test

A client who is being treated for an anxiety disorder with clonazepam complains that the medicaiton seems ineffective. To correctly assess the client which question should the nurse ask? A. Are you a smoker? b. How long have you been taking the drug? c. How much coffee do you drink? d. Do yu have any kidney provlems? e. Do you take the herbal supplement valerian?

A. Are you a smoker? c. How much coffee do you drink?

List the 8 phase process used in EMDR

History and treatment planning preparation assessment desensitization installation body scan closure reevaluation

An instructor is teaching about phobias and the different treatments used to decrease fear driven anxiety. Which of the following student statments about implosion therapy indicates learnign has occured? a. A client must imagine/participate in extremely frightening situations for a prolonged period of time b. A client must participate in relaxation training to decrease onset of panic attack c. A client is flooded with soothing music and images of cloud formations when triggers to anxiety are present d. The client continues implosion therapy until the stimulus no longer elicits anxiety e. The client learns to be anxious and relaxed an tthe same time while being exposed to anxieyt provokin trigger

a. A client must imagine/participate in extremely frightening situations for a prolonged period of time d. The client continues implosion therapy until the stimulus no longer elicits anxiety

Which of the folowing is an example of normal anxiety? a. A mother experiences dread when she dixcovers evidence her teenage daughter has missed 2 menstrual cycles b. Long after a minor car accident, a man continues ot experience tachycardia on revisiting the scene of the accident c. To help decrease her fear, an elderly woman attends daily mass and prays rosary for her grandson who is on active duty in the army d. A police officer has to apply for a leave of absence because of feelings experienced after a near fatal car chase e. An individual who recently lost a parent due to a long chronic illness now cannot leave the home

a. A mother experiences dread when she dixcovers evidence her teenage daughter has missed 2 menstrual cycles c. To help decrease her fear, an elderly woman attends daily mass and prays rosary for her grandson who is on active duty in the army

A client newly admitted to an inpatient psychiatric unit is diagnosed with OCD. Which correctly stated nursing diagnosis takes priority? a. Anxiety r/t regression of ego development AEB ritualistic behaviors b. Powerlessness r/t ritualistic behaviors AEB statements of lack of control c. Fear r/t a traumatic event AEB stimulus avoidance d. Social isolation R/T increased levels of anxiety AEB not attending groups

a. Anxiety r/t regression of ego development AEB ritualistic behaviors

Years ago a client overcame a stress response to a severe traumatic event. Recently, after a minor auto accident, the client was hospitalized with a dx of PTSD. Which theory would explain this phenomenon? a. Biological b. Cognitive c. Psychosocial d. Learning

a. Biological

Which medication would be a first line consideration in treatment of anxiety for a client actively abusing alcohol? a. Buspirone b. Alprazolam c. Chlordiazepoxide d. Clonazepam

a. Buspirone

Which interaction is an example of dialogue that would be used in the context of behavioral therapy? a. C: I can't stop pulling out my eyelashes when I'm stressed. N: When you get this urge try locking your arms to make eyelash pulling impossible b. C: I was punished frequently by my mother and now I can't do anything right. N: Tell me about your feelings of anger c. C: I see no benefit from going to group therapy. N: group therapy offers you an opportunity to appropriately interact with others d. C: My stupid doctor hates me so he revoked my pass. N: What makes you think the doctor hates you?

a. C: I can't stop pulling out my eyelashes when I'm stressed. N: When you get this urge try locking your arms to make eyelash pulling impossible

When an individual is exposed to massive trauma, which of the following variables should the nurse consider important when evaluating his/her response to the traumatic experience? a. Degree of ego strength b. Birth order c. Behavioral tendencies/temperament d. Presence of preexisting psychopathology e. Demographic factors

a. Degree of ego strength c. Behavioral tendencies/temperament d. Presence of preexisting psychopathology e. Demographic factors

A nurse would recognize which of the following medications as appropriate treatment for a client dx with PTSD? a. Fluoxetine b. Alprazolam c. Propranolol d. Lithium carbonate e. Ziprasidone

a. Fluoxetine b. Alprazolam c. Propranolol d. Lithium carbonate

The physician orders sertraline (Zoloft) for a client who is hospitalized with adjustment disordeer with depressed mood. What is this medication intendended to do? a. Increase energy and elevate mood b. Stimulate the CNS c. Prevent psychotic symptoms d. Produce a calming effect

a. Increase energy and elevate mood

What is the ultimate goal of therapy for a client with DID? a. Integration of personalities into one b. For the client to have ability to voluntarily switch between personalities c. For client to select which personality he/she wants to be dominant self d. For client to recognize that various personalities exist

a. Integration of personalities into one

Lorraine dx w/ somatic symptom disorder. Which of the following symptom profiles would you expect? 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

Trauma-informed care is a philosophical approach that includes which of the following principles? a. Nurses need to be aware of the potential for trauma in any client and provide care that minimizes the risk of revictimization or retraumatization b. Meds need to be given before any other interventions are considered c. Trauma informed care highlights the importance of providing care that protects the physical, psychological, and emotional safety of the client d. Trauma informed care is based on the principle that traumas are not correlated with depression or increased risk for suicide

a. Nurses need to be aware of the potential for trauma in any client and provide care that minimizes the risk of revictimization or retraumatization c. Trauma informed care highlights the importance of providing care that protects the physical, psychological, and emotional safety of the client

John a veteran of the Iraq war, is dx with PTSD. Which of the following therapy regimens would most appropriately be ordered for John? a. Paroxetine and group therapy b. Diazepam and implosion therapy c. Alprazolam and behavior therapy d. Carbamazepine and cognitive therapy

a. Paroxetine and group therapy

A client is experiencing a panic attack. The client states I'm losing control. I feel like I'm going crazy. Which nursing intervention takes priority. a. Stay with client and offer support b. Distract client by redirecting to physical activities c. Teach etiology and management of panic disorders d. Encourage client to express feelings

a. Stay with client and offer support

A client experienceing a panic attack arrives at ED. What is the priority nurisng intervention? a. Stay with client and reassure of safety b. Administer diazepam c. Leave client alone in quiet room d. Encourage client to talk about what triggered attack

a. Stay with client and reassure of safety

A psychiatrist ordered HRT for a client dx with trichotillomania. After several weeks of treatment what behaviors should the nurse expect? a. The client is attempting to extinguish the unwanted behavior b. The client is becoming less aware of the behavior c. The client can identify times of hair pulling d. the client has substituted a more adaptive coping strategy e. the lcient understands that hair pulling is genetic in nature

a. The client is attempting to extinguish the unwanted behavior c. The client can identify times of hair pulling d. the client has substituted a more adaptive coping strategy

A client diagnosed with GAD has a nursing dx of panic disorder r/t altered perception. Which short term outcome is most appropriate? a. The client will be able to intervene before reaching panic levels of anxiety by discharge. b. The client will verbalize decreased levels of anxiety by day 2. c. The client will address life situations by using effective problem solving. d. The client will voluntarily participate in group therapy activities by discharge.

a. The client will be able to intervene before reaching panic levels of anxiety by discharge.

A student nurse is reviewing a client's record, Which of the following events could have precipitated the clients diagnosis of PTSD? a. Witnessing the violent death of a brother b. Being diagnosed with diabetes mellitus c. Experiencing marital discord for several years d. Being raped at age 13 e. Losing a mother ot cancer

a. Witnessing the violent death of a brother d. Being raped at age 13

Annie has trichotillomania nd is receiving HRT. Which of the following elements are included in this therapy? 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

A client wiht OCD spends many hours each day washing her hands. What is the most likely reason for thiss? a. to relieve anxiety b. to reduce probability of infection c. to gain feeling of control over life d. to increase self concept

a. to relieve anxiety

An individual who is dx with adjustment disorder w/ disturbance of conduct most likely: a. violates the rights of others to feel better b. expresses symptoms that reveal a high level of anxiety c. exhibits severe social isolation and withdrawal d. is experiencing a complicated grieving process

a. violates the rights of others to feel better

A home health nurse has been assigned a client diagnosed with agoraphobia. Which of the following symptoms would the nurse expect to assess? a. Fear of standing in a line b. Fear of authoritative figures c. Fear of being outside of the home alone d. Fear of traveling in a car e. Fear of loud noises

a.Fear of standing in a line c. Fear of being outside of the home alone d. Fear of traveling in a car

In the context of cognitive therapy, anxiety is described as being the result of exaggerated .... thinking

automatic

Janet has GAD and is prescribed buspirone 15mg daily. Janet wants to know why she was prescribed this when her friend has xanax that she only takes when she's feeling anxious. What should the nurse respond? a. Xanax is not effective for GAD b. Buspirone must be taken daily to be effective c. I will ask doctor if he will change your buspirone dose to prn so you don't have to take it every day d. Your friend should really be taking xanax daily

b. Buspirone must be taken daily to be effective

After a spouse dies a client is diagnosed with AD with depressed mood. Symptoms include chronic migraines, feelings of hopelessness, social isolation, and self-care deficit. Which appropriate client outcome should a nurse assign? a. By discharge, client will no longer use impulsive behaviors to cope with stress b. By discharge, client will accomplish activities of daily living independently. c. By discharge, client will be able to delay gratification to cope with stress d. By discharge, client will verbalize a positive body image

b. By discharge, client will accomplish activities of daily living independently.

Nina recently left her husband of 10 years. She was very dependent on her husband and is having difficulty adjusting to an independent lifestyle. She has been hospitalized with a dx of adjustment disorder iwht depressed mood. Which of the following is the priority nursing dx for Nina? a. Risk prone health behavior r/t loss of dependency b. Complicated griving r/t breakup of marriage c. Ineffective communication r/t problems w/ dependency d. Social isolation r/t depressed mood

b. Complicated griving r/t breakup of marriage

Which situation would a nurse evaluate as an example of a maturational/developmental crisis? a. A client with dependency and severe attachment problems suffers frequent panic attacks after the sudden death of her mother b. Dominated by her father since childhood, a client becomes severely hyperactive and violent when ever her husband is directive and demanding c. A woman is overwhelmed after the birth of her 1st child and begins to complain to a health care provier of numerous physical symptoms d. After being passed over for the rank of major for the second time, an air force pilot comes home and becomes physically violent with his wife and children

b. Dominated by her father since childhood, a client becomes severely hyperactive and violent when ever her husband is directive and demanding

After years of infertility, a woman delivers a stillborn infant. She is tearful, trembling, and screams at the nurse, "My baby is crying. Bring him to me now!" Which is the priority nursing diagnosis for this client? a. Deficient knowledge r/t situational crisis b. Ineffective denial r/t loss of infant AEB client's statement demanding infant c. Risk for self-directed violence r/t hopelessness d. Posptartum depression r/t loss of infant

b. Ineffective denial r/t loss of infant AEB client's statement demanding infant

in establishing trust with Ellen, a client dx with DID, the nurse must do which? a. Try to relate to ellen as though she did not have multiple personalities b. Listen nonjudgmentally and respond empathetically when ellen transitions to different personality states c. Ignore behaviors that Ellen attributes to other subpersonalities d. Explain to Ellen that he/she will work with her only if she maintains the status of her primary personality

b. Listen nonjudgmentally and respond empathetically when ellen transitions to different personality states

The ultimate goal of therapy for a client wiht DID is most likely achieved through which of the following interventions? a. Crisis intervention and directed associaiton b. Psychotherapy and hypnosis c. Psychoanalysis and free association d. Insight psychotherapy and dextroamphetamines

b. Psychotherapy and hypnosis

Which physiological and behavioral response to a disaster situation would the nurse expect to observe in a preschool child? a. Symptoms similar to those of PTSD b. Regressive, hyperactive, or withdrawn behaviors and nightmares c. Difficulty concentrating and sleep disturbances d. Psychic numbing, weight loss, and alopecia

b. Regressive, hyperactive, or withdrawn behaviors and nightmares

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

Lorraine, a client dx 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 his dx

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

John, a veteran of the Iraq war, is dx with PTSD. He says, "I can't figure out why God took my buddy instead of me" From this statement, the nurse assesses which of the following? a. Repressed anger b. Survivor's guilt c. Intrusive thoughts d. Spiritual distress

b. Survivor's guilt

An 82 yo client is prescribed lorazepam for sleep disturbances. Which of the following reasons would cause the nurse to question the physician's order? a. After age 70, it is no longer effective b. The age of the client could indicate a decrease in hepatic and renal function c. Metabolic changes in elderly may affect appropriate drug absorption d. There is a higher incidence of allergies ot hypnotic meds in the elderly e. Elimination issues may cause drug accumulation

b. The age of the client could indicate a decrease in hepatic and renal function c. Metabolic changes in elderly may affect appropriate drug absorption e. Elimination issues may cause drug accumulation

A client who is a veteran of a recent military conflict is being assessed by a nurse for PTSD. Which of the following client symptoms would support this diagnosis? a. The client has experienced symptoms of this disorder for 2 weeks b. The client fears a physical integrity threat to self c. The client feels detached and estranged from others d. The client experiences fear and helplessness e. The client is lethargic and somnolent

b. The client fears a physical integrity threat to self c. The client feels detached and estranged from others d. The client experiences fear and helplessness

A client dx with OCD has an obsession iwth dirt and germs and has a continual compulsion to spray all surfaces wiht a disinfectant. How would the nurse explain the client's actions? a. The compulsion to spray disinfectant reduces bacterial growth b. The compulsion to spray disinfectant relieves client's anxieyt c. The compulsion to spray disinfectant encourages ego integrity d. The compulsion to spray disinfectant increases client's self-esteem

b. The compulsion to spray disinfectant relieves client's anxieyt

A nurse would recognize which as a goal of behavior therapy for a client diagnosed with AD and in what setting would this therapy be most effective? a. To clarify links between the current stressor and past experiences, outpatient setting b. To replace ineffective response patterns with more adaptive ones; inpatient setting c. To derive hope from sharing with others similar life experiences; outpatient setting d. To resolve the immediate crisis and restore the client's adaptive functioning; inpatient setting

b. To replace ineffective response patterns with more adaptive ones; inpatient setting

A nurse has used the BVC to evaluate an inpatient client's risk for violent behavior. The client scored a 3. Which of the following interventions should the nurse initially employ? a. Place the client in ordered unlocked seclusion b. Verbally redirect the client and set limits c. Maintain an authoritative stance d. Reduce stimulation and loud noise e. Offer prn medicaitons

b. Verbally redirect the client and set limits d. Reduce stimulation and loud noise e. Offer prn medicaitons

A nurse has charted a client's score of 4 on the SUD scale after an EMDR treatment. Which client statement led to this documentation? a. When I remember the fire, it's the worst feeling I have ever had b. When I remember the fire, it makes me sad but grateful to be alive c. When I remember the fire it's hard for me to understand the devastation d. When I remember the fire, it's over and I don't dwell on it

b. When I remember the fire, it makes me sad but grateful to be alive

In an outpatient clinic, a nurse is caring for a client dx with adjustment disorder. When evaluating psychopharmacological treatment which of the following should the nurse consider. a. Antipsychotic meds are the 1st line treatment for adjustment disorder b. When treating adjustment disorders meds are commonly prescribed for symptoms of depression and aniety c.Adjustment disorders are not commonly treated with meds because they may mask the underlying problem d. Adjustment disorders are not commonly treated with anxiolytic meds because they carry the potential for dependence e. Anxiolytic meds are considered the primary therapy for adjustment disorders

b. When treating adjustment disorders meds are commonly prescribed for symptoms of depression and aniety c.Adjustment disorders are not commonly treated with meds because they may mask the underlying problem d. Adjustment disorders are not commonly treated with anxiolytic meds because they carry the potential for dependence

Nina who is depressed following the breakup of a very stormy marriage says to the nurse, I feel so bad. I thought I would feel better once I left, but I feel worse" Which is the best response by the nurse? a. Cheer up Nina. You have a lot to be happy about b. You are grieving the loss of your marriage. It's natural for you to feel bady c. Try not to dwell on how you feel. If you don't think about it, you'll feel better. d. You did the right thing, Nina. Knowing that should make you feel better

b. You are grieving the loss of your marriage. It's natural for you to feel bady

The initial care plan for a client with OCD who washes her hands obsessively would include which of the following nursing interventions? a. Keep client's bathroom locked so she cannot wash her hands all the tie b. structure clients schedule so she has plenty of time to wash her hands c. place client in isolation until she promises to stop wawshing hands so much d. explain clients behavior to her since she doesn't know its's maladaptive

b. structure clients schedule so she has plenty of time to wash her hands

A client with a history of GAD presents with restlessness, irritability, BP of 140/90, P. 96, RR 20. What assumption is correct? a. Client is exhibiting signs of exacerbation of GAD b. Client's s/s due to underlying medical ocndition c. A physical examination is needed to determine etiology of client's symptoms d. The client's anxiolytic dosage needs to be increased

c. A physical examination is needed to determine etiology of client's symptoms

A 13 yo client's father has recently been deployed to a war zone. The client is constantly tearful and exhibits truancy, vandalism, and aggression. The pediatric NP should identify this behavior with which adjustment disorder? a. An AD with anxiety b. An AD with disturbance of conduct c. An AD with mixed disturbance of emotions and conduct d. An AD unspecified

c. An AD with mixed disturbance of emotions and conduct

A nursing instructor is grading a matching test r/t various types of therapy used for anxiety disorders. Which fact has the student correctly matched with the appropriate therapy? a. Relaxation training is not a part of systematic desensitization with reciprocal inhibition b. Progressive exposure to a hierarchy of fear stimuli while in a relaxed state is habit-reversal therapy c. Client may participate in real-life situations that the or she finds extremely frightening for a prolonged period of time is implosion therapy d. Attempts to extinguish unwanted behavior by a ysstem of positive an dnegative reinformcements is flooding

c. Client may participate in real-life situations that the or she finds extremely frightening for a prolonged period of time is implosion therapy

An instructor is teaching about dispositional crises. Which student statement indicates that learning has occurred? a. Dispositional crisis occurs when normal life-cycle transitions are anticipated but the individual may feel a lack of control b. Dispositional crisis occurs when an individual has little control and feels emotionally overwhelmed by an unexpected external stressor c. Dispositional crisis occurs when an individual has an acute response to an external situation d. Dispositional crisis occurs in response to situations that trigger emotions r/t unresolved conflicts in one's life

c. Dispositional crisis occurs when an individual has an acute response to an external situation

Which nursing action is inappropriate during a crisis situation? a. Taking an active role in problem solving and making decisions for the client b. Guiding the client to appropriate resources c. Encouraging independent thinking to promote insight d. Creating a highly structured environment for the client

c. Encouraging independent thinking to promote insight

Joanie has BDD. Which of the following medicines is most likely to be prescribed? a. Alprazolam b. Diazepam c. Fluoxetine d. Olanzapine

c. Fluoxetine

A client refuses to accept a promotion because his job would require crossing a high bridge daily. How should a nurse explain to the client's wife the root of this fear from a learning theory perspectice? a. Unresolved intrapsychic conflicts resulted in projected anxiety b. A distorted and unrealistic appraisal of the situation resulted in avoidance. c. His mother's extreme fear of heights contributed ot his current fear. d. The client's high norepinephrine levls resulted in distorted thinking

c. His mother's extreme fear of heights contributed ot his current fear.

Lorraine, a client dx with somatic symptom disorder tells the nurse about the 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. b. Let's sit down here together and you can tell me about this new pain you are experiencing. You'l 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.

A nursing student expereinceing acute test anxiety is prescribed propranolol. What is the rationale for this treatment? a. It is a mood stabilizer that will decrease situational anxiety b. It is a antihypertensive medication. Question this order. c. It has a potent effect on teh somatic manifestations of anxiety d. It is an anxiolytic used specifically for generalized anxiety

c. It has a potent effect on teh somatic manifestations of anxiety

A nurse has charted a client's score of 7 on the VOC scale after an EMDR treatment. Which client statement led to this documentation? a. When I remember the accident, it is the worse feeling I have ever had. b. My statement that I am a good person is completely false. c. My statement that I am a good father is completely true d. The memories of fighting in the war are hardly upsetting anymore.

c. My statement that I am a good father is completely true

Nina has been hospitalized with adjustment disorder with depressed mood following the breakup of her marriage. Which of the following is true regarding the dx of adjustment disorder? a. Nina will require long-term psychotherapy to achieve relief b. Nina likely inherited a genetic tendency for this disorder c. Nina's symptoms will likely remit once she has accepted the change in her life d. Nina probably would not have experienced adjustment disorder if she had a higher level of intelligence

c. Nina's symptoms will likely remit once she has accepted the change in her life

A lcient with OCD says to nurse I've been here for 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 ritualistic behaviors each time they occur and point out their inappropriateness b. Ignore ritualistic vehaviors and they will be eliminated for lack of reinforcement c. Set limits on amount of time she can engage in ritualistic behavior d. Continue to allow Sandy all time she wants to carry out ritualistic behavior

c. Set limits on amount of time she can engage in ritualistic behavior

John, a veteran of the Iraq war, is dx with PTSD. He experiences a nightmare during his 1st night in the hospital. He explains to the nurse he was dreaming about gunfire all around and people being killed. Which of the following is the nurse's most appropriate initial intervention? a. Administer alprazolam as ordered prn for anxiety b. Call physician and report incident c. Stay with John and reasuure him of his safety d. Have John listen to a tape of relaxation exercises

c. Stay with John and reasuure him of his safety

A nurse is planning to teach a client dx with agoraphobia about this disorder. Which fact should the nurse include? a. the origin of agoraphobia is the lack of control over life situations b. the origin of agoraphobia is a change in body functioning resulting from inner conflict c. The origin of agoraphobia is the true fear of being separated from a source of security d. the origin of agoraphobia is the direct physiological effect of a substance

c. The origin of agoraphobia is the true fear of being separated from a source of security

Which symptom should a nurse recognize that differentiate a client diagnosed with BDD from a client diagnosed with delusional disorder somatic type? a. clients diagnosed with BDD experience delusional belief that the body is deformed or defective in some specific way and clients diagnosed with delusional disorder do not b. clients diagnosed with delusional disorder experience the exaggerated belief that the body is deformed or defective in some specific way and clients diagnosed with BDD do not c. clients diagnosed with BDD are able to acknowledge that their concerns are exaggerated and clients diagnosed with delusional disorder do not d. clients diagnosed with delusional disorder are able to acknowledge that their concerns are exaggerated and clients diagnosed with BDD cn not

c. clients diagnosed with BDD are able to acknowledge that their concerns are exaggerated and clients diagnosed with delusional disorder do not

Which of the following is the most appropriate therapy for a client with agoraphobia? a. 10mg valium qid b. group therapy with other agoraphobics c. facing fears in gradual step progression d. hypnosis

c. facing fears in gradual step progression

A newly admitted client on an inpatient unit verbally abuses the staff, uses profanity, and paces in the common room. How would the nurse document this client's behavior syndrome? a. Post traumatic stress syndrome b. borderline personality disorder syndrome c. prodromal syndrome d. adjustment disorder with anxiety syndrome

c. prodromal syndrome

Which of the following clients would be a candidate for EMDR? a. A client dx with epilepsy b. A client with active suicidal ideations c. A client experiencing visual hallucinations d. A client dx with ASD e. A client dx with PTSD

d. A client dx with ASD e. A client dx with PTSD

A client has a hisory of excessive fear of lightening. What is the term a nurse would chart to document this specific phobia? a. Cynophobia b. Murophobia c. Pyrophobia d. Astraphobia

d. Astraphobia

Lucille has a dx of illness anxiety disorder. Which of the following symptoms would be consistent with this dx? a. Complains of a multitude of incapacitating physical symptoms b. Manifests with pseudoseizures or pseudocyesis c. Takes substances ot induce vomiting in order to convince nurse she needs treatment d. Expresses persistent fears of having a life threatening disease e. All of the above

d. Expresses persistent fears of having a life threatening disease

A nursing instructor is teaching about anxiety issues in the elderly. What student statement indicates learning has occurred? a. Anxiety disorders do not manifest themselves after age 50 b. There are fewer sleep disturbances noted in elderly population c. The response to a major stressor in the elderly is diminished d. In the elderly anxiety and depression symptoms often accompany each other

d. In the elderly anxiety and depression symptoms often accompany each other

Nursing care for a client with somatic symptom disorder would focus on helping her to do which of the following? 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

Ellen has a history of childhood physical and sexual abuse. She was dx with Dissociative Identity Disorder 7 years ago. She has been admitted to the psychiatric unit following a suicide attempt. What is the primary nursing dx for Ellen? a. Disturbed personal identity r/t childhood abuse b. Disturbed sensory perception r/t repressed anxiety c. Impaired memory r/t disturbed thought processes d. Risk for suicede r/t unresolved grief

d. Risk for suicede r/t unresolved grief

Carol, age 16, has recently been dx with diabetes mellitus. She must watch her diet and take an oral hypoglycemic medication daily. She has become very depressed and her mother reports that Carol refuses to change her diet and often skips her medication. carol has been hospitalized for stabilization of her blood sugar. The psychiatric nurse practitioner has been called in as a consult. Which of the following nursing dx would be a priority for Carol at this time? a. Anxiety r/t hospitalization evidenced by noncompliance b. Low self-esteem r/t feeling different from her peers EVB social isolation c. Risk for suicide r/t new dx of diabetes mellitus d. Risk prone health behavior r/t denial of seriousness of her illness EVB refusal to follow diet and take meds

d. Risk prone health behavior r/t denial of seriousness of her illness EVB refusal to follow diet and take meds

Which of the following may be influential in the predisposition to PTSD? a. Unsatisfactory parent-child relationship b. Excess of the neurotransmitter serotonin c. Distorted, negative cognitions d. Severity of the stressor and availability of support systems

d. Severity of the stressor and availability of support systems

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 therapeutic session as soon as anxiety is experienced d. presented with massive exposure to a variety of stimuli associated with phobic object

d. presented with massive exposure to a variety of stimuli associated with phobic object

Which behavior is most characteristic of agoraphobia? a. panic anxiety when encountering snakes b. refusal to fly in an airplane c. refusal to eat in a public place d. remaining at home due to fear of being unable to escape from a place

d. remaining at home due to fear of being unable to escape from a place

Recurrent and persistent thoughts, impulses, or images experienced as intrusive and stressful can be reffered to as

obsession

In the context of disaster nursing, ........ is the screening and classification of casualties to make optimal use of treatment resources and to maximize the survival and welfare of clients

triage