ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 68 Questions
Question 1 of 5
To develop a therapeutic relationship with an anxious client, the nurse looks for ways to build trust. What nursing intervention is most likely to help the nurse gain the client's trust?
Correct Answer: C
Rationale: Building trust is especially critical to developing a therapeutic relationship with an anxious client. Being available and attentive to the client's requirements contributes to this trust. The nurse should not leave an anxious client alone, especially during a new or potentially frightening experience.
To manage an anxious client's restricted attention and concentration, directions or explanations must be simple, brief, and repeated frequently to implement adjusting teaching.
Question 2 of 5
Clients with obsessive-compulsive disorder (OCD) may exhibit what sign or symptom?
Correct Answer: D
Rationale: Clients with OCD may feel compelled to perform the same act repeatedly for a specific number of times or in a prescribed sequence and acknowledge performing ritualistic behaviors. Persons with social phobia experience fear of situations in which they may capture the attention of others. Post-traumatic stress disorder (PTS
D) is a condition that involves a delayed anxiety response. Initially, the affected person avoids dealing with the tragedy and detaches from others using a technique that is referred to as psychic numbing.
Question 3 of 5
Which level of anxiety is constructive and prepares a person to take action in appropriate situations?
Correct Answer: C
Rationale: Mild anxiety is constructive and prepares a person to take action in appropriate situations. In moderate anxiety, the person is more easily distracted. The attention span decreases in severe anxiety. In panic anxiety, the person exaggerates details.
Question 4 of 5
What is a true statement regarding a panic disorder?
Correct Answer: C
Rationale: In panic disorder, the first instinct is to escape to a safer place. Episodes of panic may last minutes to less than 1 hour and then spontaneously subside. People who are affected experience an abrupt onset of physical symptoms and terror that include intense apprehension.
Question 5 of 5
The nurse is caring for a client diagnosed with PTSD. The client is exhibiting withdrawal and ignoring problems and issues. The nurse recognizes this as which of the following?
Correct Answer: C
Rationale: Initially, a person diagnosed with PTSD avoids dealing with the tragedy and detaches from others using a technique termed psychic numbing. Social phobia is a fear of being in social places. Flashbacks are recurrent nightmares. Guilt may occur from emotional conflicts related to the traumatic experience.