EXAM 2 PRACTICE QUESTIONS: ANXIETY
DISORDER EXAM QUESTIONS AND ANSWERS
100% CORRECT!!
, A client informs the nurse at the anxiety disorders clinic that he experiences
palpitations, difficulty breathing, and a sense of overwhelming dread whenever he
leaves his home. This problem began after he was assaulted and robbed on his way to
work. He has been unable to go to his office for over a month. The client asks the nurse,
"Don't you agree that not being able to go out is pretty awful?" The most therapeutic
reply is:
1. "What do you mean by 'awful'?"
2. "You feel awful because you're afraid to leave home?"
3. "No, I don't think it's awful."
4. "I guess some people might say that being housebound is pretty strange." -
ANSWER *2. "You feel awful because you're afraid to leave home?"*
Rationale: The nurse will be able to validate the possibility that the client is dissatisfied
with being unable to control symptoms. The nurse should neither agree nor disagree
with the client. It is important for the client to clarify his/her own thinking.
The client in question #1 has elected to be voluntarily admitted to a private mental
health unit in order to work intensively on his problem. He has refused to leave the unit
for activities since the day of admission. An appropriate nursing intervention to include
in the care plan is to:
1. encourage him to ask for a community pass.
2. ask another client to accompany him off the unit.
3. assist him to journal the challenges of leaving the unit.
4. point out the irrationality of his fear. - ANSWER *3. assist him to journal the
challenges of leaving the unit.*
Rationale: Assisting the client to identify specific problems related to the phobia can
foster problem solving, especially when cognitive therapy is used.
A client has sought treatment for a specific phobia: fear of cats. The nurse in the anxiety
disorders clinic has established the nursing diagnosis, Anxiety related to exposure to
phobic object (cats). A realistic short-term goal for this client would be: within 10 days,
client will
1. avoid feared object whenever possible.
2. face feared object unassisted.
3. state that feared object no longer produces feelings of dread associated with anxiety.
DISORDER EXAM QUESTIONS AND ANSWERS
100% CORRECT!!
, A client informs the nurse at the anxiety disorders clinic that he experiences
palpitations, difficulty breathing, and a sense of overwhelming dread whenever he
leaves his home. This problem began after he was assaulted and robbed on his way to
work. He has been unable to go to his office for over a month. The client asks the nurse,
"Don't you agree that not being able to go out is pretty awful?" The most therapeutic
reply is:
1. "What do you mean by 'awful'?"
2. "You feel awful because you're afraid to leave home?"
3. "No, I don't think it's awful."
4. "I guess some people might say that being housebound is pretty strange." -
ANSWER *2. "You feel awful because you're afraid to leave home?"*
Rationale: The nurse will be able to validate the possibility that the client is dissatisfied
with being unable to control symptoms. The nurse should neither agree nor disagree
with the client. It is important for the client to clarify his/her own thinking.
The client in question #1 has elected to be voluntarily admitted to a private mental
health unit in order to work intensively on his problem. He has refused to leave the unit
for activities since the day of admission. An appropriate nursing intervention to include
in the care plan is to:
1. encourage him to ask for a community pass.
2. ask another client to accompany him off the unit.
3. assist him to journal the challenges of leaving the unit.
4. point out the irrationality of his fear. - ANSWER *3. assist him to journal the
challenges of leaving the unit.*
Rationale: Assisting the client to identify specific problems related to the phobia can
foster problem solving, especially when cognitive therapy is used.
A client has sought treatment for a specific phobia: fear of cats. The nurse in the anxiety
disorders clinic has established the nursing diagnosis, Anxiety related to exposure to
phobic object (cats). A realistic short-term goal for this client would be: within 10 days,
client will
1. avoid feared object whenever possible.
2. face feared object unassisted.
3. state that feared object no longer produces feelings of dread associated with anxiety.
