Chapter 14 - Anxiety and Anxiety Disorders

3. The best goal for a client learning a relaxation technique is that the client will a. Confront the source of anxiety directly b. Experience anxiety without feeling overwhelmed c. Report no episodes of anxiety d. Suppress anxious thoughts

B

1. The nurse observes a client who is becoming increasingly upset. He is rapidly pacing, hyperventilating, clenching his jaw, wringing his hands, and trembling. His speech is high pitched and random; he seems preoccupied with his thoughts. He is pounding his fist into his other hand. The nurse identifies his anxiety level as a. Mild b. Moderate c. Severe d. Panic

C

5. Which of the following would be the best intervention for a client having a panic attack? a. Involve the client in a physical activity b. Offer a distraction such as music c. Remain with the client d. Teach the client a relaxation technique

C

6. A client with GAD states, "I have learned that the best thing I can do is to forget my worries." How would the nurse evaluate this statement? a. The client is developing insight b. The client's coping skills have improved c. The client needs encouragement to verbalize feelings d. The client's treatment has been successful

C

2. When assessing a client with anxiety, the nurse's questions should be: a. Avoided until the anxiety is gone b. Open ended c. Postponed until the client volunteers information d. Specific and direct

D

4. Which of the four classes of medications used for panic disorder is considered the safest because of low incidence of side effects and lack of physiologic dependence? a. Benzodiazepines b. Tricyclics c. Monoamine oxidase inhibitors d. Selective serotonin reuptake inhibitors

D

7. A client with anxiety is beginning treatment with lorazepam (Ativan). It is most important for the nurse to assess the client's a. Motivation for treatment b. Family and social support c. Use of coping mechanisms d. Use of alcohol

D