Anxiety & Somatic Symptom Disorders/Anxiety, OCD, SSD Practice Q's

Which statement of the client is compatible with illness anxiety disorder?

"I have a sore on my arm. I think I have skin cancer."

Which statement of the client supports the nurse's suspicion that the client has obsessive-compulsive disorder?

"I have to wash my hands every 15 minutes"

A client with claustrophobia is undergoing therapy in which the therapist instructs the client to imagine anxiety-provoking situations in each session, and then a healthy response to that anxiety. Which response by the client indicates that the therapy is effective?

"I'm not having any discomfort while watching a movie in a theater"

A client with somatic symptom disorder says, "I always feel this crushing pain in my abdomen. I think I have appendicitis." How should the nurse respond to this client?

"It must be causing a lot of discomfort to you"

A female with anorexia is malnourished and severely underweight. Which statement indicates that she is experiencing secondary gains from her behavior?

"My mother keeps trying to get me to eat"

Which finding would the nurse observe in a client with conversion disorder who is unable to move the right arm?

Appearing composed -Literally converts the anxiety to the symptom -Encounter not in proportion to the disability -Conflict is resolved by paralysis of the arm

Which action would the nurse take for a client with a diagnosis of conversion disorder manifesting as paralysis of the legs?

Avoid focusing on the client's physical symptoms -Not the major problem

What therapy would have the highest success rate for people with phobias?

Desensitization with relaxation techniques

A client on medication for generalized anxiety disorder developed physical dependence and tolerance. Which medication would the primary health-care provider replace?

Diazepam

Which symptom would be a manifestation of hoarding disorder?

Difficulty in parting with possessions

While communicating with a client, the nurse finds that the client spends more than 1 hour folding and arranging clothes five times a day. Which nursing intervention would be beneficial to the client in this situation?

Discuss the triggers provoking this behavior

During the initial assessment phase which parameter would the nurse focus on for a client with panic disorder and agoraphobia?

Easing the client's anxiety so further interviewing can be done

A client with GAD presents with restlessness and fatigue. Which additional clinical manifestation would the nurse monitor for?

Excessive worry

Which nursing intervention would be indicated for a client with anxiety disorder?

Promoting verbalization of feelings by the client

To determine effectiveness of therapy, which behavior would the nurse assess for in a client with GAD?

Recognizing when anxiety is developing

Which behavior is anticipated for a client with somatoform disorder?

Redirects conversations to physical symptoms

Which cause would the nurse conclude is the underlying reason a client with conversion disorder is unable to walk?

Result of intrapsychic conflict

While caring for a client with somatic symptom disorder, the nurse gradually minimizes the time given to responding to physical complaints. What is the rationale behind this nursing intervention?

To avoid further reinforcement of the somatic complaints

A client has symptoms of unexpected and unspecified palpitations, sweating, trembling, and fear of losing control. What type of disorder is the client experiencing?

Panic disorder

Which characteristics of affect are expected for a client with the diagnosis of somatoform disorder?

-Calm -Matter-of-fact -Individual demonstrates lack of concern about symptoms (la belle indifference)

Which safety intervention would the nurse include in a care plan for a client with somatic disorder who reports loss of vision?

-Put the call light within reach -Orient the client to surroundings -Client is at high risk for injury

Which descriptions would the nurse expect to hear from a client describing experiences of panic?

-Severe withdrawal -Hallucinations or delusions -Feeling unreal (depersonalization) or that the world is unreal (derealization)

Which clinical findings are seen in anxiety disorders?

-Worrying about a variety of issues -Converting the anxiety into a physical symptom -Displacing the anxiety onto a less threatening object -Decreased concentration and impaired problem-solving

Which action would the nurse take when a newly admitted client with OCD frequently performs hand-washing ritual?

Allow the client sufficient time to carry out the ritual -When client is newly admitted -Means for controlling anxiety

Which feelings would be the basis for the ritualistic seen in clients with OCD?

Anxiety and guilt

Which action would the nurse take for a client who is admitted with conversion disorder?

Explore ways to verbalize feelings

A 13-year-old student reports, "I worry about my parents because I don't want them to get a divorce. I can't stop worrying; I can't sleep; I'm always tired, and my grades have dropped." Which condition is the student experiencing?

Generalized anxiety

Which reason would be likely for a client's anger and acting out when the nurse attempts the hand-washing ritual of a client with OCD?

Has overwhelming feelings of anxiety

Which intervention would the nurse add to the care plan for a client who engages in ritualistic behavior?

Help the client understand that the behavior is caused by maladaptive coping with increased anxiety -Makes them more amendable to psychotherapy

Which disorder is defined as a preoccupation with the fear of having a serious disease?

Hypochondriac disorder

Which comorbid disorder is most commonly associated with GAD?

Major depressive disorder

The medical history of a client who reports heartburn shows that the client has visited five different health-care providers in the same week complaining of the same symptoms, and is undergoing therapy with analgesics and antianxiety drugs. Which disorder will the nurse suspect in the client?

Somatic symptom disorder

Which type of mental health disorder is most likely to include an assessment for presence of secondary gains?

Somatic symptom disorder -Symptoms and sick told provide 2 sources of secondary gain: attention from others and a reason to avoid work to social obligations