Chapter 18: Managing Anxiety Morrison-Valfre: Foundations of Mental Health Care, 7th Edition MULTIPLE CHOICE 1. When a client has a mild level of anxiety, his or her emotional response is: a. relaxed and calm. b. energized. c. feeling overloaded. d. helplessness with loss of control. ANS: A Mild anxiety results in relatively comfortable feelings. An energized emotional response describes feelings of moderate anxiety. Feeling overloaded is characteristic of severe anxiety, and feeling helpless with loss of control refers to the highest level of anxiety, which is panic. DIF: Cognitive Level: Comprehension REF: p. 205 | Table 18.1 OBJ: 1 TOP: Continuum of Anxiety Responses KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 2. A female college student is seeking help from the counseling center for test anxiety. She reports that during an exam, she “freezes,” and says, “It feels like the time I have to take the exam is racing by, and I can’t answer any of the questions when I know the answers.” Which level of anxiety is the client experiencing? a. Mild b. Moderate c. Severe d. Panic ANS: C These are typical symptoms when someone experiences a severe level of anxiety. During mild anxiety, the perceptual field is broad; moderate anxiety is the best state for problem-solving and learning because perception is focused; panic results in totally scattered or closed perception, and problem-solving is nearly impossible. DIF: Cognitive Level: Application REF: p. 205 | Box 18.1 OBJ: 1 TOP: Levels of Anxiety KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 3. A learned response to an anticipated event, such as when a person who does not like to fly experiences nausea and sweaty palms before boarding an airplane, is best described as: a. a normal anxiety response. b. signal anxiety. c. an anxiety state. d. an anxiety trait. ANS: B
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