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Exam 1 Practice Questions (Stress)

Terms in this set (30)

A male patient reports to the nurse, "I'm told I have memories of childhood abuse stored in my unconscious mind. I want to work on this." Based on this statement, what information should the nurse provide the patient?

a. To seek the help of a trained therapist to help uncover and deal with the trauma associated with those memories.
b. How to use a defense mechanism such as suppression so that the memories will be less threatening.
c. Psychodynamic therapy will allow the surfacing of those unconscious memories to occur in just a few sessions.
d. Group sessions are valuable to identify underlying themes of the memories being suppressed.
a
Which question should the nurse ask when assessing for what Sullivan's Interpersonal Theory identifies as the most painful human condition?

a. "Is self-esteem important to you?"
b. "Do you think of yourself as being lonely?"
c. "What do you do to manage your anxiety?"
d. "Have you ever been diagnosed with depression?"
b
When discussing therapy options, the nurse should provide information about interpersonal therapy to which patient? Select all that apply.

a. The teenager who is the focus of bullying at school
b. The older woman who has just lost her life partner to cancer
c. The young adult who has begun demonstrating hoarding tendencies
d. The adolescent demonstrating aggressive verbal and physical tendencies
e. The middle-aged adult who recently discovered her partner has been unfaithful
a, b, e
When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in to ensure that the patient stays the focus of all therapeutic conversations?

a. Assessing the patient for unexpressed concerns and fears
b. Evaluating the possible need for additional training and education
c. Reflecting on personal behaviors and personal needs
d. Avoiding power struggles with the manipulative patient
c
Which action reflects therapeutic practices associated with operant conditioning?

a. Encouraging a parent to read to their children to foster a love for learning
b. Encouraging a patient to make daily journal entries describing their feelings
c. Suggesting to a new mother that she spend time cuddling her newborn often during the day
d. Acknowledging a patient who is often verbally aggressive for complimenting a picture another patient drew
d
A nurse is assessing a patient who graduated at the top of his class but now obsesses about being incompetent in his new job. The nurse recognizes that this patient may benefit from the following type of psychotherapy:

a. Interpersonal
b. Operant conditioning
c. Behavioral
d. Cognitive-behavioral
d
According to Maslow's hierarchy of needs, the most basic needs category for nurses to address is:

a. physiological
b. safety
c. love and belonging
d. self-actualization
a
In an outpatient psychiatric clinic, a nurse notices that a newly admitted young male patient smiles when he sees her. One day the young man tells the nurse, "You are pretty like my mother." The nurse recognizes that the male is exhibiting:

a. Transference
b. Id expression
c. Countertransference
d. A cognitive distortion
a
Linda is terrified of spiders and cannot explain why. Because she lives in a wooded area, she would like to overcome this overwhelming fear. Her nurse practitioner suggests which therapy?

a. Behavioral
b. Biofeedback
c. Aversion
d. Systematic desensitization
d
A patient is telling a tearful story. The nurse listens empathically and responds therapeutically with:

a. "The next time you find yourself in a similar situation, please call me."
b. "I am sorry this situation made you feel so badly. Would you like some tea?"
c. "Let's devise a plan on how you will react next time in a similar situation."
d. "I am sorry that your friend was so thoughtless. You should be treated better."
c
Besides antianxiety agents, which classification of drugs is also commonly given to treat anxiety and anxiety disorders?

a. Antipsychotics
b. Mood stabilizers
c. Antidepressants
d. Cholinesterase inhibitors
c
What assessment question will provide the nurse with information regarding the effects of a woman's circadian rhythms on her quality of life?

a. "How much sleep do you usually get each night?"
b. "Does your heart ever seem to skip a beat?"
c. "When was the last time you had a fever?"
d. "Do you have problems urinating?"
a
You realize that your patient who is being treated for a major depressive disorder requires more teaching when she makes the following statement:

a. "I have been on this antidepressant for 3 days. I realize that the full effect may not happen for a period of weeks."
b. "I am going to ask my nurse practitioner to discontinue my Prozac today and let me start taking a monoamine oxidase inhibitor tomorrow."
c. "I may ask to have my medication changed to Wellbutrin due to the problems I am having being romantic with my wife."
d. "I realize that there are many antidepressants and it might take a while until we find the one that works best for me."
b
A patient being treated for insomnia is prescribed ramel-teon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?

a. Obsessive-compulsive disorder
b. Generalized anxiety disorder
c. Persistent depressive disorder
d. Substance use disorder
d
Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective? Select all that apply.

a. "I hope Wellbutrin will help my depression and also help me to finally quit smoking."
b. "I'm happy to hear that I won't need to worry too much about weight gain."
c. "It's okay to take Wellbutrin since I haven't had a seizure in 6 months."
d. "I need to be careful about driving since the medication could make me drowsy."
e. "My partner and I have discussed the possible effects this medication could have on our sex life."
a, b
Which drug group calls for nursing assessment for development of abnormal movement disorders among individuals who take therapeutic dosages?

a. SSRIs
b. antipsychotics
c. benzodiazepines
d. tricyclic antidepressants
b
A nurse reviews an order for a CYP450 test. He explains to his patient from Thailand that the test will determine how the antidepressant will be:

a. Metabolized
b. Absorbed
c. Administered
d. Excreted
a
Psychotropic drugs have been used for more than half a century. What statement regarding their current status is true?

a. Only one classification of psychotropic drugs exists.
b. The Food and Drug Administration no longer approves new antidepressants.
c. We do not know exactly how they work.
d. Chlorpromazine (Thorazine), the first psychotropic, continues to be the treatment of choice with hallucinations.
c
The nurse administers each of the following drugs to various patients. The patient who should be most carefully assessed for fluid and electrolyte imbalance is the one receiving:

a. lithium (Eskalith)
b. clozapine (Clozaril)
c. diazepam (Valium)
d. amitriptyline
a
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs:

a. Selective serotonin reuptake inhibitors
b. Monoamine oxidase inhibitors
c. Serotonin and norepinephrine reuptake inhibitors
d. All of the above
b
What assessment question is focused on identifying a long-term consequence of chronic stress on physical health?

a. "Do you have any problems with sleeping well?"
b. "How many infections have you experienced in the past 6 months?"
c. "How much moderate exercise do you engage in on a regular basis?"
d. "What management techniques to you regularly use to manage your stress?"
b
Which nursing assessments are directed at monitoring a patient's fight-or-flight response? Select all that apply.

a. Blood pressure
b. Heart rate
c. Respiratory rate
d. Abdominal pain
e. Dilated pupils
a, b, c, e
The patient you are assigned unexpectedly suffers a cardiac arrest. During this emergency situation, your body will produce a large amount of:

a. carbon dioxide.
b. growth hormone.
c. epinephrine
d. aldosterone
c
Which question is focused on the assessment of an individual's personal ability to manage stress? Select all that apply.

a. "Have you ever been diagnosed with cancer?"
b. "Do you engage in any hobbies now that you have retired?"
c. "Have you been taking your antihypertensive medication as it is prescribed?"
d. "Who can you rely on if you need help after you're discharged from the hospital?"
e. "What do you do to help manage the demands of parenting a 4-year-old and a newborn?"
b, d, e
When considering stress, what is the primary goal of making daily entries into a personal journal?

a. Providing a distraction from the daily stress
b. Expressing emotions to manage stress
c. Identifying stress triggers
d. Focusing on one's stress
c
Jackson has suffered from migraine headaches all of his life. Fatima, his nurse practitioner, suspects muscle tension as a trigger for his headaches. Fatima teaches him a technique that promotes relaxation by using:

a. Biofeedback
b. Guided imagery
c. Deep breathing
d. Progressive muscle relaxation
d
Hugo is 21 and diagnosed with schizophrenia. His history includes significant turmoil as child and adolescent. Hugo reports his father was abusive and routinely beat him, all of his siblings, and his mother. Hugo's early exposure to stress most likely:

a. Made him resilient to stressful situations
b. Increased his future vulnerability to psychiatric disorders
c. Developed strong survival skills
d. Shaped his nurturing nature
b
Hugo has a fraternal twin named Franco who is unaffected by mental illness even though they were raised in the same dysfunctional household. Franco asks the nurse, "Why Hugo and not me?" The nurse replies:

a. "Your father was probably less abusive to you."
b. "Hugo likely has a genetic vulnerability."
c. "You probably ignored the situation."
d. "Hugo responded to perceived threats by focusing on an internal world."
b
First responders and emergency department healthcare providers often use dark humor in an effort to:

a. Reduce stress and anxiety
b. Relive the experience
c. Rectify moral distress
d. Alert others to the stress
a
Your 39-year-old patient, Samantha, who was admitted with anxiety, asks you what the stress-relieving technique of mindfulness is. The best response is:

a. Mindfulness is focusing on an object and repeating a word or phrase while deep breathing
b. Mindfulness is progressively tensing, then relaxing, body muscles
c. Mindfulness is focusing on the here and now, not the past or future, and paying attention to what is going on around you
d. Mindfulness is a memory system to assist you in short-term memory recall
c
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