Anxiety

Which intervention is most important for the nurse to include in the plan of care for a client experiencing a panic attack? a. Instruct the client to take deep breaths b. Have the client talk about the anxiety c. Encourage the client to verbalize feelings d. Ask the client about the cause of the attack

a. Instruct the client to take deep breaths During a panic attack, the nurse should remain with the client and attempt to change the physiologic response with actions such as taking deep breaths During an attack, the client is unable to talk about anxious situations and is only focused on the symptoms of the attack not what is causing them. NO LEARNING occurs during a panic attack

When caring for a client with PTSD, the family notices that loud noises cause a serious anxiety response. What is the best explanation the nurse can give to the family? a. environmental triggers can cause the client to become hyper-aroused b. client commonly experience extreme fear about environmental stimuli c. after trauma, the client can't respond to stimuli in an appropriate manner d. the anxiety response indicates that another emotional problem needs investigation

a. environmental triggers can cause the client to become hyper-aroused

The nurse is teaching a client and family about the management of panic attacks. What is the most important information for the nurse to include? a. identify when anxiety is escalating b. determine how to stop a panic attack c. address strategies to reduce physical pain d. prevent the client from depending on others

a. identify when anxiety is escalating A panic attack cannot be stopped

What is the most important question for the client with agoraphobia? a. How realistic are your goals? b. Are you able to go shopping? c. Do you struggle with impulse control? d. Who else in your family have panic disorder?

b. Are you able to go shopping? Agoraphobia clients typically isolate in their home and cannot participate in socializing and life-sustaining activities

Which group therapy intervention is of primary importance to a client with panic disorder? a. explore how secondary gains are derived from the disorder b. discuss new ways of thinking and feeling about panic attacks c. work to eliminate manipulative behavior used to meet needs d. provide safe exposure to factors that trigger anxiety attacks

b. discuss new ways of thinking and feeling about panic attacks Helps the client gain control over the situation

A client experiences periodic panic attacks. Which statement best reflects this client's experiences? a. "Yesterday, I sat up in bed and just felt so scared." b. "I have difficulty sleeping because I am so anxious." c. "Sometimes, I have nausea that makes me feel dizzy." d. "When I drink beer, I fall asleep without any problems."

c. "Sometimes, I have nausea that makes me feel dizzy." A person with periodic panic attacks often experience nausea and abdominal distress accompanied by dizziness and lightheadedness. Can occur at various times and last for several minutes. The other responses refer to GAD

The nurse is planning care for a client with panic disorder. What is a priority nursing intervention? a. identify childhood trauma b. supervise nutritional intake c. evaluate for depression d. monitor for episodes of disorientation

c. evaluate for depression Clients with panic disorder are at risk for suicide when they experience depression

A client is prescribed a tricyclic antidepressant after other medications were ineffective. What outcome would indicate that this medication is effective? a. prevent purposeless movements b. increase in the client's ability to concentrate c. helped prevent the re-experience of trauma d. facilitated the client's normal grieving process

c. helped prevent the re-experience of trauma Tricyclic antidepressants help decrease the frequency of trauma reenactment Many tricyclic AD and SSRIs end in -ine

The nurse suspects that a client may have PTSD. It would be most important for the nurse to assess the client for: a. an eating disorder b. schizophrenia c. suicide d. sundowner's syndrome

c. suicide Those with PTSD are at risk for suicide and often have unstable behaviors

What is the nurse's best intervention while speaking with a client with PTSD about the trauma experienced? a. obtain validation of what the client says from another party b. request that the client write down what is being said c. ask questions to convey an interest in the details d. listen attentively and remain with the client

d. listen attentively and remain with the client

A client who is suffering with PTSD tells the nurse, "I've decided to just avoid everyone and everything." The client is at greatest risk for: a. becoming malnourished b. exhausting his finances c. being terminated from employment d. substance abuse

d. substance abuse

What is the priority nursing intervention when caring for a client with a panic disorder? a. encourage the client to role-play panic attacks b. assist the client in developing an exercise program c. train the client to identify cognitive distortions d. teach the client to identify sources of anxiety

d. teach the client to identify sources of anxiety