Multiple Choice: Read the situation carefully and choose the best answer from the given choices

by writing the
appropriate letter of your chosen answer on your answer sheet.

1. During an assessment of a client the nurse finds that the client is trembling and restless, the client’s blood
pressure and pulse are elevated and the client is complaining of dry mouth, shortness of breath, inability to
relax, lose of appetite, and an upset stomach. What is the client’s level of anxiety?
a) Mild c) Severe
b) Moderate d) Panic

2. During an assessment interview the client tells the nurse, “I can’t stop worrying about my makeup. I can’t go
anywhere or do anything unless my makeup is fresh and perfect. I wash my face and put on fresh makeup at
least once and sometimes twice an hour.” This behavior is most likely a sign of a:
a) Acute stress disorder c) Obsessive-compulsive disorder
b) Generalized anxiety disorder d) Panic disorder

3. When assessing an apparently anxious client, questions about anxiety should be:
a) Abstract and non threatening c) Avoided until the client brings up the subject
b) Avoided until the anxiety disappears d) Specific and direct

4. Which of the following nursing diagnoses has the highest priority for an anxious client?
a) Defensive coping c) Risk for loneliness
b) Ineffective denial d) Risk for self-directed violence

5. The best goal for a client learning a relaxation technique is that the client will:
a) Confront the source of anxiety c) Keep a journal as a self-monitoring technique
b) Experience anxiety without feeling overwhelmed d) suppress anxious feelings.

6. The long-term goal, “The client will learn new ways of coping with anxiety”, is most appropriate at which level
of anxiety?
a) Mild c) Severe
b) Moderate d) Panic

7. Which of the following would be the best nursing action for a client who is having a panic attack?
a) Remain with the client
b) Teach the client to recognize signs of a panic attack
c) Instruct the client to remain alone until the symptoms subside
d) Involve the client in a physical activity.

8. A client asks why a beta blocker has been prescribed for anxiety. When answering this question the nurse
should explain that beta blockers are effective for treatment of which symptoms associated with anxiety?
a) Cognitive dissonance c) Insomnia and nightmares
b) Depression and suicidal ideations d) Palpitations and rapid heart rate

9. Which of the following statements by a client with post-traumatic stress disorder would indicate the most
improvement?
a) “I am responsible for what happened to me.”
b) “I enjoy being back at work with my friends.”
c) “I have forgotten some of the things that happened to me.”
d) “I stay alert all the time.”

10. A physician has just told a client that surgery will be required to treat a health problem. After the physician
leaves, the client reports feeling angry, tense and shaky. The nurse notes that the client’s palms are sweaty and
the pupils are dilated. The nurse should assess the client’s stage of anxiety as:
a) Alarm c) Generalized anxiety
b) Exhaustion d) Resistance

11. The nursing assessment indicates a client is experiencing a panic attack. The client is unable to understand
directions and is preoccupied with thoughts of danger. Which of the following would be the most appropriate
nursing diagnosis?
a) Altered health maintenance c) Ineffective individual coping
b) Altered thought process d) Impaired communication
12. Which of the following would be the most appropriate goal for a client who has been diagnosed as having
Generalized Anxiety disorder?
a) The client will describe dissociative ideations
b) The client will display the ability to cope with mild anxiety.
c) The client will relieve the traumatic event.
d) The client will verbalize a sense of control over ritualistic behaviors.

13. The most appropriate nursing action for a client experiencing a panic attack is to:
a) Allow the client to determine the amount of stress that can be tolerated.
b) Change the client’s coping mechanisms.
c) Explain the irrational nature of the situation.
d) Expose the client to the source of the stress.

14. Which of the following statements made by a client with Obsessive-compulsive disorder (OCD) would be the
best indicator of improvement?
a) “I have more control over my thoughts and behaviors.”
b) “I know that my thoughts and behaviors are not normal.”
c) “I only do my ritual to reward myself when I have been good.”
d) “My friends don’t know about my disorder.”

15. A client with generalized anxiety disorder states, “I now know the best thing for me to do is just to try to
forget my worries.” How should the nurse evaluate this statement?
a) The client is developing insight.
b) The client’s coping skills are improving.
c) The client needs to be encouraged to verbalize feelings.
d) The nurse-client relationship should be terminated.

16. Which of the following give cues to the nurse that a client may be grieving for a loss?
a. Sad affect, anger, anxiety, and sudden changes in mood
b. Thoughts, feelings, behavior, and physiologic complaints
c. Hallucinations, panic level of anxiety, and sense of impending doom
d. Complaints of abdominal pain, diarrhea, and loss of appetite

17. Situations that are considered risk factors for complicated grief are
a. inadequate support and old age.
b. childbirth, marriage, and divorce.
c. death of a spouse or child, death by suicide, and sudden and unexpected death.
d. inadequate perception of the grieving crisis.

18. Physiologic responses of complicated grieving include

19. Critical factors for successful integration of loss during the grieving process are
a. the client’s adequate perception, adequate support, and adequate coping.
b. the nurse’s trustworthiness and healthy attitudes about grief.
c. accurate assessment and intervention by the nurse or helping person.
d. the client’s predictable and steady movement from one stage of the process to the next.

20. Nursing interventions that are helpful for the grieving client include
a. allowing denial when it is useful.
b. assuring the client that it will get better.
c. correcting faulty assumptions.
d. discouraging negative, pessimistic conversation.
e. providing attentive presence.
f. reviewing past coping behaviors.
Write the letter T if the statement is Therapeutic, and write the letter N if it is Non-therapeutic.

__N__ 1. I can hear how painful it is for you to talk about dead husband.
__N____ 2. You should not have hit your daughter, don’t you know its child abuse?
___T___ 3. Here’s my number at home, you can call me anytime if you don’t feel good and needs a friend
to talk to.
___N___ 4. Look at the brighter side of life.
___N___ 5. Everything will be alright soon, you’ll see.
___T___ 6. When did this happen?
___T___ 7. What do you want to talk about today?
___T___ 8. If I were you, I will just ignore my neighbors and pretend that they do not exist.
___T___ 9. Can you tell me more about this person?
___T___10. How does your feeling to your present boyfriend compare to your feelings to your previous
boyfriend?
___T___11. My opinion to this matter is that it is wrong to commit suicide because only God who gives
like can take life.
___T___12. What do you feel when you see these images?
___N___13. You seem distracted today?
___N___14. Problems come and go, that’s life.
___N___15. You have nothing to worry your doctor is one of the best in the country.
___N___16. I also had the same experience that I want to share with you.
___T___17. I know this is not easy to do but, I believe you can do it.
___N___18. Only people who have no faith in themselves and the future lose hope.
___N___19. What other alternatives do you think you have?
___N___20. Are you planning on killing yourself?

Prepared by:
Mrs. Dinah d.G. Araneta