Mental Health Chapter 11
A nurse observes a client's parents at an intensive care unit. The nurse determines that the client's parents have moderate anxiety. Which symptoms of anxiety did the nurse assess in the client's parents? Select all that apply. 1 The parents were talking in trembling voices. 2 The parents were having increased rates of respiration. 3 The parents were confused and unable to make any decisions. 4 The parents were effectively making decisions to solve problems. 5 The mother was tapping her foot, and the father was chewing his lip
Answer 1,2
A client is experiencing a panic attack. Which nursing intervention will be most therapeutic? 1 Encourage the client to take slow, deep breaths. 2 Verbalize mild disapproval of the anxious behavior. 3 Offer an explanation about why the symptoms are occurring. 4 Ask the client what he or she means when he or she says "I am dying."
Answer: 1
Inability to leave one's home in order to avoid severe anxiety suggests which anxiety disorder? 1 Panic attacks with agoraphobia 2 Obsessive-compulsive disorder 3 Posttraumatic stress response 4 Generalized anxiety disorder
Answer: 1
Which questions would assist a nurse in determining whether a client diagnosed with obsessive-compulsive disorder has achieved treatment outcomes? Select all that apply. 1 Can the client meet self-care needs effectively? 2 Is the client able to maintain satisfying interpersonal relationships? 3 Have the client's cognitive abilities improved since beginning treatment? 4 Has the client learned to use newly acquired methods to manage anxiety? 5 Does the client understand that anxiety is the cause of the ritualistic behavior?
Answer: 1,2,4,5
A child is extremely upset because of being constantly bullied by peers for having a short stature. While educating the child, the nurse states, "Your stature is not going to affect your fitness. You could always excel in other aspects like sports and academics." Which defense mechanism is the nurse encouraging in the child? 1 Displacement 2 Compensation 3 Identification 4 Dissociatio
Answer: 2
A client just learned that a family member was diagnosed with a serious illness. At this time, the client is pacing, distracted, breathing rapidly, complaining of nausea, and having trouble focusing on anything other than the family member's illness. Which initial nursing comment is most therapeutic? 1 "You seem anxious. Would you like to talk about how you are feeling?" 2 Address the client by name and say, "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.
Answer: 2
Panic attacks in Latin American individuals often involve which symptom? 1 Blushing 2 Fear of dying 3 Offensive verbalizations 4 Repetitive involuntary actions
Answer: 2
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
Answer: 2
As a part of group therapy, a client diagnosed with an anxiety disorder was asked to present a speech to the group. The client was unable to perform the given task and started avoiding the nurse. How should the nurse relieve the anxiety of the client? Select all that apply. 1 Leave the client alone in a room. 2 Talk slowly and calmly with the client. 3 Ask the client to write a list of his or her strengths. 4 Give strict instructions to the client to complete the given task. 5 Encourage the client to discuss feelings associated with the fear.
Answer: 2,3,5
Which statements about panic attacks are true? Select all that apply. 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.
Answer: 2,4,5
A new client is diagnosed with generalized anxiety disorder. It is most important for the nurse to assess this client for which additional problem? 1 Conduct disorder 2 Alcohol use disorder 3 Major depressive disorder 4 Obsessive-compulsive disorder
Answer: 3
A student nurse observes that a client compulsively looks at his or her reflection in the mirror. Based on the client's behavior, what is the most likely diagnosis the student nurse will expect the health care provider to make? 1 The client has panic disorder. 2 The client has hoarding disorder. 3 The client has body dysmorphic disorder. 4 The client has obsessive-compulsive disorder.
Answer: 3
In a teaching session, the nurse uses strategies that will induce a slight degree of anxiety for the clients attending the session. What is the nurse's intention for this action? 1 The clients will be more focused during the session. 2 The clients will be more expressive during the session. 3 The clients will be more comfortable during the session. 4 The clients will be more willing to participate in the session.
Answer:1
What information will the nurse include in medication education for a client prescribed an antianxiety medication for obsessive-compulsive behavior? Select all that apply. 1 Caffeinated beverages should be avoided. 2 Benzodiazepines have a quick onset of action. 3 Antacid use can affect medication absorption. 4 Medication should be taken on an empty stomach. 5 The medication is recommended for long-term use
Answer:1,2,3
A client diagnosed with panic disorder begins a new prescription for lorazepam. The nurse should provide instructions to discontinue which of this client's usual routine activities? 1 Sewing 2 Mowing the lawn 3 Playing video games 4 Preparing dinner for the family
Answer:2
In a clinical interview, a client says, "My mother and I are afraid of darkness, so we always carry a flashlight with us." Which theory is evident in this case? 1 Cognitive theory 2 Behavioral theory 3 Interpersonal theory 4 Psychodynamic theory
Answer:2
Which statement is true regarding the comorbidity of anxiety disorders? 1 Anxiety disorders generally exist alone. 2 A second anxiety disorder may co-occur with the first. 3 Anxiety disorders virtually never coexist with mood disorders. 4 Substance abuse disorders rarely coexist with anxiety disorders
Answer:2
A teenager changes study habits to earn better grades after initially failing a test. What is the most likely cause of this behavioral change? 1 Altruism 2 Idealization 3 Normal anxiety 4 Acting-out behavior
Answer:3
An adult invites 14 guests for Thanksgiving dinner. Just before the guests arrive, the adult notices the turkey is burned and inedible. Which behavior by this adult indicates adaptive coping? 1 Going to bed and leaving the guests unattended. 2 Calling all the guests and canceling the invitation for dinner. 3 Saying to the guests, "We are having a vegetarian Thanksgiving dinner this year." 4 Telling the guests, "My oven malfunctioned. You will have to eat burned turkey."
Answer:3
The nurse is helping a client through deep breathing exercises when the client is experiencing severe anxiety. Which sign after performing this exercise would indicate that the client's anxiety has decreased? 1 The client is quiet, yet confused. 2 The client stops running and shouting. 3 The client demonstrates selective inattention. 4 The client demonstrates absence of false sensory perception
Answer:3
Which nursing intervention is most helpful to support improvement in an anxious individual's sense of control and competence? 1 Provide large amounts of praise when the individual accomplishes assigned tasks. 2 Educate the individual regarding the usefulness of stress management techniques. 3 Help the individual identify several stress situations that he or she successfully managed. 4 Have the individual describe how to demonstrate control and competence over stress
Answer:3
A woman feels a lump in her breast. She anxiously says to her spouse, "I have cancer. It probably has spread all over my body." Which nursing diagnosis and etiology best apply to this situation? 1 Ineffective coping related to panic level anxiety 2 Disturbed body image related to malignant breast cancer 3 Self-esteem disturbance related to outcome of breast self-exam 4 Fear related to misinterpretation and misinformation about breast self-exams
Answer:4
As the nurse teaches a preoperative client, the client becomes more and more anxious as the information is presented. Soon the client begins to report dizziness and heart pounding. The nurse observes obvious trembling and confusion. Which is the nurse's priority intervention? 1 Reinforce the preoperative teaching by restating it slowly. 2 Have the client read the teaching materials instead of listening to them. 3 Have a familiar family member read the preoperative materials to the client. 4 Cease any further attempt at preoperative teaching at this time and instead encourage deep breathing
Answer:4
What is the major distinction between fear and anxiety? 1 Fear is a universal experience; anxiety is neurotic. 2 Fear enables constructive action; anxiety is dysfunctional. 3 Fear is a psychological experience; anxiety is a physiological experience. 4 Fear is a response to a specific danger; anxiety is a response to an unknown source.
Answer:4
How is obsession defined? 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
Answer:1
A young adult applying for a job is mildly tense but eager to begin the interview. What is does this experience represent? 1 Denial 2 Compensation 3 Normal anxiety 4 Selective inattention
Answer: 3
A client experiencing a moderate level of anxiety tells the nurse, "I am so anxious, and I do not know what to do." What would be the most helpful response from the nurse? 1 "Let's try to focus on that adorable little granddaughter of yours." 2 "Why don't you sit down over there and work on that jigsaw puzzle?" 3 "Try not to think about the feelings and sensations you're experiencing." 4 "What things have you done in the past that helped you feel more comfortable?"
Answer: 4
What type of anxiety may be associated with delusional thinking? 1 Acute anxiety 2 Severe anxiety 3 Chronic anxiety 4 Panic level anxiety
Answer: 4
Which behavior would be characteristic of an individual who is displaying passive aggression? 1 Lying 2 Stealing 3 Slapping 4 Procrastinating
Answer: 4
Which scenario presents the most accurate example of altruism? 1 After recovering from a gunshot wound, a police officer attends a local support group. 2 After recovering from open-heart surgery, an individual plays tennis three times a week. 3 An individual with a longstanding fear of animals volunteers at a community animal shelter. 4 An individual who received a liver transplant volunteers at a local organ procurement agency
Answer: 4
Which symptom is commonly associated with panic attacks? 1 Fever 2 Apathy 3 Obsessions 4 Fear of impending doom
Answer: 4
Which therapeutic modality helps a client view a disturbing occurrence in a more positive light? 1 Exposure 2 Desensitization 3 Response prevention 4 Cognitive restructuring
Answer: 4
