Anxiety Disorders Nursing Care
Management NCLEX Challenge Exam
Questions and Accurate answers
Graded A+
1. 1. Question
The school nurse assesses for anorexia nervosa in an adolescent girl. Which of the
following findings are characteristic of this disorder? Select all that apply.
A. Bradycardia
B. Hypotension
C. Chronic pain in one or more sites
D. Fear of having a serious illness
E. Irregular or absent menses
F. Refusal to maintain a minimally normal weight
Correct Answer: A, B, E, F
These are all characteristics of anorexia nervosa. Anorexia nervosa is an eating
disorder defined by restriction of energy intake relative to requirements, leading
to a significantly low body weight. Patients will have an intense fear of gaining
weight and distorted body image with the inability to recognize the seriousness
of their significantly low body weight.
2. 2. Question
Mr. Bartowski who is newly diagnosed with rheumatoid arthritis asks the
community nurse how stress can affect his disease. The nurse would explain that:
A. The psychological experience of stress will not affect symptoms of physical
disease.
B. Psychological stress can cause painful emotions, which are harmful to a
person with an illness.
, C. Stress can overburden the body's immune system, and therefore one can
experience increased symptoms.
Correct answer
D. The body's stress response is stimulated when there are major disruptions
in one's life.
Incorrect
Incorrect
Correct Answer: C. Stress can overburden the body’s immune system, and
therefore one can experience increased symptoms.
The stress response causes stimulation of the hypothalamic-pituitary-adrenal axis,
which can further compromise an immune system that has been activated by the
autoimmune disorder of rheumatoid arthritis. Consequently, the client can expect
disease symptoms to exacerbate when under stress.
3. 3. Question
During a mother’s class, the nurse who is teaching the participants on stress
management is questioned about the use of alternative treatments, such as
herbal therapy and therapeutic touch. She explains that the advantage of these
methods would include all of the following except:
A. They are congruent with many cultural belief systems.
B. They encourage the consumer to take an active role in health
management.
C. They promote interrelationships within the mind-body-spirit.
D. They usually work better than traditional medical practice.
Correct Answer: D. They usually work better than traditional medical
practice.
Complementary alternative medicine treatments are often used as adjuncts to
traditional medical treatment. Although an individual may choose a particular
alternative treatment method, there is really no current scientific proof that these
methods will work better than traditional medicine. Stress can be effectively
managed by Yoga, meditation, mindfulness, healthy eating, exercise, acupressure,
acupuncture, building relaxation rituals like massaging or drinking herbal teas
such as rose, bamboo, chamomile, peppermint etc.
,4. 4. Question
David is preoccupied with numerous bodily complaints even after a careful
diagnostic workup reveals no physiologic problems. Which nursing intervention
would be therapeutic for him?
A. Acknowledge that the complaints are real to the client, and refocus the
client on other concerns and problems.
Correct answer
B. Challenge the physical complaints by confronting the client with the
normal diagnostic findings.
C. Ignore the client's complaints, but request that the client keeps a list of all
symptoms.
D. Listen to the client's complaints carefully, and question him about specific
symptoms.
Correct Answer: A. Acknowledge that the complaints are real to the client,
and refocus the client on other concerns and problems.
After physical factors are ruled out, somatic complaints are thought to be
expressions of anxiety. The complaints are real to the client, but the nurse should
not focus on them. Prompting the client about other concerns will encourage the
expression of anxiety and dependency needs. The nurse must help the client
establish a daily routine that includes improved health behaviors. Provide
accommodation for the client and make them more comfortable (ie., pillows,
temperature, positioning, etc.). This can help the client feel accepted and develop
rapport and trust. This can allow the client to feel more comfortable and express
their feelings and emotions more readily to the healthcare team.
5. 5. Question
Nurse Kenzo is teaching a client about sertraline (Zoloft), which has been
prescribed for depression. A significant side effect is an interference with sexual
arousal by inhibiting erectile function. How should Nurse Kenzo approach this
topic?
A. Nurse Kenzo should avoid mentioning the sexual side effects to prevent
the client from having anxiety about potential erectile problems.
, B. Nurse Kenzo should advise the client to report any changes in sexual
functioning in case medication adjustments are needed.
Correct answer
C. Nurse Kenzo should explain that the client's sexual desire will probably
decrease while on this medication.
D. Nurse Kenzo should tell the client that sexual side effects are expected, but
that they will decrease when his depression lifts.
Correct Answer: B. Nurse Kenzo should advise the client to report any
changes in sexual functioning in case medication adjustments are needed.
Clients commonly discontinue medications to avoid or correct sexual side effects,
but they are less likely to do that when health professionals offer assistance with
sexual issues. Generally, clients avoid discussing sexual issues unless health
professionals give permission by raising the issue first. Sexual dysfunction is a
common side effect of antidepressants and can have a significant impact on the
person’s quality of life, relationships, mental health, and recovery. The reported
incidence of sexual dysfunction associated with antidepressant medication varies
considerably between studies, making it difficult to estimate the exact incidence
or prevalence.
Option A: Overall, 73% of the SSRI-treated clients reported adverse sexual
side effects; in contrast, to 14% of clients treated with bupropion. The three
SSRIs, to an equal degree, significantly decreased libido, arousal, duration of
orgasm, and intensity of orgasm below levels experienced pre-morbidly. In
comparison, bupropion-treated clients reported significant increases in libido,
level of arousal, intensity of orgasm, and duration of orgasm beyond levels
experienced premorbidly.
Option C: The sexual problems reported range from decreased sexual desire,
decreased sexual excitement, diminished or delayed orgasm, to erection or
delayed ejaculation problems. There are a number of case reports of sexual
side effects, such as priapism, painful ejaculation, penile anesthesia, loss of
sensation in the vagina and nipples, persistent genital arousal, and
nonpuerperal lactation in women.
Option D: Because most antidepressants modulate serotonin concentration, it
is generally thought that elevated serotonin levels diminish sexual function.
Serotonergic nerve terminals target dopamine and norepinephrine pathways
in the brain and inhibit their activity, both of these neurotransmitters having a
role in the desire and arousal phases of the sexual response cycle. 80% of
Management NCLEX Challenge Exam
Questions and Accurate answers
Graded A+
1. 1. Question
The school nurse assesses for anorexia nervosa in an adolescent girl. Which of the
following findings are characteristic of this disorder? Select all that apply.
A. Bradycardia
B. Hypotension
C. Chronic pain in one or more sites
D. Fear of having a serious illness
E. Irregular or absent menses
F. Refusal to maintain a minimally normal weight
Correct Answer: A, B, E, F
These are all characteristics of anorexia nervosa. Anorexia nervosa is an eating
disorder defined by restriction of energy intake relative to requirements, leading
to a significantly low body weight. Patients will have an intense fear of gaining
weight and distorted body image with the inability to recognize the seriousness
of their significantly low body weight.
2. 2. Question
Mr. Bartowski who is newly diagnosed with rheumatoid arthritis asks the
community nurse how stress can affect his disease. The nurse would explain that:
A. The psychological experience of stress will not affect symptoms of physical
disease.
B. Psychological stress can cause painful emotions, which are harmful to a
person with an illness.
, C. Stress can overburden the body's immune system, and therefore one can
experience increased symptoms.
Correct answer
D. The body's stress response is stimulated when there are major disruptions
in one's life.
Incorrect
Incorrect
Correct Answer: C. Stress can overburden the body’s immune system, and
therefore one can experience increased symptoms.
The stress response causes stimulation of the hypothalamic-pituitary-adrenal axis,
which can further compromise an immune system that has been activated by the
autoimmune disorder of rheumatoid arthritis. Consequently, the client can expect
disease symptoms to exacerbate when under stress.
3. 3. Question
During a mother’s class, the nurse who is teaching the participants on stress
management is questioned about the use of alternative treatments, such as
herbal therapy and therapeutic touch. She explains that the advantage of these
methods would include all of the following except:
A. They are congruent with many cultural belief systems.
B. They encourage the consumer to take an active role in health
management.
C. They promote interrelationships within the mind-body-spirit.
D. They usually work better than traditional medical practice.
Correct Answer: D. They usually work better than traditional medical
practice.
Complementary alternative medicine treatments are often used as adjuncts to
traditional medical treatment. Although an individual may choose a particular
alternative treatment method, there is really no current scientific proof that these
methods will work better than traditional medicine. Stress can be effectively
managed by Yoga, meditation, mindfulness, healthy eating, exercise, acupressure,
acupuncture, building relaxation rituals like massaging or drinking herbal teas
such as rose, bamboo, chamomile, peppermint etc.
,4. 4. Question
David is preoccupied with numerous bodily complaints even after a careful
diagnostic workup reveals no physiologic problems. Which nursing intervention
would be therapeutic for him?
A. Acknowledge that the complaints are real to the client, and refocus the
client on other concerns and problems.
Correct answer
B. Challenge the physical complaints by confronting the client with the
normal diagnostic findings.
C. Ignore the client's complaints, but request that the client keeps a list of all
symptoms.
D. Listen to the client's complaints carefully, and question him about specific
symptoms.
Correct Answer: A. Acknowledge that the complaints are real to the client,
and refocus the client on other concerns and problems.
After physical factors are ruled out, somatic complaints are thought to be
expressions of anxiety. The complaints are real to the client, but the nurse should
not focus on them. Prompting the client about other concerns will encourage the
expression of anxiety and dependency needs. The nurse must help the client
establish a daily routine that includes improved health behaviors. Provide
accommodation for the client and make them more comfortable (ie., pillows,
temperature, positioning, etc.). This can help the client feel accepted and develop
rapport and trust. This can allow the client to feel more comfortable and express
their feelings and emotions more readily to the healthcare team.
5. 5. Question
Nurse Kenzo is teaching a client about sertraline (Zoloft), which has been
prescribed for depression. A significant side effect is an interference with sexual
arousal by inhibiting erectile function. How should Nurse Kenzo approach this
topic?
A. Nurse Kenzo should avoid mentioning the sexual side effects to prevent
the client from having anxiety about potential erectile problems.
, B. Nurse Kenzo should advise the client to report any changes in sexual
functioning in case medication adjustments are needed.
Correct answer
C. Nurse Kenzo should explain that the client's sexual desire will probably
decrease while on this medication.
D. Nurse Kenzo should tell the client that sexual side effects are expected, but
that they will decrease when his depression lifts.
Correct Answer: B. Nurse Kenzo should advise the client to report any
changes in sexual functioning in case medication adjustments are needed.
Clients commonly discontinue medications to avoid or correct sexual side effects,
but they are less likely to do that when health professionals offer assistance with
sexual issues. Generally, clients avoid discussing sexual issues unless health
professionals give permission by raising the issue first. Sexual dysfunction is a
common side effect of antidepressants and can have a significant impact on the
person’s quality of life, relationships, mental health, and recovery. The reported
incidence of sexual dysfunction associated with antidepressant medication varies
considerably between studies, making it difficult to estimate the exact incidence
or prevalence.
Option A: Overall, 73% of the SSRI-treated clients reported adverse sexual
side effects; in contrast, to 14% of clients treated with bupropion. The three
SSRIs, to an equal degree, significantly decreased libido, arousal, duration of
orgasm, and intensity of orgasm below levels experienced pre-morbidly. In
comparison, bupropion-treated clients reported significant increases in libido,
level of arousal, intensity of orgasm, and duration of orgasm beyond levels
experienced premorbidly.
Option C: The sexual problems reported range from decreased sexual desire,
decreased sexual excitement, diminished or delayed orgasm, to erection or
delayed ejaculation problems. There are a number of case reports of sexual
side effects, such as priapism, painful ejaculation, penile anesthesia, loss of
sensation in the vagina and nipples, persistent genital arousal, and
nonpuerperal lactation in women.
Option D: Because most antidepressants modulate serotonin concentration, it
is generally thought that elevated serotonin levels diminish sexual function.
Serotonergic nerve terminals target dopamine and norepinephrine pathways
in the brain and inhibit their activity, both of these neurotransmitters having a
role in the desire and arousal phases of the sexual response cycle. 80% of
