Latest 2400- EAQ: Exam 1 Review
Questions with Actual Detailed
Answers (updated and verified)2025-
2026.
Which action would the nurse take when caring for a client having an acute episode of anxiety?
Select all that apply. One, some, or all responses may be correct.
A. Staying with the client
B. Giving brief directions
C. Using short, simple sentences
D. Linking the client's behavior to feelings
E. Teaching a cognitive therapy principle
F. Having the client write an assessment of strengths - Answer A, B, C, D, E, F
RAT- Staying with the client conveys acceptance and the ability to give help.
Giving brief directions reduces indecision.
Using short, simple sentences promotes comprehension.
Linking the client's behavior to feelings promotes self-awareness.
Cognitive therapy principles provide a basis for behavioral change.
Writing an assessment of strengths increases self-acceptance.
During the initial assessment phase, which parameter would the nurse focus on for a client with
panic disorder and agoraphobia?
A. Easing the client's anxiety so further interviewing may be done
B. Learning about the client's home life to facilitate the planning of future care
C. Suggesting that the client rest for a while before taking the health history
D. Helping the client identify the source of anxiety so the source may be avoided - Answer A
RAT- The nurse would focus on easing the client's anxiety so further interviewing may be done.
,Helping the client identify the source of anxiety so the source can be avoided is not the priority
at this time; anxiety must be reduced and the client's level of comfort increased.
A client with obsessive-compulsive disorder has an anxiety level that is approaching a panic
level, and the client's ritual is interfering with work and daily living. For which selective
serotonin reuptake inhibitor (SSRI) would the nurse anticipate preparing a teaching plan?
A. Haloperidol
B. Fluvoxamine
C. Imipramine
D. Benztropine - Answer B
RAT- Fluvoxamine inhibits central nervous system neuron uptake of serotonin but not
norepinephrine.
Haloperidol is not an SSRI; it is an antipsychotic that blocks neurotransmission produced by
dopamine at synapses.
Imipramine is a tricyclic antidepressant, not an SSRI.
Benztropine is an antiparkinsonian agent, not an SSRI.
Which intervention would the nurse include in the plan of care for a client with posttraumatic
stress disorder who verbalizes a desire to have control over personal feelings related to being
the only survivor?
A. Work on self-forgiveness.
B. Explore specific feelings related to survivor guilt.
C. Discuss life situations that the client is able to manage.
D. Focus on the client's inability to limit escalating anxiety. - Answer C
RAT- The nurse would add to the plan of care and discuss life situations that the client is able to
manage. Focusing on situations that are manageable will enable the client to experience a sense
of personal power.
Working on self-forgiveness relates to feelings of self-blame and depression.
Talking about survivor guilt will not allow the development of a sense of control over the
trauma; instead, the client may focus on being a survivor through luck or chance.
,A. Tell the client to finish changing clothes and say that lunch can be eaten afterward.
B. Help the client change clothes quickly so lunch can be eaten at the scheduled time.
C. Lead the client to the dining room and explain that the clothes can be changed after
lunchtime.
D. Inform the client that everyone is required to be in the dining room at a specific time, so
there is no time to change clothes. - Answer A
RAT- The nurse would tell the client to finish changing clothes and explain that lunch can be
eaten afterward. This response sets some limits on the compulsive act; it permits the ritual
without reinforcing it but does not increase anxiety by removing the defense.
Rushing the completion of the ritual will increase anxiety, because the ritual is being used as a
defense.
Leading the client to the dining room and explaining that the clothes can be changed after lunch
will increase the client's anxiety and reinforce the need for the behavior.
Preventing the ritual will increase anxiety, because the ritual is being used as a coping
mechanism.
Which response would the nurse make to a client with an obsessive-compulsive disorder who
spends 30 minutes in the bathroom six times a day and says, "It keeps me from getting
nervous"?
A. "Let's look at the positive because you will have your own bathroom here."
B. "Tell me how spending time in the bathroom helps you avoid becoming nervous."
C. "Tell me more about what you do in the bathroom during those 30-minute periods."
D. "Let's start by cutting down the time you spend in the bathroom to 20 minutes, three times a
day." - Answer B
RAT- The response, "Tell me how spending time in the bathroom helps you avoid becoming
nervous," encourages the client to explore the defenses employed to cope with anxiety.
The response "Let's look at the positive because you will have your own bathroom here," is a
nontherapeutic response that denies the importance of a problematic area of behavior.
The response, "Tell me more about what you do in the bathroom during those 30-minute
periods," focuses on tasks rather than feelings; also, it may be perceived as threatening or
judgmental.
The response, "Let's start by cutting down the time you spend in the bathroom to 20 minutes,
, Which characteristics of affect are expected for a client with the diagnosis of somatoform
disorder, conversion type?
Select all that apply. One, some, or all responses may be correct.
A. Calm
B. Cheerful
C. Depressed
D. Frightened
E. Matter-of-fact - Answer A, E
RAT- Emotional conflicts are transferred to physical symptoms; thus the symptoms reduce
anxiety and remove the conflict. The individual demonstrates a lack of concern about the
symptoms (la belle indifférence). The individual will not be happy and cheerful, sad and
depressed, or frightened.
Which question would the nurse ask the client with conversion disorder who experiences a
feeling of weakness and is unable to move the right arm while listening to instructions for a
group project?
A. "Exactly when did the weakness begin?"
B. "Is this similar to what you usually experience?"
C. "Would you like to leave the group for a while?"
D. "What emotion were you feeling before you felt the weakness?" - Answer D
RAT- Asking what emotion the client was feeling before experiencing the weakness focuses the
client on the relationship between emotion and physical symptoms in a nonthreatening,
accepting manner.
The nurse knows when the weakness began, so it is unnecessary to ask.
Asking whether this experience is similar to what the client usually experiences does not
identify what the person was feeling when the weakness happened and focuses on the
symptom rather than the real problem.
Asking whether the client would like to leave the group for a while will provide a secondary
gain; it implies sympathy and allows the client to avoid an undesired activity or responsibility.
A client has paralysis of the legs related to somatoform disorder, conversion type. Which
Questions with Actual Detailed
Answers (updated and verified)2025-
2026.
Which action would the nurse take when caring for a client having an acute episode of anxiety?
Select all that apply. One, some, or all responses may be correct.
A. Staying with the client
B. Giving brief directions
C. Using short, simple sentences
D. Linking the client's behavior to feelings
E. Teaching a cognitive therapy principle
F. Having the client write an assessment of strengths - Answer A, B, C, D, E, F
RAT- Staying with the client conveys acceptance and the ability to give help.
Giving brief directions reduces indecision.
Using short, simple sentences promotes comprehension.
Linking the client's behavior to feelings promotes self-awareness.
Cognitive therapy principles provide a basis for behavioral change.
Writing an assessment of strengths increases self-acceptance.
During the initial assessment phase, which parameter would the nurse focus on for a client with
panic disorder and agoraphobia?
A. Easing the client's anxiety so further interviewing may be done
B. Learning about the client's home life to facilitate the planning of future care
C. Suggesting that the client rest for a while before taking the health history
D. Helping the client identify the source of anxiety so the source may be avoided - Answer A
RAT- The nurse would focus on easing the client's anxiety so further interviewing may be done.
,Helping the client identify the source of anxiety so the source can be avoided is not the priority
at this time; anxiety must be reduced and the client's level of comfort increased.
A client with obsessive-compulsive disorder has an anxiety level that is approaching a panic
level, and the client's ritual is interfering with work and daily living. For which selective
serotonin reuptake inhibitor (SSRI) would the nurse anticipate preparing a teaching plan?
A. Haloperidol
B. Fluvoxamine
C. Imipramine
D. Benztropine - Answer B
RAT- Fluvoxamine inhibits central nervous system neuron uptake of serotonin but not
norepinephrine.
Haloperidol is not an SSRI; it is an antipsychotic that blocks neurotransmission produced by
dopamine at synapses.
Imipramine is a tricyclic antidepressant, not an SSRI.
Benztropine is an antiparkinsonian agent, not an SSRI.
Which intervention would the nurse include in the plan of care for a client with posttraumatic
stress disorder who verbalizes a desire to have control over personal feelings related to being
the only survivor?
A. Work on self-forgiveness.
B. Explore specific feelings related to survivor guilt.
C. Discuss life situations that the client is able to manage.
D. Focus on the client's inability to limit escalating anxiety. - Answer C
RAT- The nurse would add to the plan of care and discuss life situations that the client is able to
manage. Focusing on situations that are manageable will enable the client to experience a sense
of personal power.
Working on self-forgiveness relates to feelings of self-blame and depression.
Talking about survivor guilt will not allow the development of a sense of control over the
trauma; instead, the client may focus on being a survivor through luck or chance.
,A. Tell the client to finish changing clothes and say that lunch can be eaten afterward.
B. Help the client change clothes quickly so lunch can be eaten at the scheduled time.
C. Lead the client to the dining room and explain that the clothes can be changed after
lunchtime.
D. Inform the client that everyone is required to be in the dining room at a specific time, so
there is no time to change clothes. - Answer A
RAT- The nurse would tell the client to finish changing clothes and explain that lunch can be
eaten afterward. This response sets some limits on the compulsive act; it permits the ritual
without reinforcing it but does not increase anxiety by removing the defense.
Rushing the completion of the ritual will increase anxiety, because the ritual is being used as a
defense.
Leading the client to the dining room and explaining that the clothes can be changed after lunch
will increase the client's anxiety and reinforce the need for the behavior.
Preventing the ritual will increase anxiety, because the ritual is being used as a coping
mechanism.
Which response would the nurse make to a client with an obsessive-compulsive disorder who
spends 30 minutes in the bathroom six times a day and says, "It keeps me from getting
nervous"?
A. "Let's look at the positive because you will have your own bathroom here."
B. "Tell me how spending time in the bathroom helps you avoid becoming nervous."
C. "Tell me more about what you do in the bathroom during those 30-minute periods."
D. "Let's start by cutting down the time you spend in the bathroom to 20 minutes, three times a
day." - Answer B
RAT- The response, "Tell me how spending time in the bathroom helps you avoid becoming
nervous," encourages the client to explore the defenses employed to cope with anxiety.
The response "Let's look at the positive because you will have your own bathroom here," is a
nontherapeutic response that denies the importance of a problematic area of behavior.
The response, "Tell me more about what you do in the bathroom during those 30-minute
periods," focuses on tasks rather than feelings; also, it may be perceived as threatening or
judgmental.
The response, "Let's start by cutting down the time you spend in the bathroom to 20 minutes,
, Which characteristics of affect are expected for a client with the diagnosis of somatoform
disorder, conversion type?
Select all that apply. One, some, or all responses may be correct.
A. Calm
B. Cheerful
C. Depressed
D. Frightened
E. Matter-of-fact - Answer A, E
RAT- Emotional conflicts are transferred to physical symptoms; thus the symptoms reduce
anxiety and remove the conflict. The individual demonstrates a lack of concern about the
symptoms (la belle indifférence). The individual will not be happy and cheerful, sad and
depressed, or frightened.
Which question would the nurse ask the client with conversion disorder who experiences a
feeling of weakness and is unable to move the right arm while listening to instructions for a
group project?
A. "Exactly when did the weakness begin?"
B. "Is this similar to what you usually experience?"
C. "Would you like to leave the group for a while?"
D. "What emotion were you feeling before you felt the weakness?" - Answer D
RAT- Asking what emotion the client was feeling before experiencing the weakness focuses the
client on the relationship between emotion and physical symptoms in a nonthreatening,
accepting manner.
The nurse knows when the weakness began, so it is unnecessary to ask.
Asking whether this experience is similar to what the client usually experiences does not
identify what the person was feeling when the weakness happened and focuses on the
symptom rather than the real problem.
Asking whether the client would like to leave the group for a while will provide a secondary
gain; it implies sympathy and allows the client to avoid an undesired activity or responsibility.
A client has paralysis of the legs related to somatoform disorder, conversion type. Which
