Chapter 15 post test Mental Health

A Gulf War veteran is entering treatment for post-traumatic stress disorder. What assessment is of importance to this particular client?

Determine the use of chemical substances for anxiety relief.

The nurse caring for a client experiencing a panic attack anticipates that the psychiatrist would order a stat dose of which classification of medications

A short-acting benzodiazepine medication.

A client frantically reports to the nurse that "You have got to help me! Something terrible is happening. I can't think. My heart is pounding, and my head is throbbing." The nurse should assess the client's level of anxiety as

severe

When prescribed lorazepam (Ativan) 1 mg po qid for 1 week for generalized anxiety disorder, the nurse should

teach the client to limit caffeine intake.

A client experiencing a panic attack keeps repeating, "Im dying, I can't breathe.". What action by the nurse should be most therapeutic initially?

Encouraging the client to take slow, deep breaths

Panic attacks in Latin American individuals often involve demonstration of which behavior?

Fear of dying

The record mentions states that the client habitually relies on rationalization. The nurse might expect the client to present with what behavior?

Justifies illogical ideas and feelings.

The plan of care for a client who has elaborate washing rituals specifies that response prevention is to be used. Which scenario is an example of response prevention?

Not allowing the client to wash hands after touching a "dirty" object

A client who is demonstrating a moderate level of anxiety tells the nurse, "I am so anxious, and I do not know what to do." Which response should the nurse make initially?

"What things have you done in the past that helped you feel more comfortable?"

The nurse anticipates that the nursing history of a client diagnosed with obsessive compulsive disorder (OCD) will reveal what common assessment data?

A history of childhood trauma A sibling with the disorder A history of sexual abuse An eating disorder

A client is diagnosed with generalized anxiety disorder (GAD). The nursing assessment supports this diagnosis when the client reports which information?

Being unable to work for the last 12 months.

A cultural characteristic that may be observed in a teenage, female Hispanic client in times of stress would include what behavior?

Suddenly tremble severely