mental health nursing--eaq 2
which phrase is the definition of obsession 1. a recurrent, persistent thought or impulse 2. an intense irrational fear of an object or situation 3. a recurrent behavior performed in the same manner 4. thinking of an action and immediately taking the action
1. a recurrent, persistent thought or impulse
which condition is a likely cause of stress? 1. low social status 2. threats to self esteem 3. loud noises 4. defense mechanism 5. poverty
1. low social status 2. threats to self esteem 3. loud noises 5. poverty
which symptom indicates a moderate level of anxiety? 1. talking in trembling voiced 2. increased rates of respiration 3. confused an unable to make any decisions 4. effectively making decisions to solve problems 5. tapping foot and chewing lip.
1. talking in trembling voiced 2. increased rates of respiration
which statement describes the nurse's objective when using strategies that will induce a slight degree of anxiety for patients attending a teaching lesson? 1. the patients will be more focused during the session 2. the patients will be more expressive during the session 3. the patients will be more comfortable during the session 4. the patients will be more willing to participate in the session
1. the patients will be more focused during the session
which level of anxiety is experienced when selective inattention is first noted? 1. mild 2. moderate 3. severe 4. panic
2. moderate
which phrase describes the defining characteristic of acute stress disorder that distinguishes it from PTSD? 1. occurs after a traumatic event 2. symptoms resolve within 1 month 3. sleep is restless with nightmares 4. irritability is caused by basic work and family issues.
2. symptoms resolve within 1 month
which action would the nurse take to relieve the anxiety of a patient who is unable to perform a group task because of a diagnosis of an anxiety disorder 1. leaving the patient alone in the room 2. talking slowly and calmly with the patient 3. asking the patient to write a list of his or her strengths 4. giving strict instructions to the patient to complete the given task 5. encouraging the patient to discuss feelings associated with the fear.
2. talking slowly and calmly with the patient 3. asking the patient to write a list of his or her strengths 5. encouraging the patient to discuss feelings associated with the fear
which statement about panic attacks is true? 1. a stressful situation is generally the trigger for a panic attack 2. they are characterized by a sudden onset of extreme apprehension 3. the symptomology of panic attacks is primarily psychological in nature 4. the fear is so intense that it interferes with a person's ability to function normally 5. people with a history of panic attacks develop a deep-seated fear of having an attack
2. they are characterized by a sudden onset of extreme apprehension 4. the fear is so intense that it interferes with a person's ability to function normally 5. people with a history of panic attacks develop a deep-seated fear of having an attack
which initial comment by the nurse is therapeutic for a patient who is pacing, breathing rapidly, complaining of nausea, and distracted after just learning that a family member was diagnosed with a serious illness? 1. you seem anxious. would you like to talk about how you are feeling? 2. you are safe. first, take a deep breath. 3. you cannot help the other members of your family if you do not calm down 4. there are always specialists who can help. try not to worry about your loved one.
2. you are safe. first, take a deep breath.
which situation is most likely to produce fear when encountered by a healthy adult? 1. a large spider crawls along the kitchen wall 2. an elevator stops between floors because of a power outage 3. a gun man begins firing an assault weapon in a crowded mall 4. a storm accompanied by heavy thunder and lightning lasts for over an hour.
3. a gun man begins firing an assault weapon in a crowded mall
which symptom is commonly associated with panic attacks 1. fever 2. apathy 3. obsessions 4. fear of impending doom
4. fear of impending doom
which type of anxiety may be associated with delusional thinking? 1. acute 2. severe 3. chronic 4. panic
4. panic
Which statement is true regarding obsessive-compulsive disorder (OCD)? 1. Behaviors suggestive of OCD usually begin in infancy. 2. Hospitalization is often necessary for persons diagnosed with OCD. 3. Clients diagnosed with OCD should be assessed regularly for risk for suicide. 4. Compulsions are repetitive thoughts, whereas obsessions are ritualistic behaviors.
Clients diagnosed with OCD should be assessed regularly for risk for suicide.
which brain structure is involved in a fear of riding in elevators and the resulting behavior of always takes the stairs 1. thalamus 2. amygdala 3. hypothalamus 4. pituitary gland
amygdala The amygdala plays a role in anxiety disorders. It alerts the brain to the presence of danger and brings about fear or anxiety to preserve the system. Memories with emotional significance are stored in the amygdala and are implicated in phobic responses. The thalamus relays sensory information to other brain centers. The hypothalamus is involved in regulation of the autonomic nervous system. The pituitary gland secretes regulatory hormones.
Which category of medication used to treat anxiety has a potential for addiction? 1-Tricyclics 2-Benzodiazepines 3-Selective serotonin reuptake inhibitors 4-Selective serotonin norepinephrine reuptake inhibitors
benzodiazepines
which instruction would the nurse provide to a patient diagnosed with anxiety and prescribed buspirone? 1. take this medication on an empty stomach 2. take this medication only when you feel anxious 3. it will take 3 or more weeks for you to feel the full benefit 4. avoid consuming aged cheese products while you are taking this medication
it will take 3 or more weeks for you to feel the full benefit
which additional problem is most important for the nurse to assess in a new patient diagnosed with generalized anxiety disorder 1. conduct disorder 2. alcohol use disorder 3. major depressive disorder 4. obsessive-compulsive disorder
major depressive disorder Clinicians and researchers have shown clearly that anxiety disorders frequently co-occur with other psychiatric problems. Several studies suggest that other psychiatric disorders coexist about 90% of the time in people with generalized anxiety or panic disorder. Anxiety disorders are comorbid with major depression at a rate of 60%; in this type of comorbidity, anxiety symptoms tend to happen before depressive symptoms. While conduct disorder, alcohol use disorder, and obsessive-compulsive disorder are possibilities, the most likely comorbid problem is depression