Stress, Anxiety, and Mind-Body Disorders Practice Quiz (25 Questions)

The psychoanalytic theory explains the etiology of anorexia nervosa as: -the achievement of secondary gain through control of eating. -a conflict between mother and child over separation and individualization. -family dynamics that lead to enmeshment of members. -the incorporation of thinness as an ideal body image.

-a conflict between mother and child over separation and individualization.

Nurse Ginia understands that her client Glenda who is bulimic feels shame and guilt over binge eating and purging. This disorder is therefore considered: -ego-distorting. -ego-dystonic. -ego-enhancing. -ego-syntonic.

-ego-dystonic.

Chuck is a 20-year-old student diagnosed of having obsessive-compulsive behavior. A psychiatrist prescribes clomipramine (Anafranil) to treat his condition. Nurse Nicolette understands the rationale for this treatment is that the clomipramine: -increases dopamine levels. -increases serotonin levels. -decreases norepinephrine levels. -decreases GABA levels.

-increases serotonin levels.

A group of community nurses sees and plans care for various clients with different types of problems. Which of the following clients would they consider the most vulnerable to post-traumatic stress disorder? -An 8 year-old boy with asthma who has recently failed a grade in school -A 20 year-old college student with DM who experienced date rape -A 40 year-old widower who has recently lost his wife to cancer -A wife of an individual with a severe substance abuse problem

-A 20 year-old college student with DM who experienced date rape

Mr. Johnson is newly admitted to a psychiatric unit because of severe obsessive compulsive behavior. Which initial response by the nurse would be most therapeutic for him? -Accepting the client's ritualistic behaviors -Challenging the client's need for rituals -Expressing concern about the harmfulness of the client's rituals -Limiting the client's rituals that are excessive

-Accepting the client's ritualistic behaviors

David is preoccupied with numerous bodily complaints even after a careful diagnostic workup reveals no physiologic problems. Which nursing intervention would be therapeutic for him? -Acknowledge that the complaints are real to the client, and refocus the client on other concerns and problems. -Challenge the physical complaints by confronting the client with the normal diagnostic findings. -Ignore the client's complaints, but request that the client keep a list of all symptoms. -Listen to the client's complaints carefully, and question him about specific symptoms.

-Acknowledge that the complaints are real to the client, and refocus the client on other concerns and problems.

Genevieve only attends social events when a family member is also present. She exhibits behavior typical of which anxiety disorder? -Agoraphobia -Generalized anxiety disorder -Obsessive-compulsive disorder -Post-traumatic stress disorder

-Agoraphobia

During a community visit, volunteer nurses teach stress management to the participants. The nurses will most likely advocate which belief as a method of coping with stressful life events? -Avoidance of stress is an important goal for living. -Control over one's response to stress is possible. -Most people have no control over their level of stress. -Significant others are important to provide care and concern.

-Control over one's response to stress is possible.

A nurse at Nurseslabs Medical Center is developing a care plan for a female client with post-traumatic stress disorder. Which of the following would she do initially? -Instruct the client to use distraction techniques to cope with flashbacks. -Encourage the client to put the past in proper perspective. -Encourage the client to verbalize thoughts and feelings about the trauma. -Avoid discussing the traumatic event with client.

-Encourage the client to verbalize thoughts and feelings about the trauma.

Nurse Martha is teaching her students about anxiety medications, she explains that benzodiazepines affect which brain chemical? -Acetylcholine -Gamma-aminobutyric acid (GABA) -Norepinephrine -Serotonin

-Gamma-aminobutyric acid (GABA)

Jordanne is a client with a fear of air travel. She is being treated in a mental institution for phobic disorder. The treatment method involves systematic desensitization. The nurse would consider the treatment successful if: -Jordanne plans a trip requiring air travel. -Jordanne takes a short trip in an airplane. -Jordanne recognizes the unrealistic nature of the fear of riding on airplanes. -Jordanne verbalizes a decreased fear about air travel.

-Jordanne takes a short trip in an airplane.

Which of the following attitudes from a nurse would hinder a discussion with an adolescent client about sexuality? -Accepting -Matter-of-fact -Moralistic -Nonjudgemental

-Moralistic

The nurse evaluates the treatment of Mrs. Montez with somatoform disorder as successful if: -Mrs. Montez practices self-medication rather than changing health care providers. -Mrs. Montez recognizes that physical symptoms increase anxiety level. -Mrs. Montez researches treatment protocols for various illnesses. -Mrs. Montez verbalizes anxiety directly rather than displacing it.

-Mrs. Montez verbalizes anxiety directly rather than displacing it

Nurse Kenzo is teaching a client about sertraline (Zoloft), which has been prescribed for depression. A significant side effect is interference with sexual arousal by inhibiting erectile function. How should the Nurse Kenzo approach this topic? -Nurse Kenzo should avoid mentioning the sexual side effects to prevent the client from having anxiety about potential erectile problems. -Nurse Kenzo should advise the client to report any changes in sexual functioning in case medication adjustments are needed. -Nurse Kenzo should explain that the client's sexual desire will probably decrease while on this medication. -Nurse Kenzo should tell the client that sexual side effects are expected, but that they will decrease when his depression lifts.

-Nurse Kenzo should advise the client to report any changes in sexual functioning in case medication adjustments are needed.

The school nurse assesses for anorexia nervosa in an adolescent girl. Which of the following findings are characteristic of this disorder? Select all that apply. -Bradycardia -Hypotension -Chronic pain in one or more sites -Fear of having a serious illness -Irregular or absent menses -Refusal to maintain minimally normal weight

-Refusal to maintain minimally normal weight

Nurse Wayne is planning a psychoeducational discussion for a group of adolescent clients with anorexia nervosa. Which of the following topics would Nurse Wayne select to enhance understanding about central issues in this disorder? -Anger management -Parental expectations -Peer pressure and substance abuse -Self-control and self-esteem

-Self-control and self-esteem

Nurse Vicky is assessing a newly admitted client for symptoms of post-traumatic stress disorder (PTSD). Which symptoms are typically seen with this diagnosis? Select all that apply. -Anger with numbing of other emotions -Exaggerated startle response -Feeling that one is having a heart attack -Frequent thoughts about contamination -Frequent nightmares -Survivor's guilt

-Survivor's guilt

The psychiatric nurse uses cognitive-behavioral techniques when working with a client who experiences panic attacks. Which of the following techniques are common to this theoretical framework? Select all that apply. -Administering anti-anxiety medication as prescribed -Encouraging the client to restructure thoughts -Helping the client to use controlled relaxation breathing -Helping the client examine evidence of stressors -Questioning the client about early childhood relationships -Teaching the client about anxiety and panic

-Teaching the client about anxiety and panic

Mandy, a nurse who works at Nurseslabs Rehabilitation Center is assessing a client for recent stressful life events. She recognizes that stressful life events are both: -desirable and growth-promoting. -positive and negative. -undesirable and harmful. -predictable and controllable.

-positive and negative.

Marty is pacing and complains of racing thoughts. Nurse Lally asks the client if something upsetting happened, and Marty's response is vague and not focused on the question. Nurse Lally assess Marty's level of anxiety as: -mild. -moderate. -severe. -panic

-severe.

Mr. Bartowski who is newly diagnosed with rheumatoid arthritis asks the community nurse how stress can affect his disease. The nurse would explain that: -the psychological experience of stress will not affect symptoms of physical disease. -psychological stress can cause painful emotions, which are harmful to a person with an illness. -stress can overburden the body's immune system, and therefore one can experience increased symptoms. -the body's stress response is stimulated when there are major disruptions in one's life.

-stress can overburden the body's immune system, and therefore one can experience increased symptoms.

During a mother's class, the nurse who is teaching the participants on stress management is questioned about the use of alternative treatments, such as herbal therapy and therapeutic touch. She explains that the advantage of these methods would include all of the following except: -they are congruent with many cultural belief systems. -they encourage the consumer to take an active role in health management. -they promote interrelationships within the mind-body-spirit. -they usually work better than traditional medical practice.

-they usually work better than traditional medical practice.

Marlyn is diagnosed of anorexia nervosa and is admitted in the special eating disorder unit. The initial treatment priority for her is: -to determine her current body image. -to identify family interaction patterns. -to initiate a refeeding program. -to promote the client's independence.

-to initiate a refeeding program.

Nurse Kerrick observes Toni who is hospitalized on an eating disorder unit during mealtimes and for 1 hour after eating. An explanation for this intervention is: -to develop trusting relationship. -to maintain focus on importance of nutrition. -to prevent purging behaviors. -to reinforce the behavioral contact.

-to prevent purging behaviors.

Which outcome is most appropriate for Francis who has a dissociative disorder? -Francis will deal with uncomfortable emotions on a conscious level. -Francis will modify stress with the use of relaxation techniques. -Francis will identify his anxiety responses. -Francis will use problem-solving strategies when feeling stressed.

Francis will deal with uncomfortable emotions on a conscious level