Psych Nursing Anxiety Disorders PrepU

A 25-year-old pregnant mother of two children under age 6 is very protective and will not allow her children to play outdoors for fear of tick bites. She is worn out from cleaning the house from top to bottom every day. She asks the nurse how she can stop worrying so much. What is the most appropriate response for the nurse? "Have you considered spraying your children with an insect repellent?" "Tell me your concerns about the children playing in your backyard." "Why do you worry about the children getting tick bites?" "Have you sprayed your backyard for ticks or other pests?"

"Tell me your concerns about the children playing in your backyard."

What part of the brain is thought to be involved in the production of anxiety as a result of the identification of incoming sensory information as threatening? Cerebellum Cerebral cortex Brainstem Amygdala

Amygdala

The nurse is educating a client and family about managing panic attacks after discharge from treatment. The nurse includes which in the discharge teaching? Select all that apply. Continued development of positive coping skills Weaning off of medications as necessary Lessening the amount of daily responsibilities Continued practice of relaxation techniques Development of a regular exercise program

Continued development of positive coping skills Continued practice of relaxation techniques Development of a regular exercise program

A client responds to bad news regarding test results by crying uncontrollably. What is the term for this response to a stressor? Adaptation Homeostasis Coping mechanism Defense mechanism

Coping mechanism

A client is experiencing a panic attack. Which term describes sensing that things are not real? Automatisms Derealization Depersonalization Agoraphobia

Derealization

A client states that the client has just had an argument with the client's spouse over the phone. What can the nurse expect that the client's sympathetic nervous system has stimulated the client's adrenal gland to release? Endorphins Dopamine Epinephrine Testosterone

Epinephrine

Nursing interventions for physical stress related illness should include what? Assessing the need for increased dose of benzodiazepines Attending group therapy Establishing daily routines of meals and sleeping Fostering use of a social support system

Establishing daily routines of meals and sleeping

Which assessment question is most likely to allow the nurse to differentiate between anxiety disorder due to a general medical condition and psychological factors affecting a medical condition? Reviewing the client's previous medication administration record and the client's current list of medications Questioning the client about the clinician who first diagnosed the medical problem Asking the client to provide a detailed explanation of his or her medical problem to determine if the presentation is typical of the problem Establishing whether the client's anxiety preceded the medical problem or whether the medical problem appeared first

Establishing whether the client's anxiety preceded the medical problem or whether the medical problem appeared first

Which is one characteristic that differentiates generalized anxiety disorder (GAD) and panic disorder? In panic disorder, the person suffers from a chronic state of elevated anxiety. Panic disorders are more easily treated than GAD. In GAD, the person usually does not experience eruptions of acute anxiety. GAD is characterized by occasional, unexpected panic attacks.

In GAD, the person usually does not experience eruptions of acute anxiety.

Relaxation techniques help clients with anxiety disorders because they can promote what? Reduction of autonomic arousal Increase in sympathetic stimulation Release of cortisol Increase in the metabolic rate

Reduction of autonomic arousal

After reviewing various etiologic theories associated with panic disorder, the nurse demonstrates understanding of the psychodynamic theory, identifying which as the underlying cause? Separation or loss Conditioning Heritability Activation of stress hormone

Separation or loss

A client says to the nurse, "I just can't talk in front of the group. I'm trembling and I feel like I'm going to pass out." The nurse assesses the client's anxiety to be at which level? Mild Moderate Severe Panic

Severe

A client can protect himself from the negative effects of stress with which of the following? Practicing wellness Social and emotional resources Previous experiences Medication

Social and emotional resources

A group of nursing students are reviewing signs and symptoms of anxiety. The students demonstrate a need for additional review when they identify what? Palpitations Extreme restlessness Motor excitement Tearfulness

Tearfulness

A client is experiencing moderate anxiety. Which manifestation would the nurse most likely observe? Select all that apply. The client can sustain attention on a particular focus. The client verbally states, "For some reason, I am feeling anxious now." The client has flights of ideas and confusion. The client makes distorted inferences because of inadequacy of observed data. The client may pace, run, or fight violently if asked to perform a task the client does not want to perform.

The client can sustain attention on a particular focus. The client verbally states, "For some reason, I am feeling anxious now."

A client reports the client has been experiencing increased stress at work. The client has been managing the stress by drinking 2-3 glasses of wine per evening. Despite the nurse recommending that drinking alcohol is not an effective way to manage the stress, the client reports it is unlikely that the client will be able to stop. Which statement explains why this will be difficult for the client? The client is probably physically dependent on alcohol. Drinking alcohol is more socially acceptable than taking medications. The client has no adaptive coping mechanisms. A few glasses of wine each night is not necessarily a problem.

The client has no adaptive coping mechanisms.

A psychaitric-mental health nurse is preparing a presentation for a group of colleagues on anxiety disorders. As part of the presentation the nurse plans to discuss the concept of interoceptive conditioning. Which information would the nurse most likely include in this discussion? There is an association between physical symptoms and a panic attack. A person links an adverse event with a previous neutral event. The person experiences a phobic avoidance of the event. A recent loss is the initiating event that leads to a panic attack.

There is an association between physical symptoms and a panic attack.

Which statement about the assessment of persons with anxiety and anxiety disorders is most accurate? When an elder person has an onset of anxiety for the first time in his or her life, it is possible that the anxiety is associated with another condition. Panic attacks are the most common late-life anxiety disorders. An elder person with anxiety may be experiencing ruminative thoughts. Agoraphobia that occurs in late life may be related to trauma experienced or anticipated.

When an elder person has an onset of anxiety for the first time in his or her life, it is possible that the anxiety is associated with another condition.