Anxiety

Client and Caregiver Education The nurse is discharging a 16-year-old client diagnosed with anxiety disorder. The client's caregiver communicates preoccupation with the child's habits of "stashing food" and "eating things that make them hyper." Which recommendation should the nurse make to the caregiver to promote optimal health?

"Limit the amount of chocolate and caffeine products that are available in the home."

Panic Attack: Nurse Actions Which statement is most important for the nurse to include when caring for a client who is currently experiencing a panic attack that involves perceived chest pain?

"You are safe. I am here and will stay with you."

Anxiety Clinical Manifestations Before a school soccer match, the school nurse cares for a child who presents to the clinic reporting feelings of apprehension and anxiety without a known cause. The nurse should recognize the assessment finding of:

Diarrhea

Evaluating Client Education A nurse performed discharge education for a client with moderate anxiety. Which statement by the client indicates the education has been effective?

I will keep the phone number for the anxiety hotline with me.

Discharge Planning The nurse is planning the discharge of a client with a diagnosis of chronic anxiety. The nurse develops goals to promote a safe environment at home. Which maintenance goals should the nurse include for the client? Select all that apply.

Identify anxiety-provoking situations. Identify supportive resources in the community.

Panic Level Anxiety The nurse is caring for a client diagnosed with generalized anxiety disorder who presents with panic-level anxiety. The nurse intervenes immediately. For each finding, click to specify if the action is indicated or not indicated.

Indicated Indicated Not Indicated (Ask the client to list 10 things) Indicated Not Indicated (Give the client time alone to calm down) Indicated

Medications for Obsessive Compulsive Disorder The nurse is caring for a client diagnosed with obsessive-compulsive disorder (OCD). For each drug, click to specify if the medication is indicated or not indicated for this client.

Indicated Indicated Not Indicated- Atenolol Not Indicated-Alprazolam Indicated

Identifying Anxiety The nurse is assessing a retired army veteran client who complains of loneliness and episodes of anxiety. For each client statement, click to specify if the statement is associated or not associated with increased anxiety when leaving the home.

Not Associated Associated- missing son's wedding last year Associated- my food and groceries get delivered every week Not Associated Not Associated

Symptoms Associated With Obsessive Compulsive Disorder The school nurse is caring for a child who was sent by the teacher after the student's hands started bleeding from excessive handwashing. For each clinical manifestation, click to specify if it is associated or not associated with obsessive-compulsive disorder (OCD).

Not Associated- Hallucinations Associated Associated Associated Not Associated- Clinical Depression Not Associated- Delusions

Acute Panic Attack The nurse is caring for a client who presents to the emergency room with an acute panic attack. For each medication, click to specify if the medication is indicated or not indicated as a one-time acute dosage.

Not Indicated Indicated- Diazepam Not Indicated Not Indicated Indicated- Lorazepam

Anxiety in Children The emergency room nurse is caring for an 8-year-old after a school bus crash. The child is apprehensive and overreacts to environmental stimuli. The parents ask the nurse how to help the child. For each recommendation, click to specify if it is indicated or not indicated.

Not Indicated- Minimize opportunities for exercise/play Indicated Not Indicated- Avoid repetition in what is said to the child Indicated Indicated

Panic Clinical Manifestations The nurse is caring for a client who recently lost his home due to a fire. The client reports, "Nothing feels real anymore. I feel like I am no longer in my body." ​ The nurse identifies that the client is experiencing a:

Panic Depersonalization Remain with the client

Managing Anxiety The nurse is educating a client about managing anxiety. Which techniques should the nurse include in the education? Select all that apply.

Progressive Relaxation Meditation Imagery Deep Breathing

Severe Anxiety: Priority Actions The nurse is caring for a client diagnosed with generalized anxiety disorder. The nurse notes the client is quickly escalating to severe anxiety. The nurse should first:

Remain with client Treat hyperventilation

Levels of Anxiety The nurse is caring for a client who has minor physical injuries after a mudslide. The client presents pacing, unable to focus on anything but the mudslide, and says, "I know another horrible mudslide is going to happen." The client has tremors, tachycardia, hyperventilation, nausea, and dizziness. The nurse should recognize the client is experiencing:

SEVERE panic

Clinical Manifestations of Anxiety For each clinical manifestation associated with anxiety, click to indicate if it is classified as a manifestation of mild, moderate, severe, or panic anxiety.

Severe (Feeling of dread or horror) Panic (Feeling of impending doom) Mild (Feeling irritable) Mild (Feeling restless) Moderate (Feeling of discontent)

Anxiety Manifestations For each clinical manifestation associated with anxiety, click to specify if the symptom is classified as mild, moderate, severe, or panic anxiety.

Severe: Feelings of dread, horror Moderate: Feeling discontent Panic: Feelings of impending doom Mild: Feeling irritable Panic: Depersonalized Panic: Bizarre Behavior

Healthy Coping for Sleep Difficulties The nurse is caring for a client with anxiety disorder. Which statement by the client indicates a healthy coping strategy for dealing with sleep difficulties?

The nurse taught me relaxation techniques that I will continue to use at home.

Anxiety Medications A client with generalized anxiety disorder is prescribed duloxetine, citalopram, and hydralazine. Which findings would be of greatest concern to the nurse? Select all that apply.

Tremors Dilated pupils BP 146/92 HR 122 bpm Sweating

Nursing Care of a Client with Anxiety A client with a history of anxiety presents to the emergency department with chest tightness. The client is crying, trembling all over, flushed, and has an emesis bag by their mouth. The client yells at the triage nurse, "I'm so hot; please help me! I know I'm going crazy, and none of this makes sense, but I need someone to do something now!" The client takes escitalopram 20 mg by mouth daily. They deny other physical symptoms. Medical history includes anxiety and depression with previous suicidal ideation and an attempt five years ago. ​ The client's PRIORITY needs is:

reduction in symptoms of anxiety alprazolam