Anxiety disorder

An 8-year-old child, diagnosed with obsessive-compulsive disorder, is admitted by the nurse to a psychiatric facility. When gathering data from the client, which behaviors would be characterized as compulsions? Select all that apply.

-checking and rechecking that the television is turned off before going to school -repeatedly washing the hands -routinely climbing up and down a flight of stairs three times before leaving the house

A client is admitted to the acute psychiatric care unit after 2 weeks of increasingly erratic behavior. The client has been sleeping poorly, has lost 8 lb (3.6 kg), is poorly groomed, exhibits hyperactivity, and loudly denies the need for hospitalization. Which nursing intervention takes priority for this client?

Administering a sedative as prescribed

The nurse is reinforcing education to a client that is demonstrating considerable anxiety about an impending surgical procedure. Which nursing intervention is most appropriate?

Calmly ask the client to describe the procedure that is to be done.

Which group therapy intervention would be of primary importance to a client with panic disorder?

Discuss new ways of thinking and feeling about panic attacks.

After seeking help at an outpatient mental health clinic, a client who was raped while walking her dog is diagnosed with posttraumatic stress disorder (PTSD). Three months later, the client returns to the clinic, complaining of fear, loss of control, and helpless feelings. Which nursing intervention is most appropriate for this client?

Exploring the meaning of the traumatic event with the client

A home health nurse is caring for a client diagnosed with a functional neurologic symptom disorder manifested by paralysis in the left arm. An organic cause for the deficit has been ruled out. Which nursing intervention is most appropriate for this client?

Identify primary or secondary gains that the physical symptom provides.

While being escorted to an operating room, a client is extremely anxious and says, "I really don't know what they're going to do to me today. The physician said I have a lump in my breast and that's all I know." Which action is appropriate for the nurse to take?

Notify the physician upon arrival at the operating room.

A client with chronic anxiety disorder reports chest pain. Which nursing intervention is mostappropriate?

Obtain vital signs.

The nurse is caring for a client who is in the panic level of anxiety. Which action is the nurse's highest priority?

Provide for the client's safety needs.

Which finding should the nurse expect when talking about school to a child diagnosed with a generalized anxiety disorder (GAD)?

The child expresses concerns about grades.

Which behavior by the nurse would demonstrate caring to a client with a diagnosis of anxiety disorder?

Verbalize concern about the client

Which factor should the nurse be most concerned about when caring for a client taking an antianxiety medication?

abrupt withdrawal

A nurse is collecting data on a client who is suffering from stress and anxiety. When collecting data from the client, the nurse interprets what reported symptom as a common physiologic response to stress and anxiety?

diarrhea

The nurse is reinforcing education for a client taking isocarboxazid. Which medication should the nurse have the client avoid while taking isocarboxazid?

guaifenesin

The nurse is caring for a client with a diagnosis of conversion disorder. Which clinical symptoms does the client demonstrate that correlate with this diagnosis?

neurologic symptoms associated with psychological conflict or need

Which therapeutic strategy is used to reduce anxiety in a client diagnosed with illness anxiety disorder?

relaxation exercises

The nurse is assisting with the development of a plan of care for a client with illness anxiety disorder. What would be an appropriate goal for this client?

relieving the fear of serious illness

The nurse is gathering data from a client with generalized anxiety disorder (GAD). When observing for muscle tension, what symptoms would most likely be exhibited?

restlessness

The nurse is caring for a client with posttraumatic stress disorder (PTSD) experiencing a frightening flashback. The nurse can best offer reassurance of safety and security through which nursing action?

staying with the client

During the client-teaching session, which instruction should the nurse give to a client receiving alprazolam?

"Inform the physician if you become pregnant or intend to do so."