Townsend's Psychiatric Mental Health
Nursing, 11th Edition by Morgan
Health Nursing Ch 18 (27): Anxiety,
Obsessive Compulsive, and Related
Disorders.
Ms. T has been diagnosed with agoraphobia. Which behavior would be
most characteristic of this disorder?
A. Ms. T. Experiences panic anxiety when she encounters snakes.
B. Ms. T refuses to fly in an airplane.
C. Ms. T. Will not eat in public places.
D. Ms. T. Stays in her home for fear of being in a place from which she
cannot escape.- ANS- D. Ms. T. Stays in her home for fear of being in a
place from which she cannot escape.
A client who is experiencing a panic attack just arrived at the ER.
Which is the priority nursing intervention for this client?
A. Stay with the client and reassure safety
, B. Administer a dose of diazepam
C. Leave the client alone in a quiet room so that she can calm down.
D. Encourage the client to talk about what triggered the attack.- ANS-
A. Stay with the client and reassure safety
The nurse can anticipate a prescription for what medication for the
client who was just diagnosed with obsessive compulsive disorder?
A. Clomipramine
B. Clonidine
C. Clonazepam
D. Propranolol- ANS- A. Clomipramine, a tricyclic antidepressant, as
well as ssris such as fluoxetine (Prozac), paroxetine (Paxil), sertraline
(Zoloft) and fluvoxamine (Luvox) have been approved for treatment of
OCD.
Clonidine and propranolol, are anthypertensives that have been used
used successful to treat anxiety disorders. Clonazepam and other
benzodiazepines are used to treat social anxiety disorder.
What is a biochemical abnormality associated with panic disorder?-
ANS- Blood elevations of lactate. Pg 533
What is the difference between fear and anxiety?- ANS- Fear involves
cognition-the intellectual appraisal of a threatening stimulus while
anxiety is the emotional response to that stimulus.