NR 326 Mental Health EXAM 2 Practice questions

What interventions should the nurse perform when caring for a client who was abducted, raped and beaten and now is scared to be alone and having trouble eating, sleeping and working.

- offer opportunity to talk about experience and express feelings - offer reassurance and support - discuss stages of grief and how rape may precipitate feelings of loss - identify support systems to help resume normal activities - explore new methods of coping — conduct these interventions in safe environment

A nurse notices that a client with obsessive-compulsive disorder dresses and undresses several times each day. Which comment by the nurse would be most therapeutic? A. "I saw you change clothes several times today. Do you find this tiring?" B. "It might be helpful if you dress only once per day so you will not be so tired." C. "It must really bother you to change your clothes so often. How can I help?" D. "I see that you are a perfectionist about the clothes you wear."

A. "I saw you change clothes several times today. Do you find this tiring?"

A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make? A. "It sounds like you're having a difficult time." B. "Have you talked to your parents about this yet?" C. "Why do you think you are so anxious?" D. "How long has this been going on?"

A. "It sounds like you're having a difficult time."

Which of the following nursing statements and/or questions represent appropriate communication to assess an individual in crisis? Select all that apply. A. "Tell me what happened." B. "What coping methods have you used, and did they work?" C. "Describe to me what your life was like before this happened." D. "Let's focus on the current problem." E. "I'll assist you in selecting functional coping strategies."

A. "Tell me what happened." B. "What coping methods have you used, and did they work?" C. "Describe to me what your life was like before this happened."

Which statement by the nurse demonstrates an understanding of the role automatisms have in a panic attack? A. "The client taps her fingers very rapidly when she is feeling anxious." B. "I discourage her finger tapping since it serves to increase her anxiety level." C. "She knows that if she taps her fingers she will be able to lessen her anxiety." D."I can tell that the more she taps, the less anxiety she is actually feeling."

A. "The client taps her fingers very rapidly when she is feeling anxious." - Automatisms are automatic, unconscious mannerisms associated with anxiety. Examples include tapping fingers, jingling keys, or twisting hair.

The nurse recognizes that who is the client most likely experiencing generalized anxiety disorder (GAD)? A. 40-year-old who has reported numerous absences from work, muscle aches, and difficulty falling asleep for the last 8 months B. 22-year-old soldier who served in the Middle East who "cannot sleep" and is facing criminal charges for hurting someone in a barroom brawl C. 70-year-old whose spouse died 1 year ago who has "no desire to leave my house" and reports severe fatigue D. 30-year-old business executive who reports being anxious about attending the meetings and social events that are the executive's job responsibilities

A. 40-year-old who has reported numerous absences from work, muscle aches, and difficulty falling asleep for the last 8 months

A nurse is planning care for a client who has generalized anxiety disorder. Which of the following intervention should the nurse implement to promote relaxation? A. Assist the client in practicing meditation. B. Recognize the client's spiritual preferences. C. Encourage the client to identify his positive qualities. D. Help the client to identify his previous accomplishments.

A. Assist the client in practicing meditation.

The nurse is teaching a client prescribed the antianxiety agent chlordiazepoxide. The nurse should incorporate which instruction into the teaching plan? A. Avoid taking antianxiety drugs with alcohol. B. Take the medication at the same time each day, avoiding taking at bedtime. C. Take antianxiety drugs in the morning with breakfast or a snack. D. Avoid consuming items with tyramine when taking antianxiety agents.

A. Avoid taking antianxiety drugs with alcohol.

7. Annie has trichotillomania. She is receiving treatment at the mental health clinic with habit-reversal therapy. Which of the following elements would be included in this therapy? (Select all that apply.) A. Awareness training B. Competing response training C. Social support D. Hypnotherapy E. Aversive therapy

A. Awareness training B. Competing response training C. Social support

3. Amanda's mobile home was destroyed by a tornado. Amanda received only minor injuries but is experiencing disabling anxiety in the aftermath of the event. What is this type of crisis called? A. Crisis resulting from traumatic stress B. Maturational/developmental crisis C. Dispositional crisis D. Crisis of anticipated life transitions

A. Crisis resulting from traumatic stress

Ava was abducted, beaten and raped two weeks ago while walking to her car alone at night. Her physical wounds have almost healed but she cannot be alone, is constantly fearful and relives the experience in flashbacks and dreams. She is unable to eat, sleep or work. What type of crisis is this an example of? A. Crisis resulting from traumatic stress B. Dispositional crisis C. Crisis of anticipated life transitions D. Crisis reflecting psychopathology

A. Crisis resulting from traumatic stress

A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect? (SATA) A. Decreased attention span B. Feelings of doom C. Increased perspiration D. Gastric discomfort E. Increase in speech rate

A. Decreased attention span C. Increased perspiration D. Gastric discomfort E. Increase in speech rate

A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority? A. Determining if the client has psychotic thinking B. Asking the client to identify the cause of the crisis C. Identifying the client's coping skills D. Identifying the client's support systems

A. Determining if the client has psychotic thinking

The nurse is teaching a client diagnosed with a generalized anxiety disorder how to effectively cope with severe distress. Which interventions would the nurse use to promote effective coping with anxiety? Select all that apply. A. Discuss previous methods that were effective in handling stress. B. Encourage the client to limit to a mutually decided amount of time spent on worrying. C. Help the client to establish a goal and develop a plan to meet the goal. D. Teach the client how to label feelings and how to express them. E. Discuss ways to examine the reality of fears. F. Assist the client to acknowledge the major consequences of blaming others.

A. Discuss previous methods that were effective in handling stress. B. Encourage the client to limit to a mutually decided amount of time spent on worrying. C. Help the client to establish a goal and develop a plan to meet the goal. D. Teach the client how to label feelings and how to express them.

6. The most appropriate nursing intervention with Jenny (from question 5) would be to: (Jenny reported to the high school nurse that her mother drinks too much. She is drunk every afternoon when Jenny gets home from school. Jenny is afraid to invite friends over because of her mother's behavior.) A. Facilitate arrangements for her to start attending Alateen meetings. B. Help her identify the positive things in her life and recognize that her situation could be a lot worse than it is. C. Teach her about the effects of alcohol on the body and that it can be hereditary. D. Refer her to a psychiatrist for private therapy to learn to deal with her home situation.

A. Facilitate arrangements for her to start attending Alateen meetings.

8. What is the ultimate goal of therapy for a client with dissociative identity disorder? A. Integration of the personalities into one B. The ability to switch from one personality to another voluntarily C. The ability to select one personality as the dominant self D. Recognition that the various personalities exist

A. Integration of the personalities into one

Anxiety that can positively motivate an individual and assist in performance A. Mild anxiety B. Panic anxiety C. Moderate anxiety D. Severe anxiety

A. Mild anxiety

What type of anxiety assists the individuals in focusing on the current situation? A. Mild anxiety B. Panic anxiety C. Moderate anxiety D. Severe anxiety

A. Mild anxiety

Someone who has panic attacks over and over can be diagosed with A. Panic disorder B. OCD C. Moderate anxiety D. Severe anxiety

A. Panic disorder

If a client comes in complaining of numerous vague physical complaints and is deterred to be having a crises of anticipated life transitions what intervention should the nurse perform? (SATA) A. Perform a physical examination B. Encourage ventilation of feelings C. Provide reassurance and support D. Prescribe medication depending on physical findings E. Help identify problematic areas and approaches to change

A. Perform a physical examination B. Encourage ventilation of feelings C. Provide reassurance and support E. Help identify problematic areas and approaches to change

A nurse is caring for a client who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority? A. Protecting the client from injury B. Determining the cause of the client's anxiety C. Ensuring that the client feels safe D. Identifying the client's coping skills

A. Protecting the client from injury

A nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA). Which finding would be expected? A. Reduced anxiety B. Improved memory C. More organized thinking D. Fewer sensory perceptual alterations

A. Reduced anxiety

4. A client with OCD spends many hours each day washing her hands. The most likely reason she washes her hands so much is that it: A. Relieves her anxiety. B. Reduces the probability of infection. C. Gives her a feeling of control over her life. D. Increases her self-concept.

A. Relieves her anxiety

Which medication classification has been used to treat social phobia? A. Selective serotonin reuptake inhibitors (SSRIs) B. Monoamine oxidase inhibitors (MAOIs) C. Tricyclic antidepressants (TCAs) D. Nonbenzodiazepines

A. Selective serotonin reuptake inhibitors (SSRIs)

A nurse is caring for a young adult client following the sudden death of his wife. The client feels paralyzed in his ability to cope with work and family responsibilities. Which of the following types of crisis is the client experiencing? A. Situational B. Maturational C. Adventitious D. Developmental

A. Situational

A client with multiple somatic symptoms that are vague and dramatized but cant be medically explained would be considered A. Somatic syndrome disorder B. Illness anxiety disorder C. OCD D. Anxiety

A. Somatic syndrome disorder

9. A client who is experiencing a panic attack has just arrived at the emergency department. Which is the priority nursing intervention for this client? A. Stay with the client and reassure of safety. B. Administer a dose of diazepam. C. Leave the client alone in a quiet room so that she can calm down. D. Encourage the client to talk about what triggered the attack.

A. Stay with the client and reassure safety

A nurse is providing education to a client who was prescribed Buspar. Which of the following statements by the client indicates the teaching has been successful? A. it will take several weeks for the med to show its full affect B. I can take BuSpar PRN C. This drug has a high dependency effect D. Chew the tablets completely before swallowing

A. it will take several weeks for the med to show its full affect

Lorazepam is commonly given along with a neuroleptic agent. What is the purpose of administering the drugs together? A. to reduce anxiety and potentiate the neuroleptic's sedative action B. to counteract the neuroleptic's extrapyramidal effects C. to manage depressed clients D. to increase a client's level of awareness and concentration

A. to reduce anxiety and potentiate the neuroleptic's sedative action

What emotion is at the heart of OCD and anxiety?

Anxiety

What interventions would the nurse perform for a client in maturational/developmental crisis?

Anxiety reduction

What is the primary objective for severe anxiety?

Anxiety relief

How many symptoms must a person be having to be defined as a panic attack?

At least 4

10. Jareth has a diagnosis of generalized anxiety disorder. His physician has prescribed buspirone 15 mg daily. Jareth says to the nurse, "Why do I have to take this every day? My friend's doctor ordered Xanax for him, and he only takes it when he is feeling anxious." Which of the following would be an appropriate response by the nurse? A. "Xanax is not effective for generalized anxiety disorder." B. "Buspirone must be taken daily in order to be effective." C. "I will ask the doctor if he will change your dose of buspirone to prn so that you don't have to take it every day." D. "Your friend really should be taking the Xanax every day."

B. "Buspirone must be taken daily in order to be effective."

A nurse is caring for a client who has borderline personality disorder. As part of the client's plan of care, the nurse reviews the day's schedule with the client each morning. As the nurse begins to review the schedule with the client, the client says, "Why don't you shut up already? I can read it myself, you know!" Which of the following responses should the nurse give the client? A. "We do this every day. Why are you so angry with me this morning?" B. "I don't like it when you address me with that tone of voice." C. "I know you can, but are you going to read it or not?" D. "Fine. Here is the schedule, and I will expect you to be on time to your therapies."

B. "I don't like it when you address me with that tone of voice."

An elderly person with the fear of incontinence occurring while in public is an example of A. Social anxiety disorder B. Agoraphobia C. Cynophobia D. Acrophobia

B. Agoraphobia - agoraphobia can include things that could incapacitate the person or be embarrassing

9. Marie, age 56, is the mother of five children. Her youngest child, who had been living at home and attending the local college, recently graduated and accepted a job in another state. Marie has never worked outside the home and has devoted her life to satisfying the needs of her husband and children. Since the departure of her last child from home, Marie has become increasingly despondent. Her husband has become very concerned and takes her to the local mental health center. What is this type of crisis called? A. Dispositional crisis B. Crisis of anticipated life transitions C. Psychiatric emergency D. Crisis resulting from traumatic stress

B. Crisis of anticipated life transitions

A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information to the client? (Select all that apply.) A. Reassure the client that everything will be okay. B. Discuss prior use of coping mechanisms with the client. C. Ignore the client's anxiety so that she will not be embarrassed. D. Demonstrate a calm manner while using simple and clear directions. E. Gather information from the client using closed-ended questions.

B. Discuss prior use of coping mechanisms with the client. D. Demonstrate a calm manner while using simple and clear directions.

4. The most appropriate crisis intervention with Amanda (from question 3) would be to: ( Amanda's mobile home was destroyed by a tornado. Amanda received only minor injuries but is experiencing disabling anxiety in the aftermath of the event.) A. Encourage her to recognize how lucky she is to be alive. B. Discuss stages of grief and feelings associated with each. C. Identify community resources that can help Amanda. D. Suggest that she find a place to live that provides a storm shelter.

B. Discuss stages of grief and feelings associated with each.

Tom has been having difficulty with his boss at work and has come home twice in the past 6 months and exploded in anger at his wife. Last night when dinner was not ready where he expected he beat his wife. This is an example of what type of crisis? A. Crisis resulting from traumatic stress B. Dispositional crisis C. Maturational/developmental crisis D. Crisis reflecting psychopathology

B. Dispositional crisis

A mother who has been making her child sick for attention would be diagnosed with A. Illness anxiety disorder B. Factitious disorder C. Conversion syndrome D. DID

B. Factitious disorder

A person who presents themselves to other as ill impaired or injured by falsification would be diagnosed with A. Illness anxiety disorder B. Factitious disorder C. Conversion syndrome D. DID

B. Factitious disorder (Imposed on self)

7. In establishing trust with Ellen, a client with the diagnosis of dissociative identity disorder, the nurse must: A. Try to relate to Ellen as though she did not have multiple personalities. B. Listen nonjudgmentally and respond empathically when Ellen transitions to different personality states. C. Ignore behaviors that Ellen attributes to other subpersonalities. D. Explain to Ellen that he or she will work with her only if the primary personality is maintained.

B. Listen nonjudgmentally and respond empathically when Ellen transitions to different personality states.

Jada and Caleb have been married for 2 years, with a 4 month old. Jada's mother was recently diagnosed with cancer. Lately Jada has become increasingly anxious and disorganized, calling the nurse practitioner 10 to 15 times each day with new fears that she is not addressing her child's health needs. Jada screams at Caleb that he is no help and states she is thinking of dropping their child off at the Children's Service Agency because she believes they are both unable to be effective parents. This is an example of what type of crisis? A. Crisis resulting from traumatic stress B. Maturational / developmental crisis C. Crisis of anticipated life transitions D. Crisis reflecting psychopathology

B. Maturational / developmental crisis

A nurse is providing preoperative teaching for a client who was just informed that she requires emergency surgery. The client has a respiratory rate 30/min and says, "This is difficult to comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing which of the following levels of anxiety? A. Mild B. Moderate C. Severe D. Panic

B. Moderate - Moderate anxiety decreases problem-solving and may hamper the client's ability to understand information - VS may ⬆︎

A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occuring? A. Tardive dyskinesia B. Neuroleptic malignant syndrome C. Acute dystonia D. Pseudoparkinsonism

B. Neuroleptic malignant syndrome

The level of anxiety has now reached a level of terror where the concern is to escape A. Mild anxiety B. Panic anxiety C. Moderate anxiety D. Severe anxiety

B. Panic anxiety

What type of anxiety brings a sudden feeling of feeling of doom? A. Mild anxiety B. Panic emotional anxiety C. Moderate anxiety D. Severe anxiety

B. Panic emotional anxiety

A wife brings her husband to an emergency department after an attempt to hang himself. He is a full-time student and works 8 hours at night to support his family. He states, "I can't function any longer under all this stress." Which type of crisis is the client experiencing? A. Maturational/developmental crisis B. Psychiatric emergency crisis C. Anticipated life transition crisis D. Traumatic stress crisis

B. Psychiatric emergency crisis

9. The ultimate goal of therapy for a client with dissociative identity disorder is most likely achieved through: A. Crisis intervention and directed association. B. Psychotherapy and hypnosis. C. Psychoanalysis and free association. D. Insight psychotherapy and dextroamphetamines.

B. Psychotherapy and hypnosis.

2. Which of the following ego defense mechanisms describes the underlying psychodynamics of somatic symptom disorder? A. Denial of depression B. Repression of anxiety C. Suppression of grief D. Displacement of anger

B. Repression of anxiety

4. Lorraine, a client diagnosed with somatic symptom disorder, states, "My doctor thinks I should see a psychiatrist. I can't imagine why he would make such a suggestion." What is the most common basis for Lorraine's statement? A. She thinks her doctor wants to get rid of her as a client. B. She does not understand the correlation of symptoms and stress. C. She thinks psychiatrists are only for "crazy" people. D. She thinks her doctor has made an error in diagnosis.

B. She does not understand the correlation of symptoms and stress.

5. The initial care plan for a client with OCD who washes her hands obsessively would include which of the following nursing interventions? A. Keep the client's bathroom locked so she cannot wash her hands all the time. B. Structure the client's schedule so that she has plenty of time for washing her hands. C. Place the client in isolation until she promises to stop washing her hands so much. D. Explain the client's behavior to her, since she is probably unaware that it is maladaptive.

B. Structure the client's schedule so that she has plenty of time for washing her hands.

8. The most appropriate nursing intervention with Ginger (from question 7) would be to: ( Ginger, age 19 and an only child, left 3 months ago to attend a college of her choice 500 miles away from her parents. It is Ginger's first time away from home. She has difficulty making decisions and will not undertake anything new without first consulting her mother. They talk on the phone almost every day. Ginger has recently started having anxiety attacks. She consults the nurse practitioner in the student health center. ) A. Suggest she move to a college closer to home. B. Work with Ginger on unresolved dependency issues. C. Help her find someone in the college town from whom she could seek assistance rather than calling her mother regularly. D. Recommend that the college physician prescribe an antianxiety medication for Ginger.

B. Work with Ginger on unresolved dependency issues.

Buspirone has been prescribed for a client with anxiety. When providing health education, the nurse should describe what benefit of this medication over other anxiolytics? A. decreased risk of hepatic injury B. less central nervous system depression C. rapid onset and short duration D. sublingual administration

B. less central nervous system depression

A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective? A. "I journal when I find it difficult to talk." B. "I pray when I begin to breathe fast." C. "I fix myself a pot of coffee when I get anxious." D. "I exercise when my neck is tense."

C. "I fix myself a pot of coffee when I get anxious."

5. Lorraine, a client diagnosed with somatic symptom disorder, tells the nurse about a pain in her side. She says she has not experienced it before. Which is the most appropriate response by the nurse? A. "I don't want to hear about another physical complaint. You know they are all in your head. It's time for group therapy now." B. "Let's sit down here together and you can tell me about this new pain you are experiencing. You'll just have to miss group therapy today." C. "I will report this pain to your physician. In the meantime, group therapy starts in 5 minutes." D. "I will call your physician and see if he will order a new pain medication for your side. The one you have now doesn't seem to provide relief. Why don't you get some rest for now?"

C. "I will report this pain to your physician. In the meantime, group therapy starts in 5 minutes."

1. Which of the following is a correct assumption regarding the concept of crisis? A. Crises occur only in individuals with psychopathology B. The stressful event that precipitates crisis is seldom identifiable C. A crisis situation contains the potential for psychological growth or deterioration D. Crises are chronic situations that recur many times during an individual's life

C. A crisis situation contains the potential for psychological growth or deterioration

When discussing various types of anxiolytic medications with a client, the nurse recognizes that which medication has the lowest potential for abuse? A. Alprazolam B. Diazepam C. Buspirone D. Lorazepam

C. Buspirone

Alex is a college student who's wife just had a baby and had to quit her job to stay home. He increased his working hours resulting in less time for studies. He was placed on probationary status because of low grades. He came to nurses office complaining of numerous vague physical complaints. This is an example of what type of crisis? A. Crisis resulting from traumatic stress B. Dispositional crisis C. Crisis of anticipated life transitions D. Crisis reflecting psychopathology

C. Crisis of anticipated life transitions

5. Jenny reported to the high school nurse that her mother drinks too much. She is drunk every afternoon when Jenny gets home from school. Jenny is afraid to invite friends over because of her mother's behavior. What is this type of crisis called? A. Crisis resulting from traumatic stress B. Maturational/developmental crisis C. Dispositional crisis D. Crisis reflecting psychopathology

C. Dispositional crisis

2. Which of the following is the most appropriate therapy for a client with agoraphobia? A. 10 mg Valium qid B. Group therapy with other agoraphobics C. Facing the fear in gradual step progression D. Hypnosis

C. Facing the fear in gradual step progression

8. Joselyn is a new patient at the mental health clinic. She has been diagnosed with body dysmorphic disorder. Which of the following medications is the psychiatric nurse practitioner most likely to prescribe for Joselyn? A. Alprazolam (Xanax) B. Diazepam (Valium) C. Fluoxetine (Prozac) D. Olanzapine (Zyprexa)

C. Fluoxetine (Prozac)

A client who comes into the clinic with a small sore saying they know they have skin cancer even thought two other dermatologist have told them its just a small cut would be diagnosed with A. Conversion syndrome B. Factitious disorder C. Illness anxiety disorder D. Self harm

C. Illness anxiety disorder

An individual may have difficulty attending to the surroundings and difficulty following instructions or commands A. Mild anxiety B. Panic anxiety C. Moderate anxiety D. Severe anxiety

C. Moderate anxiety

Anxiety is heightened and as a result the perceptual field is narrowed. A. Mild anxiety B. Panic anxiety C. Moderate anxiety D. Severe anxiety

C. Moderate anxiety

Jennifer has been dating Joe for 6 months but at an after football party Joe broke up with her. She becomes hysterical and others were frightened by her behavior. Her friend gave her Valium to help calm her down and left her in quite room. 1 hour later Jennifer was found unconscious and had swallowed the whole bottle of Valium. This is an example of what type of crisis? A. Crisis resulting from traumatic stress B. Maturational / developmental crisis C. Psychiatric emergencies D. Crisis reflecting psychopathology

C. Psychiatric emergencies

A nurse is counseling a client for the management of anxiety. The client is consistently late for appointments and ignores household chores. The client states, "I'm just too stressed. I need someone to take care of me." The nurse identifies this behavior as an example of which of the following defense mechanisms? A. Dissociation B. Introjection C. Regression D. Repression

C. Regression

6. A client with OCD says to the nurse, "I've been here 4 days now, and I'm feeling better. I feel comfortable on this unit, and I'm not ill-at-ease with the staff or other patients anymore." In light of this change, which nursing intervention is most appropriate? A. Give attention to the ritualistic behaviors each time they occur, and point out their inappropriateness. B. Ignore the ritualistic behaviors, and they will be eliminated for lack of reinforcement. C. Set limits on the amount of time the client may engage in the ritualistic behavior. D. Continue to allow the client all the time she wants to carry out the ritualistic behavior.

C. Set limits on the amount of time the client may engage in the ritualistic behavior.

A client presents to the nurses' station with symptoms of a panic attack, including shortness of breath, dizziness, trembling, and nausea. Which is the nurse's first intervention? A. Teach the client relaxation techniques. B. Administer PRN antianxiety medication. C. Stay with the client, and offer support. D. Help the client identify triggers for anxiety.

C. Stay with the client, and offer support.

11. Which of the following is a desired outcome of working with an individual who has witnessed a traumatic event and is now experiencing panic anxiety? A. The individual will experience no anxiety. B. The individual will demonstrate hope for the future. C. The individual will identify that anxiety is at a manageable level. D. The individual will verbalize acceptance of self as worthy.

C. The individual will identify that anxiety is at a manageable level.

The act that serves to relieve the stress associated with the obsession

Compulsion

A nurse is admitting a client who has multiple injuries following a MVA. Shortly after admission, the client's partner arrives. He is distraught and blames himself for the accident. Which of the following responses should the nurse make? A. "Do not worry about that. Your wife will be fine." B. "I think you should calm down a little before you see your partner." C. "Why do you think the crash is your fault?" D. "Tell me more about your feelings about what happened to your partner."

D. "Tell me more about your feelings about what happened to your partner."

A client approaches the nurse on an inpatient psychiatric hospital unit crying, trembling, and feeling nauseous. The client states, "I've tried everything, I still feel so anxious." Which action by the nurse would be most appropriate? A. Direct the client to continue deep breathing. B. Take the client on a walk around the unit. C. Take the client to the dayroom as a distraction. D. Administer the prescribed PRN anxiolytic medication.

D. Administer the prescribed PRN anxiolytic medication.

A nurse in a mental health clinic is assessing a client who was brought in by her adult daughter stating that her mother has not been able to leave her home for weeks because she is afraid to be outdoors alone. The nurse should anticipate planning care for managing which of the following phobias? A. Xenophobia B. Acrophobia C. Mysophobia D. Agoraphobia

D. Agoraphobia

10. The most appropriate nursing intervention with Marie (from question 9) would be to: (Marie, age 56, is the mother of five children. Her youngest child, who had been living at home and attending the local college, recently graduated and accepted a job in another state. Marie has never worked outside the home and has devoted her life to satisfying the needs of her husband and children. Since the departure of her last child from home, Marie has become increasingly despondent. Her husband has become very concerned and takes her to the local mental health center.) A. Refer her to her family physician for a complete physical examination. B. Suggest she seek outside employment now that her children have left home. C. Identify convenient support systems for times when she is feeling particularly despondent. D. Begin grief work and assist her to recognize areas of self-worth separate and apart from her children.

D. Begin grief work and assist her to recognize areas of self-worth separate and apart from her children.

All of the following pharmacological agents are useful in treating anxiety disorders except which ones? A. Tricyclic antidepressants B. Selective serotonin reuptake inhibitors (SSRIs) C. Benzodiazepines D. Calcium channel blockers

D. Calcium channel blockers

Mary was diagnosed with personality disorder believed to be from fear of abandonment. Her therapist of 6 years is moving in one month causing Mary to become distraught stating that no one cares about her and that she would be better off dead. She is found wandering in and out of traffic on a busy expressway, oblivious to her surroundings. This is an example of what type of crisis? A. Crisis resulting from traumatic stress B. Maturational / developmental crisis C. Crisis of anticipated life transitions D. Crisis reflecting psychopathology

D. Crisis reflecting psychopathology

A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following? A. Limit the amount of time available to interact with others. B. Focus attention on meaningful tasks. C. Manipulate and control others' behaviors. D. Decrease anxiety to a tolerable level.

D. Decrease anxiety to a tolerable level.

2. Crises occur when an individual: A. Is exposed to a precipitating stressor. B. Perceives a stressor to be threatening. C. Has no support systems. D. Experiences a stressor and perceives coping strategies to be ineffective.

D. Experiences a stressor and perceives coping strategies to be ineffective.

Lucille has a diagnosis of illness anxiety disorder. Which of the following symptoms would be consistent with this diagnosis? A. Complains of a multitude of incapacitating physical symptoms B. Manifests with pseudoseizures or pseudocyesis C. Takes substances to induce vomiting in order to convince the nurse that she needs treatment D. Expresses persistent fears of having life-threatening disease E. All of the above

D. Expresses persistent fears of having life-threatening disease

3. Nursing care for a client with somatic symptom disorder would focus on helping her to: A. Eliminate the stress in her life. B. Discontinue her numerous physical complaints. C. Take her medication only as prescribed. D. Learn more adaptive coping strategies.

D. Learn more adaptive coping strategies.

7. Ginger, age 19 and an only child, left 3 months ago to attend a college of her choice 500 miles away from her parents. It is Ginger's first time away from home. She has difficulty making decisions and will not undertake anything new without first consulting her mother. They talk on the phone almost every day. Ginger has recently started having anxiety attacks. She consults the nurse practitioner in the student health center. What is this type of crisis called? A. Crisis resulting from traumatic stress B. Dispositional crisis C. Psychiatric emergency D. Maturational/developmental crisis

D. Maturational/developmental crisis

1. Ms. T. has been diagnosed with agoraphobia. Which behavior would be most characteristic of this disorder? A. Ms. T. experiences panic anxiety when she encounters snakes. B. Ms. T. refuses to fly in an airplane. C. Ms. T. will not eat in a public place. D. Ms. T. stays in her home for fear of being in a place from which she cannot escape.

D. Ms. T. stays in her home for fear of being in a place from which she cannot escape.

3. With implosion therapy, a client with phobic anxiety would be: A. Taught relaxation exercises. B. Subjected to graded intensities of the fear. C. Instructed to stop the therapeutic session as soon as anxiety is experienced. D. Presented with massive exposure to a variety of stimuli associated with the phobic object or situation.

D. Presented with massive exposure to a variety of stimuli associated with the phobic object or situation.

6. Ellen has a history of childhood physical and sexual abuse. She was diagnosed with dissociative identity disorder 6 years ago and has been admitted to the psychiatric unit following a suicide attempt. What is the primary nursing diagnosis for Ellen? A. Disturbed personal identity related to childhood abuse B. Disturbed sensory perception related to repressed anxiety C. Impaired memory related to disturbed thought processes D. Risk for suicide related to unresolved grief

D. Risk for suicide related to unresolved grief

Anxiety where Physical symptoms may develop, such as perspiration, rapid heart rate, and labored breathing A. Mild anxiety B. Panic anxiety C. Moderate anxiety D. Severe anxiety

D. Severe anxiety

This is anxiety that results in the inability to attend to the surroundings A. Mild anxiety B. Panic anxiety C. Moderate anxiety D. Severe anxiety

D. Severe anxiety

A client comes to a psychiatric clinic, experiencing sudden extreme fatigue and decreased sleep and appetite. The client works 12 hours a day and rates anxiety as 8/10 on a numeric scale. What correctly written long-term outcome is realistic in addressing this client's crisis? A. The client will change his or her type A personality traits to more adaptive ones by week 1. B. The client will list five positive self-attributes. C. The client will examine how childhood events led to an overachieving orientation. D. The client will return to previous adaptive levels of functioning by week 6

D. The client will return to previous adaptive levels of functioning by week 6

A nurse in a rehabilitation center is planning care for a newly admitted client who has a history of alcohol use disorder. Which of the following client goals is the highest priority? A. The client will acknowledge alcohol dependence and need for treatment. B. The client will rebuild damaged interpersonal relationships. C. The client will implement alternative strategies for managing anxiety. D. The client's withdrawal from alcohol will be managed without complications.

D. The client's withdrawal from alcohol will be managed without complications.

A mother is concerned about her ability to perform in her new role. She is quite anxious and refuses to leave the postpartum unit. To offer effective client care, a nurse should recognize which information about this type of crisis? A. This type of crisis is precipitated by unexpected external stressors. B. This type of crisis is precipitated by preexisting psychopathology. C. This type of crisis is precipitated by an acute response to an external situational stressor. D. This type of crisis is precipitated by normal life-cycle transitions that overwhelm the client.

D. This type of crisis is precipitated by normal life-cycle transitions that overwhelm the client.

a nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations? A. Attention-seeking conduct B. Mild difficulty problem solving C. Mild fidgeting D. Threatening behavior

D. Threatening behavior

A client who is a painter recently fractured a tibia and can't work. The client worries about finances. To treat the client's anxiety, the physician orders buspirone, 5 mg by mouth three times per day. Which drugs interact with buspirone? A. beta-adrenergic blockers B. antineoplastic drugs C. antiparkinsonian drugs D. monoamine oxidase (MAO) inhibitors

D. monoamine oxidase (MAO) inhibitors

What emotion is at the heart of phobias?

Fear

An example of when panic anxiety may occur would be....

a fire in the house in which you are residing

A cab driver is stuck in traffic and he starts feeling lightheaded, beings to shake, diaphoretic, and tachycardia. While being evaluated in the ED, the nurse says "you have severe anxiety." Which of the following would be included as a nursing intervention. SATA a. Maintain a calm manner b. Demand the client answer questions c. Remain with the client d. Use clear and simple statements e. Speak loudly for the client to hear

a. Maintain a calm manner c. Remain with the client d. Use clear and simple statements

1. Lorraine has been diagnosed with somatic symptom disorder. Which of the following symptom profiles would you expect when assessing Lorraine? a. Multiple somatic symptoms in several body systems b. Fear of having a serious disease c. Loss or alteration in sensorimotor functioning d. Belief that her body is deformed or defective in some way

a. Multiple somatic symptoms in several body systems

A patient tells the nurse "I wanted my healthcare provider to prescribe diazepam for my anxiety disorder but Buspar was given instead. Why is this better" a. Does not cause a risk for diabetes b. Can be taken as needed rather than routinely c. Does not cause dependence

c. Does not cause dependence

Someone came in with generalized anxiety disorder and they are suffering from severe anxiety. Which of these medications in the patients medical record, is most appropriate to give as needed? a. Anoxioliitc medication b. Buspar c. Lorazepam d. Phenytoin e. Fluoxetine

c. Lorazepam

When educating a client and their family about taking a selective serotonin reuptake inhibitor which should the nurse priortize for teaching purposes? a. Tyramine free diet b. Restrict sodium to one gram daily c. Avoid exposure to bright sunlight d. Report increased suicidal thoughts

d. Report increased suicidal thoughts