Review Practice Exercise 2

Anxiety and Anxiety Disorders > Mental Health

Exam Review

Practice Exercise 2

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Total Questions : 3

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Question 1:

A nurse observes a client pacing, speaking rapidly, and reporting a pounding heart and nausea. The client states they “can’t focus on anything.” Based on Peplau’s model, which level of anxiety is the client most likely experiencing?

A. Mild B. Moderate C. Severe D. Panic

Answer and Explanation

Choice A:

Mild anxiety enhances alertness and problem-solving, not causing significant distress or physical symptoms like those described.

Choice B:

Moderate anxiety allows redirected focus with assistance, unlike the client’s complete inability to concentrate.

Choice C:

Severe anxiety manifests as difficulty concentrating, heightened physical symptoms like pounding heart and nausea, and pacing, matching the client’s presentation. The narrowed perceptual field and inability to focus align with this level.

Choice D:

Panic anxiety involves extreme disorganization, potential hallucinations, or immobility, which are not evident in the client’s symptoms.

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Question 2:

A nurse notices a client tapping their foot during conversation but still able to discuss coping strategies logically. Which level of anxiety does this behavior suggest?

A. Mild B. Moderate C. Severe D. Panic

Answer and Explanation

Choice A:

Mild anxiety presents with subtle physical signs like foot tapping while maintaining logical conversation and coping strategy discussion, as seen in the client.

Choice B:

Moderate anxiety impairs focus slightly, requiring redirection, unlike the client’s ability to discuss coping strategies logically.

Choice C:

Severe anxiety significantly disrupts concentration, causing physical symptoms like tachycardia, not just mild foot tapping.

Choice D:

Panic anxiety leads to disorganization, with inability to engage logically, contrasting the client’s coherent discussion.

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Question 3:

A nurse is assessing a client with narrowed focus on the source of their anxiety and signs such as voice tremors and shakiness. Which characteristics are associated with moderate anxiety? Select all that apply.

A. Narrowed perceptual field B. Grasping more environmental details than usual C. Voice tremors and shakiness D. Inability to process the environment E. Increased respiratory rate

Answer and Explanation

Choice A:

A narrowed perceptual field is a hallmark of moderate anxiety, allowing focus on the anxiety source while reducing awareness of other stimuli.

Choice B:

Grasping more environmental details occurs in mild anxiety when sensory perception expands, not when the field is narrowed.

Choice C:

Voice tremors and shakiness occur from increased autonomic arousal, causing muscle tension and mild neuromuscular instability.

Choice D:

Inability to process the environment is characteristic of severe anxiety or panic, where cognition is significantly impaired.

Choice E:

Increased respiratory rate results from sympathetic stimulation, preparing the body for a perceived threat by enhancing oxygen delivery.

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Practice Exercise 2

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