Health and Illness Exam 3 Anxiety Disorder and PTSD
Name 3 risk factors for anxiety disorders.
family history temperamental traits/shyness gender exposure to stressful and negative environment
The registered nurse (RN) recognizes that the client who survived a tornado two months ago but is now experiencing panic with any increase in wind speed is at risk for developing what disorder?
Posttraumatic stress disorder
Which treatments are for Panic attack? long-acting antianxiety medication long term antipopessants Benzodiazepine cognitive behavioral therapy exposure therapy
long-acting anti anxiety medication long term antidepressants
Which treatments are for PTSD? long-acting antianxiety medication long term antipopessants Benzodiazepine cognitive behavioral therapy exposure therapy
long-acting antianxiety medication long term antipopessants cognitive behavioral therapy exposure therapy
Buspirone (BuSpar) is an alternative drug in the treatment of anxiety disorders. Which of the following are important considerations regarding use of this drug? May take up to 4 weeks to reach full effects Can be used for long-term treatment Immediate onset High risk of dependency
May take up to 4 weeks to reach full effects Can be used for long-term treatment
A client arrives for his first appointment with the mental health clinic. He is pacing back and forth, has tachypnea, difficulty concentrating, and a pounding heart rate. Which classification of anxiety does the nurse believe the client is experiencing?
Moderate anxiety
Name three differences in symptoms between PTSD and Panic attack. Hypervigilance flashbacks trauma triggers trigger more diffuse higher incidence of suicide
PTSD: Hypervigilance, flashbacks, trauma triggers, higher incidence of suicide Panic attack trigger more diffuse
A client has a fear of death with chest pain, heart palpitations, profuse sweating, and hot flashes. This client is experiencing signs of which of the following?
Panic attack
A client with no history of heart disease begins experiencing hallucinations, nausea, and choking sensations. The client is trembling and has numbness to his hands. Which of the following is the client experiencing?
Panic attack
An adolescent client is admitted after a suicide attempt. Which of the following interventions should the nurse identify as the priority? Provide the client with a private room or Provide one-on-one observation of the client
Provide one-on-one observation of the client
A nurse is evaluating a client with severe depression and recent attempted suicide. Which of the following interventions must be avoided by the nurse to ensure the client's safety in the future? Provide the client with a private room or Provide one-on-one observation of the client
Provide the client with a private room
While providing care for the client diagnosed with anxiety, the registered nurse (RN) anticipates which type of antidepressant drug be ordered for drug therapy? Select all that apply. Calcium channel blockers (CCB) Digoxin Selective serotonin reuptake inhibitors (SSRI) Monoamine oxidase inhibitors (MAOI) Tricyclic antidepressants (TCA)
Selective serotonin reuptake inhibitors (SSRI) Monoamine oxidase inhibitors (MAOI) Tricyclic antidepressants (TCA)
A client shopping for groceries sees a spider drop from the ceiling onto her shopping cart. She begins hyperventilating, breathing fast and hard, and her heart rate is pounding and fast. Which of the following is the client experiencing?
Severe anxiety Anxiety is an emotion of uneasiness, fear, or dread. Anxiety may cause physical symptoms such as sweating, restlessness, tenseness, and tachycardia. When a client experiences stress, anxiety may be a normal reaction.
Which of the following are nursing interventions for clients with panic attacks? Select all that apply Stay with the client Place the client in a quiet room Speak calmly with simple words Use comforting tone of voice when speaking to client Never discuss reasons for panic attacks while client is having one
Stay with the client Place the client in a quiet room Speak calmly with simple words Use a comforting tone of voice when speaking to a client Never discuss reasons for panic attacks while a client is having one.
The registered nurse (RN) is aware that the client diagnosed with acrophobia will implement what technique to help decrease the fear/anxiety and cope with being in tall buildings?
Technique of self distraction
To maximize therapeutic effect, which lifestyle practice should the nurse discourage for a patient who has been recently prescribed an antianxiety medication? buying a large coffee with extra cream each morning on the way to work. or taking medications after eating dinner or while having a bedtime snack.
buying a large coffee with extra cream each morning on the way to work.
How should a nurse best describe the major maladaptive patient response to panic disorder? patients perceive having no control over life situations or patients develop compulsions to deal with anxiety
patients perceive having no control over life situations
Which system is responsible for the clinical manifestations of tachycardia, hypertension, peripheral vasoconstriction, and hyperglycemia in anxiety attacks?
tacSympathetic nervous system
What priority assessment will the registered nurse (RN) implement for a client diagnosed with posttraumatic stress disorder (PTSD)?
thoughts of self-harm or pat history depression
