RON/BIO- anxiety
which disorder is defined as a preoccupation with the fear of having a serious disease?
hypochondriac disorder
which action would the nurse take for a client who is admitted with conversion disorder?
explore ways to verbalize feelings
which rationale would explain the reason a client abuses alcohol?
to blunt reality
which medication is used to treat both generalized anxiety disorder and depression?
duloxetine
the parent of an infant recently prescribed phenobarbital for seizures calls the pediatric clinic and stats that the infant is lethargic and sleeps for long periods. which response by the nurse is most appropriate?
this is a temporary response to the medication; it usually stops after a few weeks
which emotion is being experienced by a client who is to be transferred from the coronary care unit to a progressive care unit asks the nurse " are you sure im ready for this move?"
fear
the nurse advises a client with anxiety to focus on a positive scene. Which relaxation technique is the nurse using?
guided imagery
how would anxiety affect outcomes for a client with heart failure?
increases the cardiac workload
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?
mild
which information about the client diagnosed with obsessive compulsive disorder would best validate the clients improvement at work?
receives a letter from a supervisor at work stating job performance has improved
which behavior would the nurse assess for in a client with generalized anxiety disorder to determine the effectiveness of therapy?
recognizing when anxiety is developing
when a client who has thrombophlebitis tells the nurse, ' sam worried about getting a clot in my lungs that will kill me' which action will the nurse take next?
ask what the client already knowns about complications of thrombophlebitis
which intervention would the nurse include in the initial plan of care for a client with the long standing obsessive compulsive behavior of hand washing?
develop a routine schedule of activities
Which reason would the nurse include in a response to a client with rheumatoid arthritis who asks the nurse why it is necessary to inject hydrocortisone into the knee joint?
reduces inflammation
the nurse noticed increased blood pressure in a client being treated for depression. which antidepressant medicament would the nurse ask the primary health care provider to reconsider?
bupropion
nurse is caring for a client with the diagnosis of somatoform disorder, conversion type. What type of affect does the nurse expect this client to exhibit? Select all that apply.
calm, matter of fact
which medication is contraindicated in clients with blood dycrasias?
chlorpromazine
a client who uses ritualistic behavior taps other clients on the shoulders three times as part of the ritual. which rationale best explains the clients behavior?
client has limited ability to adapt to stressors
which defense mechanism manifests the clients emotional conflicts through motor, sensory, or somatic disabilities?
conversion
which type of play will help develop a leader follower type of relationship?
cooperative play
which behavior would the nurse expect when caring for a hospitalized 4 year old child?
crying when the parent leaves and returns but not during their absence
which goal would cognitive therapy accomplish for a client who experiences panic attacks
decrease the fear of having panic attacks
which method would the nurse expect to be used successfully with a client who has a phobia about closed spaces?
desensitization
which approach would the nurse take for a client with alzheimer disease who is fearful and anxious about being admitted?
reassuring the client with the presence of same staff members
which sequela would the nurse expect in a client with a conversion disorder who is experiencing paralysis of a leg?
recover use of the affected leg, but under stress, to again experience these symptoms
the nurse is providing preoperative teaching to a client who is scheduled for abdominal surgery. the client is fidgeting, slightly diaphoretic, and asking simple questions about information that was already provided during the education session. which initial step would the nurses take?
reduce the clients level of anxiety
which approach would the nurse use for a delusional client who refuses to eat because of a belief that the food is poisoned?
refusing to argue about the food being poisoned
which description of anxiety is associated with conversion disorder?
relieved by the symptom
which characteristic distinguishes post traumatic stress disorders from other anxiety disorders?
reliving the trauma in dreams and flashbacks
at a follow up visit, a client receiving treatment for depression reports blurred vision and constipation. which medication is suspected as being responsible for these adverse effects? select all that apply
amoxapine, desipramine, amitriptyline
which reaction is most likely to occur when the performance of a ritual is interrupted for accent with obsessive compulsive disorder?
anxiety
which developmental issue is related to 5 year old children?
anxiety about body integrity
which feelings would be the basis for the ritualistic behavior seen in clients with obsessive compulsive disorder?
anxiety and guilt
which factor would likely be the reason a woman with bipolar disorder, manic episode, rarely eats?
excessive physical activity
which therapeutic approach would indicate the client is receiving desensitization therapy?
imagery
the nurse administers prescribed anxiolytics to clients with severe emotional disorders. which outcome is the goal of this treatment?
makes the client more amenable to psychotherapy
which level of anxiety enhances the clients learning abilities?
mild
which primary reason identifies why oxazepam is given during detoxification?
minimizes withdrawal symptoms the client may experience
an obviously upset client pushes ahead of the other clients and states 'i had an argument with my daughter, and ow i'm tense, and anxious, and angry'. which level of anxiety is the client experiencing?
moderate
which behavioral response to a disaster would the nurse treat first, in an attempt to avoid mass hysteria?
panic
which parameter would be assessed to determine the degree of anxiety being experienced by the client?
perceptual field
which primary purpose is served when an individual takes action to reduce anxiety?
reduction of tension
a client with the diagnosis of borderline personality disorder has a history of suicidal behavior and self mutilation. which rationale best explains the self mutilation?
self mutilation is an expression of anger or frustration
a client reports to the nurse, 'im afraid of every little thing and i have a fear of dying. my heart races all the time, and i break out in sweats' which first line medications would the nurse anticipate developing a teaching plan for? select all that apply
sertraline, fluoxetine
which type of setting would the nurse maintain for extremely depressed clients?
simple daily routines
which information will the nurse include when explaining the planned sclerotherapy to a client with varicose veins?
the solution causes the vein to scar and collapse
which essential action would the nurse take for a client whose behavior is characterized by suspicious delusions?
try to establish trust through consistency of care
the nurse is interviewing a client admitted for uncontrolled diabetes. the client has been binging on alcohol for the past 2 weeks. the client states, " i am worried about how i am going to pay my bills for my family while i am hospitalized". which statement by the nurse is therapeutic?
you are worried about paying your bills?
which response would the nurse use after receiving instructions regarding dressing changes and care of a recently inserted nephrostomy tube when the client states " I hope i can handle all this at home; its a lot to remember?
you seem to be nervous about going home
which client would fit into a theory group for low functioning clients?
a 77 year old man with anxiety and confusion related to mild dementia
which explanation for the clients behavior would be useful to consider in planning care for a client who has been on hemodialysis for 2 years, communicates in an angry, critical manner, and does not adhere to the prescribed medication and diet?
a defense against underlying depression and fear
which action would the nurse take for a client with an obsessive compulsive disorder who continually walks up and down the hall, touching every other chair and becomes upset if interrupted?
allow the behavior to continue for a specified time, letting the client help set the time limits to be imposed
the nurse is developing a care plan for a client with severe generalized anxiety disorder. which intervention would the nurse include to maintain safety? select all that apply
delivering calm and consistent care, maintaining a low stimulation environment
after a prolonged admission far from home and away from the parent, an 18 month old toddler becomes depressed, withdrawn, and apathetic. eventually the toddler begins playing with toys and relating to others, even strangers. how would the nurse advise the parent who is upset when the child ignores them during a visit and worries that the child has forgotten them?
this is typical behavior in toddlers who are separated from their parents for prolonged periods, and indicates that their child will need special attention from them
which action would the nurse take when a confused and anxious client voids on the floor in the sitting room of the mental health unit?
toilet the client more frequently with supervision
which is the nurses most therapeutic response for the child who is about to have an IV inserted and cries out that he is afraid of IVs?
tell me what frightens you
which adverse effect would the nurse anticipate in a client receiving lithium therapy for treatment of depression?
ataxia
which finding in a client with graves disease would suggest an exacerbation of the disorder? select all that apply
1. a 20 pound weight loss 2. very fast paced talking 3. hyperactive bowel sounds 4. heart rate 120 bpm 5. blood pressure 170/86
which age group of hospitalized children will have the most difficulty with separation anxiety?
6 to 30 months
an in home babysitter phones a health clinic, stating that a child swallowed dish soap. which advice would the nurse give?
call poison control
a client with long term cocaine use presents with extreme suspiciousness. which additional clinical manifestations would the nurse monitor for in this client? select all that apply
chest pains, panic attacks, nasal damage
when a client expresses anxiety about being given anesthesia, which team member should sit with the person and provide comfort during the induction?
circulating nurse
which client has reached the primary objective of situational crisis therapy within the expected time frame?
client develops several different methods to handle stress after 2 months
which client may benefit from the administration of the herbal preparation hypericum perforated?
client with sleep disorder
which principle would the nurse consider when planning care for a client who is using ritualistic behavior?
clients do not want to repeat their rituals but feel compelled to do so
a client is admitted for treatment of obsessive compulsive disorder that is interfering with activities of daily living. which medication indicated for treatment of this condition?
clomipramine
which term or description would the nurse use for a client who repeatedly performs ritualistic behaviors throughout the day to limit anxious feelings?
compulsions
which response would the nurse make to a client diagnosed with obsessive behavior who's scheduled visit with family was canceled because of an unforeseen business crisis?
its disappointing to have plans change at the last minute
which intervention would be essential for the nurse to take for a hyperactive client
using a firm but caring and consistent approach
which monoamine oxidase inhibitor would the nurse identify as being used to treat parkinson disease?
selegiline
which defense mechanism would a nurse determine is being used baby client who was recently diagnosed as having myelocytic leukemia and discusses the diagnosis by referring to statistics, facts, and figures?
intellectualization
which discharge criterion would be appropriate for a client diagnosed with obsessive compulsive disorder who is using ritualistic behaviors?
is able to intervene when increasing levels of anxiety occur
which action would the nurse take to minimize agitation in a disturbed client?
limit unnecessary interactions with the client
which communication technique would the nurse be using when he or she states "lets see whether we mean the same thing" to a client who is not making sense?
seeking consensual validation
an anxious client reports pain in the abdomen and feeling empty and hollow, but a diagnostic workup reveals no physical causes. which term reflects what the client is experiencing?
somatization
which factor would the nurse find in the client history of a young college student diagnosed with borderline personality disorder? select all that apply
impulsivness lability of mood self destructive behavior
which physical manifestation would the nurse expect to observe if a client is anxious?
increased blood glucose
despite the nurses best efforts, a young cline continuously complains about the nursing care. which defense mechanism is the nurse using by discussing stages of young adult development with a colleague?
intellectualization
which clients are using complementary and/or alternative medicine (CAM) to treat their symptoms of emotional distress and psychiatric illness? select all that apply
1. client practices meditation to reduce anxiety in addition to outpatient counseling 2. client uses massage, lavender, and chamomile to decrease stress and anxiety 3. client with depression takes an omega 3 fatty acid supplement an antidepressant
which action would the nurse take to help a client diagnosed with obsessive compulsive disorder discuss how anxiety influences feelings and the ability to function? select all that apply
1. explore anxiety provoking situations 2. assist the client in examining coping mechanisms
which response would the nurse make to a client with obsessive compulsive disorder who says, "i know that my hands aren't dirty, but i just can't stop washing them"?
I understand that-maybe we can work together to limit the number of times you wash them
which reason would likely be the cause for a 65 inch tall 15 year old girl weighing 80lb being admitted to a mental health facility?
a desire to control her life
which response would the nurse make to a clients partner who does not understand the rationale of using a daycare environment for the clients obsessive compulsive disorder?
a neutral atmosphere facilitates the working through of conflicts
which initial intervention would the nurse perform for a client recently admitted with pacing, aloofness, and suspicion who says thatcher people have all the control?
accepting the clients behavior
which recommendation would the nurse provide the parent of a 4 year old who reports their child awakens screaming and sweating profusely?
advise the parent to observe their child for a few minutes until the child is calm
which action would the nurse take for a newly admitted client diagnosed with schizophrenia who refuses to remove dirty clothing?
allow the client to undress when ready to help maintain identity
which information about anxiety would the nurse teach the family before discharging an anxious client?
anxiety is a pattern of emotional and behavioral responses to stress
which behavior typifies generalized anxiety disorder?
anxiety over interpersonal relationships, finances, and health
a client diagnosed with schizophrenia greets three new staff members by saying, 'welcome to the funny farm. i'm jo-jo, the head yo-yo' which meaning would the nurse assign to the clients statement?
anxiety over the arrival of new staff members
which problem would the nurse anticipate when working with a client who has a phobia of black cats?
anxiety when discussing the phobia
which reaction toward the physical symptom would the nurse observe in a client with conversion disorder?
apathy
which finding would the nurse observe in a client with conversion disorder who is unable to move the right arm?
appearing composed
which are the adverse effects of mirtazapine? select all that apply
asthenia, drowsiness, abnormal dreams
a client who takes antipsychotic medications complains of painful muscle spasms. the nurse suspects that the client may have pseudoparkinsonism. which medications are indicated to counter this condition? select all that apply
benztropine trihexyphenidyl
which medication would the nurse recognize as being contraindicated for use in clients with eating and seizure disorders?
bupropion
which purpose do delusions serve according to psychodynamic theory?
delusions are a defense against anxiety caused by real or imagined threats
which response would a nurse observe in survivors during the period immediately after a traumatic event? select all that apply
denial, confusion, helplessness
the client reports screaming hysterically whenever a spider comes close to her. which defense mechanism is the client using?
displacement
which factor would the nurse identify as likely related to the sleeplessness of a schizophrenic client who was transferred from a private room to a room with a roommate 3 days ago?
fear of the other client
which adverse effect would the nurse assess for in a client receiving haloperidol?
gynecomastia
a client tells the nursing assistant 'i am so worried about the results of the biopsy they took today'. the nurse overhears the nursing assistant reply 'don't worry. im sure everything will come out all right' which conclusion would the nurse make about the nursing assistants answer?
it gives false reassurance
which guideline would the nurse use when developing a plan of care for a client with an obsessive compulsive disorder about ritualistic behavior?
it helps the client control the level of anxiety the client is experiencing
a client sits huddled in a chair and later moves to assume the fetal position in a corner. which defense mechanism is the client using?
regression
a client has been diagnosed with generalized anxiety disorder. which behavior would the nurse expect to observe?
spending hours each day worrying about something 'bad happening'
a client, diagnosed with borderline personality disorder, declares that the whole staff is "bad" after being disappointed by one staff member. which defense mechanism is the client using?
splitting
which action would the nurse take first for a client who comes to a mental health center with severe anxiety, evidenced by crying, hand wringing, and pacing?
stay physically close to the client
a 13 year old student reports, 'i worry about my parents because i don't want them to get a divorce. i can't stop worrying; i can't sleep; im always tired, and my grades have dropped. which condition is the student experiencing?
generalized anxiety
which nursing intervention would help a client who exhibits physical symptoms when stressed?
assisting the client in developing new coping mechanisms
which approach would the nurse use when managing the care of a client diagnosed with generalized anxiety disorder?
assisting the client with the development of healthy, adaptive coping mechanisms
which rationale supports giving the client diagnosed with obsessive compulsive disorder time to perform a specific ritual?
denying this activity may precipitate an increased level of anxiety
which technique would the nurse use for a client with dementia who seems anxious, frequently paces about, and exhibits deteriorating hygiene?
directing staff members to reinforce reality as needed
which intervention would the nurse include in the plan of care for a client with posttraumatic stress disorder who verbalizes a desire to have control over personal feelings related to ebbing the only survivor?
discuss life situations that the client is able to manage
which instruction would the nurse provide to a client who has anxiety and depression and is prescribed venlafaxine ER tablets? select all that apply
do not crush the tablets report any suicidal thoughts the medication takes 3 to 4 weeks to work do not suddenly stop taking the medication taper your dose up to the required dose
which concept is the basis of cognitive behavioral therapy?
negative thoughts can precipitate anxiety
an older adult client reports flashbacks related to his experiences in Vietnam; he exhibits startle reactions and poor concentration. which mental health disorder is associated with these symptoms?
post traumatic stress disorder
which portion of the nervous system is primarily responsible for the clinical manifestations that occur during a crisis?
sympathetic nervous system
which purpose is served by ritualistic behavior for a client diagnosed with an obsessive compulsive personality disorder?
the rituals temporarily relieve anxiety
which response would the nurse make to a client who says, "i feel so guilty. none of this makes any sense. everyone must really think i'm crazy" after performing a complex ritual?
you're concerned about what other people are thinking about you
which immediate nursing intervention is most likely to increase anxiety for a client who is increasingly agitated?
teaching relaxation
which response would be given by the nurse to a parent who tells the nurse that he or she is apprehensive that an antidepressant has been prescribed for an adolescent?
tell me more about what's concerning you
a client is worried about what to expect after having a pancreatoduodenectomy (whipple procedure) for cancer of the pancreas. in helping this client plan for the future, which concept would the nurse need to understand?
the stage and grade of the clients cancer
which information would the nurse include in client teaching regarding electroconvulsive therapy?
the treatment will not cause pain because you will receive anesthesia
which benefit accompanies mild apprehension?
there is an increased alertness
which statement about benzodiazepines requires correction?
these medications increase the activity of gamma aminobutyric acid
in which way would the nurse respond to a parent who is concerned about separation anxiety in their 15 month old child?
this is an expected developmental reaction
which rationale explains the function of obsessions and compulsions for a client with an obsessive compulsive disorder?
unconscious control of unacceptable feelings
a woman who gave birth to a second child 3 weeks ago is depressed, crying, and having extreme difficulty caring for her children. which approach would the nurses take when the husband calls the women health clinic and asks what he should do?
telling him that his wife may be suffering from depression and needs emergency care
place these crisis interventions in the order the nurse would implement them for a client experiencing escalating levels of anxiety?
1. attempt to identify the source of the anxiety 2. encourage deep breathing and relaxation techniques 3. provide firm but kind directions 4. place the client in restraints if deemed dangerous
which nutritional guidelines would the nurse emphasize for an adolescent who has anorexia nervosa? select all that apply
1. increase food intake gradually 2. limit mealtime to half and hour 3. provide privileges for dietary goal achievement
which clients statement confirms they reached the integrity versus despair stage according to erik sons theory of psychosocial development? select all that apply
1. looking back at my entire life, i find that i have actually achieved nothing 2. in the twilight of my life, i regret not fulfilling the promises i made to my wife 3. now that i am at the end of the road, i think i am the luckiest person on earth because god has given me everything that i asked for
which psychological nursing actions are appropriate when providing client care after a community disaster? select all that apply
1. offering choices whenever possible 2. establishing rapport through activities listening 3. requesting assistance form crisis counselors
which nursing action would be included in the plan of care for a client scheduled to have a CT scan of the brain?
telling the client what to expect during the test
which response would best reflect that the anxious clients cognitive abilities have been affected by the anxiety when asked, 'what brought you to the emergency department'?
the ambulance brought me to the emergency department
which initial reference would the nurse make about a psychiatric client curled up in the fetal position in the corner of the dayroom?
the client is feeling more anxious today
which priority objective would the nurse add to the plan of care for a male client who is withdrawn, shy, has low self-esteem and is afraid to talk to members of the opposite sex?
the client will increase his self esteem
During the first meeting of a therapy group, members exhibit frequent periods of silence, tense laughter, and nervous movements. Which conclusion would the nurse make?
the members are displaying expected behaviors because relationships are not yet established
which verbalization from a client diagnosed with dissociative identity disorder, who is to be discharged after a 2 week hospitalization, would indicate effectiveness of the short term therapy?
the need for long term outpatient psychotherapy
which strategies would the nurse apply when vaccinating a child to decrease pain and anxiety? select all that apply
applying a topical anesthetic, injecting the most painful vaccine last, holding the child upright during the vaccination, administering intramuscular injections rapidly without prior aspiration
which action would the nurse take when the client still has moderate to severe anxiety after the health care provider has explained the scheduled head and neck surgery?
attempt to discover the clients concerns
which intervention would the nurse expect to implement to alleviate anxiety for a preoperative client?
attempt to identify the clients concerns
which initial approach would the nurse use for an adolescent with anorexia nervosa who has lost 20lb in 6 weeks and is very thing but is excessively concerned about being overweight?
attempting to establish a trusting relationship with the adolescent
which approach would the nurse use for a client with an obsessive compulsive disorder to decrease the use of ritualistic behaviors?
attempting to limit situations that will worsen the anxiety
which action would the nurse take for a client with a diagnosis of conversion disorder manifesting as paralysis of the legs?
avoid focusing on the clients physical symptoms
which response would the nurse use when a client scheduled for a transurethral incision of the prostate (TUIP) voices concern regarding impotence?
i can understand your concern, but this procedure usually does not cause impotence
which client statement reflects the most commonly used defense mechanism for a client with the diagnosis of schizophrenia undifferentiated type?
i don't want to take a bath. the water is cold and it hurts
which class of medications is frequently prescribed for a client with bipolar disorder to induce sedation?
benzodiazepine
which statement indicates that the teaching has been effective after the nurse has finished teaching a 50 year old female client about symptoms of coronary artery disease in women?
i will call my health care provider about any unusual fatigue
which developmental conflict is a college student attempting to resolve when they struggle with indecision about an academic major according to eriksons psychosocial stages of development?
identity versus role confusion
which medication worsens uncontrolled angle-closure glaucoma when used for the treatment of generalized anxiety disorder?
duloxetine
which short term goal would be developed when caring for an adolescent client with anorexia nervosa?
eat planned nutritious meals
the parent of a child with a terminal illness appears overwhelmed and anxious. which is the best response by the nurse?
encouraging the parent to express their feelings
which activity would the nurse suggest for client diagnosed with bipolar disorder who has accelerating manic behavior?
engaging the client in conversation while walking slowly in the hall
which type of health care does a person who is 'worried well' require? select all that apply?
evaluation reassurance preventative treatment
which additional clinical manifestation would the nurse monitor for in a client with generalized anxiety disorder who presents with restlessness and fatigue?
excessive worry
which conscious, health, coping behaviors would the nurse recommend a client use to reduce anxiety? select all that apply
exercise, suppression, talking to friends
a college athlete sustained a complete transection of the spinal cord while practicing on a trampoline. the health care provider explained that return of function to the lower extremities is not likely. two weeks later, the client verbalizes the need to practice for an upcoming tournament. which conclusion would the nurse make about the clients statement?
exhibiting denial
which symptom would the nurse identify when assessing a client with graves disease
exopthalmos
which nursing intervention would be used to achieve the cooperation of an extremely anxious pregnant client during the first pelvic examination?
explaining the procedure and maintaining eye contact while touching the client gently
the nurse is discussing discharge plans with a client. the client states, "im worried about going home". the nurse responds, " tell me more about this". which interviewing technique did the nurse use?
exploring
the nurse is preparing to teach a 7 year old child about crutch walking. which would be included in the plan?
exploring the childs fear of falling
which approach would the nurse use for a delusional male client who has increasing pacing and agitation and verbalizes the belief that others are out to cause him harm?
move the client to a quiet place on the unit
which nursing intervention would be indicated for a client with an anxiety disorder?
promoting verbalization of feelings by the client
which action would be difficult for a client who has borderline personality disorder to complete during the orientation phase of a therapeutic relationship?
setting mutual goals for the relationship
which descriptions would the nurse expect to hear from a client describing experiences of panic? select all that apply
severe withdrawal, hallucinations or delusions, feeling unreal(depersonalization) or that the world is unreal (derealization)
which assessment finding for a client who is anxious indicates sympathetic nervous system stimulation?
skin pallor
which piece of assessment data from a client admitted for stress and anxiety requires a nursing intervention?
sleeping until 11:00 am each day
which response would the nurse expect from a client diagnosed with antisocial personality disorder?
society makes people follow rules that don't apply to me
which type of mental health disorder is most likely to include an assessment for presence of secondary gains?
somatic symptom disorder
which successful treatment would the nurse discuss with a client who has a phobia?
systematic desensitization involving relaxation techniques
which problem would the nurse anticipate in a client who has an adjustment disorder with mixed anxiety and depressed mood?
low self esteem
a child is admitted to the pediatric intensive care unit after an accident. the parent, at the childs bedside, is visibly upset. which is the most therapeutic statement the nurse can make?
you must have lots of emotions right now
which recommendation would the nurse provide the parent of a 7 year old child who is concerned that the child is experiencing bedwetting and is afraid of the dark? select all that apply
1. allow your child to keep a light on in the bedroom at night 2. encourage your child to copy their siblings who sleep alone in their rooms
which comorbid disorder is most commonly associated with generalized anxiety disorder?
major depressive disorder
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?
undoing
which consistent approach would the nurse use for a client diagnosed with an antisocial personality disorder?
warm and firm without being punitive
which clinical findings are seen in anxiety disorders? select all that apply
worrying about a variety of issues, converting the anxiety into a physical symptom, displacing the anxiety onto a less threatening object, decreased concentration and impaired problem solving
a client with a parotid tumor expresses anxiety about a planned surgery to remove the tumor. the client sates that perhaps surgery should be performed soon, even if the preoperative radiotherapy is not completed. how should the nurse respond?
you are concerned about the delay of surgery?
which behavior is most commonly used by an individual with a phobic disorder?
avoidance
which information would the nurse give to a client interested in kava and valerian supplements for the treatment of anxiety and insomnia? select all that apply
1. valerian can cause restlessness and insomnia 2. both kava and valerian are contraindicated with liver disease 3. kava is contraindicated with parkinson disease or depression 4. kava can cause temporary yellow discoloration of the skin, hair and nails
which response would the nurse provide to a client who expresses malignancy fears associated with the pending bone biopsy report?
it is very upsetting to have to wait for a biopsy report
which characteristic is commonly associated with adolescent depression? select all that apply
having suicidal ideation exhibiting tearfulness avoiding previously enjoyed activities and relationships
which action would the nurse take for a 4 year old child who is called to the operating room for a planned myringotomy?
having the parent accompany the child to the operating suite
which action would the nurse use to establish a therapeutic relationship with a withdrawn, reclusive client?
help the client keep anxiety to a minimum
which action would the nurse take when caring for a client whose behavior is characterized by pathologic suspicious delusions?
help the client to explain the reasons for the feelings
which intervention would the nurse add to the plan of care for a client who engages in ritualistic behavior?
help the client understanding that the behavior is caused by maladaptive coping with increased anxiety
which condition is likely being experienced by a client receiving NPH insulin every morning who reports feeling nervous at 4:30 pm and has skin that is moist and cool?
hypoglycemia
which statement would the nurse use in response to the needs of a client with renal colic who frequently uses the call light and has many demands the night before scheduled extracorporeal shock wave lithotripsy?
you are facing a new experience tomorrow; tell me what concerns you have
which developmental norm would the nurse recognize as likely to influence a preschoolers response to hospitalization?
fear of bodily harm
which response would the nurse anticipate for a client who comes to the mental health clinic for treatment of a phobia of large dogs?
fear while discussing the phobia
when completing a health assessment, the nurse identifies tremors of the clients hands. when discussing this assessment, the client reports being nervous, having difficulty sleeping, and feeling as if the collars of shirts are getting tight. which additional assessment finding would the nurse report immediately to the health care provider?
fluttering in the chest
a client with obsessive compulsive disorder has an anxiety level that is approaching a pain level, and the clients ritual is interfering with work and daily living. which selective serotonin reuptake inhibitor (SSRI) would be considered when preparing a teaching plan?
fluvoxamine
which approach would the nurse take for a client who was involved in a near fatal automobile collision and arrives at the crisis center with reports of anxiety and flashbacks?
focusing on the present
which response would the nurse make to a client diagnosed with an obsessive-compulsive disorder, who on the day of a job interview, begins to display compulsive behavior?
going for your interview must be upsetting you. describe what you're feeling now
which reason would be likely for a clients anger and acting out when the nurse interrupt the hand-washing ritual of a client with obsessive-compulsive disorder?
has overwhelming feelings of anxiety
an 11 year old client reports having bedwetting issues. which medication would the nurse anticipate when developing a teaching plan?
imipramine
an agitated, delusional client, who is acting out, is receiving large doses of haloperidol, and the nurse is concerned becuase this medicatoin can produce untoward adverse effects. which clinical manifestatoins will alert the nures to stop the medicatoin immediately?
jaundice, tachycardia
which intervention would the nurse include in the plan of care for a client with moderate alzheimer disease?
maintain a daily routine of living
which outcome would indicate a client who was hospitalized with severe anxiety is ready to be discharged?
maintains anxiety at a manageable level
when a nurse needs to administer oxygen at a fraction of inspired oxygen (FiO2) of about 40% to keep a clients oxygen saturation greater than 94%, which method would be best?
nasal canula
which action would the nurse take first when a client with acute bronchitis and emphysema reports feeling anxious and short of breath?
obtain the oxygen saturation
which disorder would the nurse identify as being treated by venlafaxine? select all that apply
panic disorder major depression social anxiety disorder
which initial action would the nurse take for a newly admitted client who reports memory loss, nervousness, insomnia, and fear of leaving the house?
provide the client with a sense of security and safety
which nursing intervention would be most important for a client who has the diagnosis of antisocial personality disorder?
providing clear boundaries and consequences
which is the priority nursing action to assist an anxious father in his concern about not bonding with his newborn?
providing time for the father to be alone with and get to know the baby
which safety intervention would the nurse include in a plan of care for a client with somatic disorder who reports loss of visor? select all that apply
put the call light within reach orient the client to surroundings
a client receiving a beta mimetic for preterm labor experiences muscle tremors, exhibits signs of nervousness, and has palpitations. the nurse assesses the clients pulse rate and notes that it is 110 bpm and regular. which action would the nurse take next?
reassure the client that these are expected side effects of the medication
the therapist suggests response prevention for a client who has an overwhelming impulse to count and arrange the paper clips. which nursing actions supports this behavioral therapy?
remind about the set time limits for counting and arranging
which information about radiation therapy would guide a nurses 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?
reproductive ability may be preserved through a variety of interventions
which action would the nurse take for a client diagnosed with schizotypal personality disorder?
respect the clients need for social isolation
the nurse is assessing a client who had a bowel resection 4 hours ago. which finding would the nurse identify as an early sign of shock?
restlessness
which action would be taken when a nurses personal feelings of anxiety are increasing while caring for an anxious client?
say, 'another staff member is coming in. i'll leave and come back later'
which childhood problem has legal and emotional aspects?
school phobia
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?
screening for the HIV antibodies has minimized the risk
which priority action would eat nurse take during the first few hospital days for an adult diagnosed with schizophrenia who is ungroomed and withdrawn, and has on spoken to anyone for several days?
seek out the client frequently to spend short periods of time together
which action would eat nurse take for a client with paranoid schizophrenia who wraps their legs in toilet paper, believing that this will provide protection from deadly germs contaminating the floor?
talk with the client about anxiety that focuses on health
a client with an acute emphysema episode is dyspneic and anxious. to decrease the dyspnea, which action would the nurse take?
teach the client to do purse lip breathing
which response would the nurse make to a client with an obsessive compulsive disorder who spends 30 minutes in the bathroom six times a day and says 'it keeps me from getting nervous'?
tell me how spending time in the bathroom helps you avoid becoming nervous
which is the nurses most therapeutic response for the child who is about to have an IV line inserted and cries out that he is afraid of IVs?
tell me what frightens you
which response would the nurse use as a reply to a client diagnosed with sexual dysfunction who states, "well, I guess my sex life is over"?
you are concerned about your sex life?
which response would the nurse make to a client who has just experienced a panic attack?
you are concerned that this might happen again
