Chapter 18: Managing Anxiety

Chapter 18: Managing Anxiety

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When anxiety is a maladaptive response in an individual, it has the characteristic of:

a.	Effective adaptation to stressors
b.	Ineffective coping
c.	Helping an individual learn and grow from experiences
d.	Eliminating uneasy feelings

 

 

ANS:  B

Maladaptive anxiety responses do not help an individual cope; rather, they cause more uneasy feelings and do not help the person resolve the problem. Effective adaptation and helping an individual learn and grow are characteristics of positively focused anxiety.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 191        OBJ:   1

TOP:   Continuum of Anxiety Responses    KEY:  Nursing Process Step: Evaluation

MSC:  Client Needs: Psychosocial Integrity

 

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

a.	Relaxed and calm
b.	Energized
c.	Feeling overloaded
d.	Helplessness with loss of control

 

 

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.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 192        OBJ:   1

TOP:   Continuum of Anxiety Responses    KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Psychosocial Integrity

 

3. 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?

a.	Mild
b.	Moderate
c.	Severe
d.	Panic

 

 

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.

 

DIF:    Cognitive Level: Application           REF:   Page 192        OBJ:   1

TOP:   Continuum of Anxiety Responses    KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Psychosocial Integrity

 

4. A male client with an anxiety disorder sometimes experiences panic attacks following high levels of anxiety. The nurse would expect his physiological responses to include:

a.	Normal vital signs and little to no muscle tension
b.	Increased vital signs, urinary urgency and frequency, diaphoresis, and rigid and tense muscles
c.	Increased vital signs, followed by a drop in vital signs, and poor muscle coordination
d.	Slight elevation in vital signs and some tension

 

 

ANS:  C

This response takes place as a continuation of the stimulated autonomic nervous system response that occurs in severe anxiety until the sympathetic nervous system release response begins. Normal vital signs and little to no tension describe the response to mild anxiety; increased vital signs, urinary urgency and frequency, diaphoresis, and rigid and tense muscles describe symptoms of severe levels of anxiety; and slight elevation in vital signs and some tension are physiological responses of moderate anxiety.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 197        OBJ:   4

TOP:   Panic Disorders                               KEY:  Nursing Process Step: Assessment

MSC:   Client Needs: Physiological Integrity