A client who is a nursing student reports increased anxiety with test taking. Which behavioral technique is most appropriate for this client to put into practice?

Participate in a study group and prepare well before exams.

Use breathing techniques to reduce anxiety.

Write "I can do this" on an index card and place in view.

Use meditation prior to exams.

Answer and Explanation

The Correct Answer is B

A. Participate in a study group and prepare well before exams: While preparation reduces uncertainty and improves confidence, it is a general academic strategy. It does not directly address acute anxiety symptoms during the test-taking moment.
B. Use breathing techniques to reduce anxiety: Breathing exercises activate the parasympathetic nervous system, helping lower heart rate and calm the mind. This behavioral technique is effective in managing immediate physiological symptoms of anxiety during testing.
C. Write "I can do this" on an index card and place in view: Positive affirmations may boost confidence but do not directly reduce the body’s physical stress response. They are supportive but less effective in the moment compared to relaxation techniques.
D. Use meditation prior to exams: Meditation is helpful for long-term stress management, but breathing techniques are easier to apply in real-time situations. For acute anxiety just before or during testing, breathing exercises offer more immediate relief.

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Correct Answer is C

Explanation

A. "What makes you most angry about getting the disease?": This response aligns with the anger stage, which is the second stage in the Kübler-Ross model. It helps validate frustration but is not appropriate in the bargaining phase. At this point, the client is more focused on negotiating for more time or outcomes. Encouraging anger expression may be less helpful now.
B. "Let's review the laboratory results and compare them with the diagnostic tests.": This is a logical, data-focused statement that doesn’t address the client’s emotional needs. During bargaining, clients are seeking emotional reassurance and often making "if only" or "I wish" statements. Reviewing labs lacks therapeutic value in this emotional stage.
C. "I understand that it would be wonderful to see your daughter's graduation.": This statement acknowledges a common bargaining response — hoping to live long enough for an important event. It reflects empathy and connects with the client's emotional state. Supporting these goals helps the client feel heard and validated during this stage.
D. "I like your idea of living for today and enjoying those around you.": This statement reflects the mindset seen in the acceptance stage of grief. While it promotes positivity, it does not resonate with the bargaining phase, where clients are still negotiating with fate or a higher power. It may feel dismissive of the client’s current emotional struggle.

A. Type A+ B. Type A/B- C. Type O- D. Type B+

Correct Answer is C

Explanation

A. Type A+: Type A+ blood contains A antigens and Rh factor, which can trigger an immune response in individuals with incompatible blood types. It cannot be universally given in emergencies without typing.
B. Type A/B-: Type AB- contains both A and B antigens. AB is the universal recipient, not donor, and can cause severe transfusion reactions if given to someone with different blood type antibodies.
C. Type O-: O-negative blood is the universal donor for red blood cells because it lacks A, B, and Rh antigens. It minimizes the risk of transfusion reactions and is the safest choice when blood typing cannot be confirmed.
D. Type B+: Type B+ contains B antigens and the Rh factor, making it unsafe for recipients with type A or O blood. It is not suitable for emergency transfusions without matching.

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A client who is a nursing student reports increased anxiety with test taking. Which behavioral technique is most appropriate for this client to put into practice?

Nursing Test Bank

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