EAQ Anxiety

Which information about anxiety would the nurse teach the family before discharging an anxious client? a. Anxiety is a totally unique feeling and experience. b. Apprehension is generalized to the total environment c. Fears results from conscious actions, thoughts, and wishes. d. Anxiety is a pattern of emotional and behavioral responses to stress.

D. Anxiety is a pattern of emotional and behavioral responses to stress.

Which type of play will help develop a leader-follower type of relationship? a. Solitary play b. Parallel play c. Associative play d. Cooperative play

D. Cooperative play Children who are involved in cooperative play discuss and plan activities. A leader-follower type of relationship will develop among the children

Which nursing intervention would be indicated for a client with an anxiety disorder? A. Encouraging suppression of anger by the client. B. Promoting Verbalization of feelings by the client C. Limiting involvement of the client's family during the acute phase D. Explaining why the client should accept the psychological factors that are precipitating the anxiety.

B. Promoting verbalizaiton of feelings by the client

Which action would the nurse take for a 4-year-old child who is called to the operating room for a planned myringotomy? a. Removing the child's undergarments b. Placing the child's toys on the bedside table c. Allowing the child to climb onto the stretcher d. Having the parent accompany the child to the operating suite

D. Having the parent accompany the child to the operating suite

Which developmental conflict is a college student attempting to resole when they struggle with indecision about an academic major according to Erikson's psychosocial stages of development? A. Initiative versus guilt B. Integrity versus despair C. Industry versus inferiority D. Identity versus role confusion

D. Identity Versus Role Confusion The client is demonstrating a search for self and has not resolved the developmental conflict of adolescence, identity versus role confusion. Initiative versus guilt is the developmental conflict of early childhood. Integrity versus despair is the developmental conflict of old age. Industry versus inferiority is the developmental conflict of middle childhood.

Which guideline would the nurse use when developing a plan of care for a client with an obsessive-compulsive disorder about ritualistic behavior? a. it is under conscious control b. It is used primarily for secondary gains c. It helps the client focus on the inability to cope with reality d. It helps the client control the level of anxiety the client is experiencing

D. It helps the client control the level of anxiety the client experiencing.

Which response would the. nurse make to a client with blurred and double vision and muscular weakness who becomes visibly upset when informed of the diagnosis of multiple sclerosis (MS)? a. "That must have shocked you. Tell me what health care provider told you about it. b. "You should see a psychiatrist who will help you cope with this overwhelming news." c. "Don't worry; early treatment often alleviates the symptoms of the disease."" d. "You should be glad that we caught it early so you can be cured."

a. "That must have shocked you. Tell me what the health care provider told you about."

Which intervention would the nurse expect to implement to alleviate anxiety for a preoperative client? a. Attempt to identity the client's concerns. b. Reassure the client that the surgery is routine. c. Report the client's anxiety to the health care provider. d. Provide privacy by pulling the curtain around the client.

a. Attempt to identify the client's concerns

The nurse is discussing discharge plans with a client. The client states, "I'm worried about going home." The nurse responds, "Tell me more about this." Which interviewing technique did the nurse use? a. Exploring b. Reflecting c. Refocusing d. Acknowledging

a. Exploring Exploring is a technique used to obtain more information to better understand the nature of the client's statement.

Which primary reason identifies why diazepam is given during detoxification? a. prevents injury when seizures occur b. enables the client to sleep better during periods of agitation c. encourages the client to accept treatment for alcoholism d. minimizes withdrawal symptoms the clients may experience

d. Minimizes withdrawal symptoms the client may experience. Oxazepam potentiates teh actions of gamma-aminobutyric acid, especially in the limbic system and reticular formation, and thus is minimizes withdrawal symptoms.

Which nursing action would be included in the plan of care for a client scheduled to have a computed tomography (CT) scan of the brain? a. Withholding routine medications b. Administering the prescribed sedative c. Explaining that metal must be removed d. Telling the client what to expect during the test

d. Telling the client what to expect during the test. Knowing what to expect decreases anxiety. Routine medications are not withheld. A sedative is not necessary for a CT scan. Removing metal is for a magnetic resonance imaging (MRI) test.

Which event will increase the anxiety level of a client diagnosed with obsessive-compulsive disorder? a. The day progresses and the sun is close to setting b. Family members come to the unit to visit c. The nurse performs the morning physical assessments. d. Limits are set on the performance of a ritual

d. limits are set on the performance of a ritual

Which reaction is most likely to occur when the performance of a ritual is interrupted for a client with obsessive-compulsive disorder? a. Anxiety b. Hostility c. Aggression d. Withdrawal

A. Anxiety Because the compulsive ritual is used to control anxiety, any attempt to prevent the nation will increase anxiety.

Which feelings are often the basis of obsessive compulsive disorder? a. Anxiety and guilt b. Anger and Hostility c. Embarrassment and shame d. Hopelessness and Powerlessness

A. Anxiety and guilt Ritualistic behavior seen in this disorder is aimed at controlling feelings of anxiety and guilty by maintaining an absolute set pattern of action. Although angry and hostile feelings may be present, these feelings do not precipitate the rituals.

Which are the adverse effects of mirtazapine? a. Asthenia b. Dyskinesia c. Drowsiness d. Gynecomastia e. abnormal dreams

A. Asthenia C. Drowsiness E. Abnormal Dreams Mirtazapine is a second-generation antidepressant medication with potential adverse effects of asthenia, drowsiness, and abnormal dreams. Dyskinesia and gynecomastia are the side effects of first generation antidepressant medications.

Which action would the nurse take when the client still has moderate to severe anxiety after the health provider has explained the scheduled head and necks surgery? a. Attempt to discover the client's concerns b. Elaborate on what the health care provider has already said about the surgery c. Teach the client to use the suction equipment. d. Plan for the client's postoperative communication with a tracheostomy in place.

A. Attempt to discover the client's concerns.

Which medication would the nurse recognize as being contraindicated for use in clients with eating and seizure disorders? a. Bupropion b. Trazadone C. Amitriptyline d. Lithium Citrate

A. Bupropion Bupropion is contraindicated in clients with eating and seizure disorders. Trazadone is contraindicated in clients with a known allergic reaction to this medication. Amitriptyline is contraindicated in clients with a known allergic reaction to this medication. Amitriptyline is contraindicated in clients with renal or cardiovascular disease.

Which method would the nurse expect to be used successfully with a client who has a phobia about closed spaces? A. Desensitization B. Contracting C. Role Playing D. Assertiveness Training

A. Desensitization Desensitization is a method that is used successfully with a client who has phobias. Contracting, role playing, and assertiveness training are all useful general behavioral approaches, but these types of techniques are not as successful as desensitization.

Which therapeutic approach would indicate the client is receiving desensitization therapy? a. imagery b. Modeling c. Role playing C. Assertiveness training

A. imagery Imagery is used during desensitization therapy. imagery is a therapeutic approach used to facilitate positive self talk; mental pictures under the control of and initiated by the clients may correct faculty cognitions.

An 11-year-old client reports having bedwetting issues (enuresis). Which medication would the nurse anticipate when developing a teaching plan? a. Alprazolam b. Imipramine c. Lithium salts d. Clomipramine

B. Imipramine Certain conditions of pediatric clients necessitate the usage of tricyclic antidepressant medications as an adjuvant. Childhood enuresis is one such condition that necessitates the administration of imipramine. Alprazolam is the medication of choice for treating anxiety disorders. Lithium salt sis prescribed to treat bipolar disorders. Clomipramiine is a tricyclic antidepressant medication prescribed for treating obsessive-compulsive disorder.

Which characteristic distinguishes post-traumatic stress disorders from other anxiety disorders? a. Lack of interest in family and others b. Reliving the trauma in dreams and flashbacks c. Avoidance of situations that resemble the stress d. Blunted affect when discussing eh traumatic situation

B. Reliving the trauma in dreams and flashbacks

Which problem would the nurse anticipate when working with a client who has a phobia of black cats? A. Denying that phobia exists B. Anger toward the feared object C. Anxiety when discussing the phobia. D. Distortion of reality when completing daily routines.

C. Anxiety when discussing the phobia Discussion of the feared object triggers anxiety and an emotional response to the object.

Which rationale supports given the client diagnosed with obsessive-compulsive disorder time to perform a specific ritual? a. It demonstrates respect for the clients autonomy b.. This behavior is viewed as a result of anger turned inward. c. Denying this activity may precipitate an increased level of anxiety. d. Successful performance of independent activities enhances self-esteem.

C. Denying this activity may precipitate an increased level of anxiety

Which response would a nurse give to a client who expresses fear that acquired immunodeficiency syndrome (AIDS) may be acquired as a result of a blood transfusion? a. "'the blood is treated with radiation to kill the virus" b. "The ability to directly identify human immunodeficiency virus (HIV) has eliminated this concern". c. "Consideration should be given to donating your own blood for transfusion." d. "Screening for the human immunodeficiency virus (HIV) antibodies has minimized this risk."

D. "Screening for the human immunodeficiency virus (HIV) antibodies has minimized this risk." Although blood is screed for the antibodies, there is a period between the time of a potential donor is infected and the time where antibodies are detectable; there is still a risk, but it is minimal.

Which behavior would the nurse assess for in a client with a generalized anxiety disorder to determine the effectiveness of therapy? a. Participating in activities b. Learning how to avoid anxiety c. Taking medications as prescribed d. Recognizing when anxiety is developing

D. Recognizing when anxiety is developing Recognition of anxiety or symptoms of increasing anxiety is an indication that the client is improving.

Which action would be difficult for a client who has borderline personality disorder to complete during the orientation phase of a therapeutic relationship? a. controlling anxiety b. Terminating the session on time c. Accepting the psychiatric diagnosis d. Setting mutual goals for the relationship

D. Setting mutual goals for the relationship Setting mutual goals for the relationship would be difficult for clients during the orientation phase. clients with borderline personality disorder often demonstrate a patterns of unstable interpersonal relationships, impulsiveness, affective instability and frantic efforts to avoid abandonment; these behaviors usually create great difficulty in establishing mutual goals.

Which purpose is served ritualistic behavior for a client diagnosed with an obsessive-compulsive personality disorder? a. The rituals are useless but uncontrollable b.. Rituals lessens rigidity and inflexibility. c. Ritualistic behavior decreases depression. D. The rituals temporarily relieve anxiety.

D. the rituals temporarily relieve anxiety.

A student is anxious about an examination but is able to effectively study despite the roommates loud music. Which level of anxiety does the student display? a. Mild b. Panic c. Severe d. Moderate

a. Mild

Which childhood problem has legal and emotional aspects? a. School phobia b. Fear of animals c. Fear of monsters d. Sleep disturbances

a. School Phobia

Which statement about benzodiazepines requires correction? A. They are indicated for ethanol withdrawal. B. These medications increase teh activity of gamma-aminobutrycic acid. C. Benzodiazepines are the first line medications D. These medications depress activity in the brainstem.

a. They are indicated for ethanol withdrawal b. These medications increase the activity of gamma-aminobutyric acid. c. Benzodiazepines are the first line medications used in chronic anxiety disorders. d. These medications depress activity in the brainstem.

Which defense mechanism would the nurse conclude a female client with obsessive-compulsive disorder who washes her hands more than 20 times a day is using to ease anxiety? a. Undoing b. Projection c. Introjection d. Displacement

a. Undoing undoing is an act that partially negates a previous one; the client is using this defense mechanism to atone for unacceptable acts or wishes. The client is not attributing self-thoughts or impulses to another person or group, which is called projection.

Which action would the nurse take for a newly admitted client diagnosed with schizophrenia who refuses to remove dirty clothing? a. Allow the client to undress when ready to help maintain identity. b. Provide two outfits and help the client decide which one to wear. c. Explain that clean clothes will look more attractive and increase self esteem. d. get assistance to remove the clothing to meet the client's basic hygiene needs.

a. allow the client to undress when ready to help maintain identity. Any approach other than allowing the client to undress when ready will probably be seen as threatening, increase anxiety, and result in a physical confrontation.

Which adverse effect would the nurse anticipate in a client receiving lithium therapy for treatment of depression? a. Ataxia b. Confusion c. Blurred vision d. Paradoxical anxiety

a. ataxia

Which rationale would explain the reason a client abuses alcohol? a. To blut reality b. To precipitate euphoria c. To promote social interaction d. To stimulate the central nervous system

a. to blunt reality

Which reaction toward the physical symptom would the nurse observe in a client with conversion disorder? a. Anger b. Apathy c. Anxiety d. Agitation

b. Apathy The nurse would observe apathy toward the physical symptom in conversion disorder. Development of the symptom is an unconscious method of reducing anxiety.

Which approach would the nurse use when managing the care of a client diagnosed with generalized anxiety disorder (GAD)? a. Creating an anxiety-free environment for the client b. Assisting the client with the development of healthy, adaptive coping mechanisms c. avoiding triggers that produce anxiety in the client d. Providing reinforcement the the client's anxiety issues can be eliminated

b. Assisting the client with the devilment of healthy, adaptive coping mechanisms

Which developmental issue is related to a 5-year-old children? a. Fear of separation b. Anxiety about body integrity c. Apprehension regarding strangers d. Threats to their dependency needs

b. Axiety about body integrity Preschoolers are developing a sense of their body integrity and their sexuality, resulting in fears of mutilation and loss of body parts.

The nurse noticed increased blood pressure in a client being treated for depression. Which antidepressant medication would the nurse ask the primary health care provider to reconsider? a. Fluoxetine b. Bupropion c. Trazodone d. Mirtazapine

b. Bupropion

Which term or description would the nurse for a client who repeatedly performs ritualistic behaviors throughout the day to limit anxious feelings? a. Obsessions b. Compulsions c. Under personal control d. Related to rebelliousness

b. Compulsions

A client with obsessive-compulsive disorder has an anxiety level that is approaching a panic level, and the client's ritual is interfering with work and daily living. Which selective serotonin reuptake inhibitor (SSRI) would be considered when preparing a teaching plan? a. Haloperiodl b. Fluvoxamine c. Imipramine d. Benztropine

b. Fluvoxamine Fluvoxamine inhibits central nervous system neuron uptake of serotonin but not norepinephrine. Haloperidol is not an SSRI; it is an antipsychotic that blocks neurotransmission produced by dopamine at synapses. Imipramine is a tricyclic antidepressant, not an SSRI. Benztropine is an antiparkinsonian agent not an SSRI.

Which age-appropriate fear would the nurse anticipate in a hospitalized preschooler? a. Death b. Mutilation c. Separation from parent d. Isolation from peers

b. Mutilation Fear of mutilation and intrusive procedures is most common at this age because of fantasies and active imagination.

Which initial action would the nurse take for a newly admitted client who reports memory loss, nervousness, insomnia, and fear of leaving the house? a. Evaluate the client's adjustments to the unit. b. Provide the client with a sense of security and safety c. Explore the client's memory loss and fear of going out. . d. Assess the client's perception of reasons for the hospitalization.

b. Provide the client with a sense of security and safety The initial action is to provide the client with a sense of security and safety.

Which assessment finding for a client who is anxious indicates sympathetic nervous system stimulation? a. Dry skin b. Skin pallor c. pupil constriction d. Bradycardia

b. Skin Pallor The sympathetic nervous system constricts teh smooth muscle of blood vessels in the skin when a person is under stress, thereby causing skin pallor. The sympathetic system stimulates, rather than inhibits, secretion by the sweat glands. Constrictions of the pupils is not under sympathetic control the parasympathetic system constricts the pupils. The parasympathetic system (Vagus nerve) slows the pulse, and the sympathetic system increases it.

According to Freud's psychoanalytical model of personality development, which characteristic is part of the oral stage? a. The child develops oedipal-complex feelings b. The child realizes the he or she is a separate individual c. The child's focus of pleasure changes to the anal zone d. The child delays gratification to meet parental and societal expectations.

b. The child realizes that he or she is a separate individual

Which statement about benzodiazepines requires correction? a. They are indicted for ethanol withdrawal b. These medications increase the activity of gamma-aminobutry c. Benzodiazepines are the first-line medications used in chronic anxiety disorders. d. These medications depress activity in the brainstem.

b. These medications increase the activity of gamma-aminobutric acid

Which benefit accompanies mild apprehension? a. Physiological functions are slowed. b. There is an increased alertness c. Behavioral responses automatic d. Ego defense mechanisms are mobilized

b. there is an increased alertness

Which response would the nurse provide to a client who expresses malignancy fears associated with the pending bone biopsy report? a. "Worrying is not going to help the situation." b. "Let's wait until hear what the biopsy report." c. "It is very upsetting to have to wait for a biopsy report." d. "Operations are not performed unless there are no other options."

c. "It's very upsetting to have to wait for a biopsy report."

Which behavior is most commonly used by an individual with a phobic disorder? a. Rumination b. Desensitization c. Avoidance d. Confrontation

c. Avoidance The person transfers anxieties to activities or objects, usually inanimate objects, which are then avoided to decrease anxiety.

Which behavior would the nurse expect when caring for a hospitalized 4 year-old child? a. Refusing to cooperate with nurses when the present is absent b. Demonstrating despair if the parent does not visit at least once a week c. Crying when the parent leaves and returns but not during their absence d. Avoiding interacting and playing with peer in the playroom if other parents are present.

c. Crying when the parent leaves and returns but not during their absence

Which medication is used to treat both generalized anxiety disorder and depression? a. fluoxetine b. bupropion c. Duloxetine d. Mirtazapine

c. Duloxetine Duloxetine is an antidepressant medication used to treat both generalized anxiety disorder and depression. Fluoxetine is used to treat depression. Bupropion is used to treat depression and also aid in smoking cessation. Mirtazapine is used in treatment of depression and is also helpful in reducing the adverse sexual side effects in the male client receiving selective reuptake inhibitor therapy

Which additional clinical manifestation would the nurse monitor for in a client with generalized anxiety who presents with restlessness and fatigue? a. Hoarding b. Panic attacks c. Excessive worry d. Fear of leaving the house

c. Excessive worry

Which symptom would the nurse identify when assessing a client with Graves Disease? a. Constipation b. Lethargy c. Exophthalmos d. Weight gain

c. Exophthalmos Graves disease is a common cause of hyperthyroidism. Exophthalmos

Which nursing intervention would be used to achieve the cooperation of an extremely anxious pregnant client during the first pelvic examination? a. distracting the client by asking about preferences regarding the infant's gender b. Assisting the health care practitioner so that the client's examination can be completed quickly c. Explaining the procedure and maintaining eye contact while touching the client gently d. Encouraging the client to squeeze the nurse's hand, close eyes and hold breath

c. Explaining the procedure and maintaining eye contact while touching the client gently

Which parameter would be assessed to determine the degree of anxiety being experienced by the client? a. memory state b. creativity level c. perceptual field d. delusional system

c. Perceptual field Perceptual fields would be assessed to determine the degree of anxiety bc the perceptual fields narrow as anxiety increases.

Which information about radiation therapy would guide a nurse's response to a 20 year old female client scheduled to receive pelvic radiation for Hodgkin lymphoma who expresses anxiety about her future ability to conceive a child? a. Radiation used is not radical enough to destroy ovarian function. b. intermittent radiation to the area does not cause permanent sterilization c. reproductive ability may be preserved through a variety of interventions d. ovarian function will be destroyed temporarily but will return in about 6 months.

c. Reproductive ability may be preserved through a variety of interventions.

Which portion of the nervous system is primarily responsible for the clinical manifestations that occur during a crisis? a. Central nervous system b. Peripheral nervous system c. Sympathetic nervous system d. Parasympathetic nervous system

c. Sympathetic nervous system The sympathetic nervous system reacts to stress by releasing epinephrine, which prepares the body to fight or flee by increasing the heart rate, constricting peripheral vessels, and increasing oxygen supply to muscles.

During the first meeting of a therapy group, members of therapy group, members exhibit frequent periods of silence, tense laughter, and nervous movements. which conclusion would the nurse make? a. The group requires an active leader who will intervene to relieve signs of obvious stress. b. the group process is unhealthy and there is unwillingness to openly relate. c. the members are displaying expected behaviors because relationships are not yet established. d. The behaviors should be immediately addressed to members will not become too uncomfortable.

c. The members are displaying expected behaviors because relationships are not yet established.

Which client may benefit from the administration of the herbal preparation Hypericum perforated? a. client with dementia b. client with schizophrenia c. client with sleep disorder d. client with Alzheimer's disease

c. client with a sleep disorder Hypericum perforated is an over the counter herbal preparation sold as a treatment for sleep disorders, depression, anxiety, and nervousness. It is contraindicated in clients with dementia, schizophrenia, and Alzheimer's disease.

Which communication technique would the nurse be using when he or she states "Let's see whether we mean the same thing,"" to a client who is not making sense? a. Reflecting feelings b. Making observations c. Seeking consensual validation d. Attempting to place events in sequence

c. seeking consensual validation

Which adverse effect would the nurse assess for in a client receiving haloperidol? a. ataxia b. asthenia c. insomnia d. gynecomastia

d. Gynecomastia Gynecomastia is one of the adverse effects of this medication