Chapter 18: Managing Anxiety

Chapter 18: Managing Anxiety

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. When a client has a mild level of anxiety, his or her emotional response is:

ANS:  A

Mild anxiety results in relatively comfortable feelings. An energized emotional response describes feelings of moderate anxiety. Feeling overloaded is characteristic of severe anxiety, and feeling helpless with loss of control refers to the highest level of anxiety, which is panic.

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   p. 203

OBJ:   1                    TOP:   Continuum of Anxiety Responses

KEY:  Nursing Process Step: Assessment   MSC:  Client Needs: Psychosocial Integrity

2. A female college student is seeking help from the counseling center for test anxiety. She reports that during an exam, she “freezes,” and says, “It feels like the time I have to take the exam is racing by, and I can’t answer any of the questions when I know the answers.” Which level of anxiety is the client experiencing?

ANS:  C

These are typical symptoms when someone experiences a severe level of anxiety. During mild anxiety, the perceptual field is broad; moderate anxiety is the best state for problem solving and learning because perception is focused; panic results in totally scattered or closed perception, and problem solving is nearly impossible.

PTS:   1                    DIF:    Cognitive Level: Application           REF:   p. 204

OBJ:   1                    TOP:   Levels of Anxiety

KEY:  Nursing Process Step: Assessment   MSC:  Client Needs: Psychosocial Integrity

3. A learned response to an anticipated event, such as when a person who does not like to fly experiences nausea and sweaty palms before boarding an airplane, is best described as:

ANS:  B

This response occurs as the individual anticipates a stress-provoking event. A normal anxiety response does not best meet the description in this situation; an anxiety state refers to when a person’s coping abilities have become overwhelmed and the person has lost emotional control; and an anxiety trait is part of an individual’s personality that occurs as an overreaction to situations.

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   p. 204

OBJ:   1                    TOP:   Types of Anxiety

KEY:  Nursing Process Step: Assessment   MSC:  Client Needs: Psychosocial Integrity

4. A client tells the nurse that exercising in the gym helps him keep his stress level reduced. Which type of coping mechanism best describes this situation?

ANS:  D

Stress-release activities such as exercise, jogging, and yoga are considered physical coping mechanisms. Spiritual coping mechanisms include prayer, faith, and rituals. Emotional coping mechanisms consist of crying, talking, and defense mechanisms. Intellectual coping mechanisms are observed when an individual changes his or her perceptions of a threat to make it less meaningful.

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   p. 205

OBJ:   2                    TOP:   Coping Methods