which of the following
action should the nurse take?
A. discuss new relaxation techniques
B. show the client how to change the behavior
C. distract the client with a television show
D. stay with the client and remain quiet
Ans: D. stay with the client and remain quiet
A nurse is assessing a client who has a generalized anxiety disorder. Which of the
following findings should the nurse expect? (select all that apply)
A. excessive worry for 6 months
B. impulsive decision making
C. delayed reflexes
D. restlessness
E. sleep disturbances
Ans: A. excessive worry for 6 months
D. restlessness
E. sleep disturbances
A nurse is planning care for a client who has body dysmorphic disorder. Which of the
following actions should the nurse plan to take first?
Q&A
Crisis 1 - Exam 2 ATI/NCLEX Questions
with Answers
A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm
coughing because I have that cold that everyone has been getting." The nurse should
identify that the client is using which of the following defense mechanisms?
A. reaction formation
B. denial
C. displacement
D. sublimation
Ans: B. denial
A nurse is providing preoperative teaching for a client who was informed of the need
for emergency surgery. The client has a respiratory rate 30/min, and says, "This is
difficult to comprehend. I feel shaky and nervous." The nurse should identify that the
client is experiencing which of the following levels of anxiety?
A. mild
B. moderate
C. severe
D. panic
Ans: B. moderate
A nurse is caring for a client who is experiencing moderate anxiety. Which of the
following actions should the nurse take when trying to give necessary information to
the client? (select all that apply)
A. reassure the client that everything will be okay
B. discuss prior use of coping mechanisms with the client
C. ignore the client's anxiety so that she will not be embarrassed
D. demonstrate a calm manner while using simple and clear directions
E. gather information from the client using close-ended questions
Ans: B. discuss prior use of coping mechanisms with the client
D. demonstrate a calm manner while using simple and clear directions
A nurse is preparing an educational seminar on stress for other nursing staff. Which of
the following information should the nurse include in the discussion?
A. excessive stressors cause the client to experience distress
B. the body's initial adaptive response to stress is denial
Q&A
, Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
C. absence of stressors results in homeostasis
D. negative, rather than positive, stressors produce a biological response
Ans: A. excessive stressors cause the client to experience distress
A nurse is discussing acute vs. prolonged stress with a client. Which of the following
effects should the nurse identify as an acute stress response? (select all that apply)
A. chronic pain
B. depressed immune system
C. increased blood pressure
D. panic attacks
E. unhappiness
Ans: B. depressed immune system
C. increased blood pressure
E. unhappiness
A nurse is teaching a client about stress-reduction techniques. Which of the following
client statements indicates understanding of the teaching?
A. "Cognitive reframing will help me change my irrational thoughts to something
positive."
B. "Progressive muscle relaxation uses a mechanical device to help me gain control over
my pulse rate."
C. "Biofeedback causes my body to release endorphins so that I feel less stress and
anxiety."
D. "Mindfulness allows me to prioritize the stressors that I have in my life so that I have
less anxiety."
Ans: A. "Cognitive reframing will help me change my irrational thoughts to something
positive."
A nurse is talking with a client who reports experiencing increased stress because a
new partner is "pressuring me and my kids to go live with him. I love him, but I'm not
ready to do that." Which of the following recommendations should the nurse make to
promote a change in the client's situation?
A. learn to practice mindfulness
B. use assertiveness techniques
C. exercise regularly
D. rely on the support of a close friend
Ans: B. use assertiveness techniques
A nurse is caring for a client who states, "I'm so stressed at work because of my
coworker. I am expected to finish others' work because of their laziness!" When
discussing effective communication, which of the following statements by the client to
the coworker indicates client understanding?
Q&A
, Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
A. "You really should complete your own work. I don't think it's right to expect me to
complete your responsibilities."
B. "Why do you expect me to finish your work? You must realize that I have my own
responsibilities."
C. "It is not fair to expect me to complete your work. If you continue, I will report your
behavior to our supervisor."
D. "When I have to pick up extra work, I feel overwhelmed. I need to focus on my own
responsibilities."
Ans: D. "When I have to pick up extra work, I feel overwhelmed. I need to focus on my own
responsibilities."
A nurse observes a client who has OCD repeatedly applying, removing, and then
reapplying makeup. The nurse identifies that repetitive behavior in a client who has
OCD is due to which of the following underlying reasons?
A. narcissistic behavior
B. fear of rejection from staff
C. attempt to reduce anxiety
D. adverse effect of antidepressant medication
Ans: C. attempt to reduce anxiety
A nurse is caring for a client who is experiencing a panic attack. Which of the following
action should the nurse take?
A. discuss new relaxation techniques
B. show the client how to change the behavior
C. distract the client with a television show
D. stay with the client and remain quiet
Ans: D. stay with the client and remain quiet
A nurse is assessing a client who has a generalized anxiety disorder. Which of the
following findings should the nurse expect? (select all that apply)
A. excessive worry for 6 months
B. impulsive decision making
C. delayed reflexes
D. restlessness
E. sleep disturbances
Ans: A. excessive worry for 6 months
D. restlessness
E. sleep disturbances
A nurse is planning care for a client who has body dysmorphic disorder. Which of the
following actions should the nurse plan to take first?
Q&A
