Real Life RN: Anxiety Disorder Exam Questions with Correct Answers

Nurse T admit Ms. S. Priority action for T to take? Correct Answer Assess respiratory status Nurse T assess Ms. S. Which assessment scales is appropriate? Correct Answer Hamilton-A Nurse T completes the Hamilton-A assessment of Ms. S and determines her score to be 26. Which appropriate action for the nurse to take? Correct Answer Lorazepam Nurse T preparing to call provider. List the findings. Correct Answer S (Situation) = Ms. Simpson is a 22-year-old African-American female admitted to the inpatient mental health unit for anxiety. She is restless and fidgety, has poor concentration, and has been experiencing chest pain and shortness of breath. B (Background) = She has a history of generalized anxiety disorder and has previously taken paroxetine 20 mg PO daily, but has not been taking it for approximately 2 weeks. A (Assessment)= Her vital signs from report at 0745 were: heart rate 115, blood pressure 148/76, respirations 32, oxygen saturation 96% on room air, and temperature 37.0 C (98.6 F). Her score on the Hamilton A scale is 26, and she has been unable to focus on answering questions due to her severe level of anxiety. She continues to pace, wring her hands, and rock when sitting. R (Recommendation) = I am calling to request a prescription for lorazepam. Nurse T is calculating the dose of lorazepam. Available 4mg/mL. How many mL should the nurse admin? Correct Answer 0.5 Nurse T is initiating therapeutic communication with Ms. S. Which video best? Correct Answer Video 3 Nurse T is communicating with Ms. S. Which is an appropriate action for T to take? Correct Answer Restate Ms. S's concern Nurse T is listening to Ms. S while she describes the stressors that contribute to her anxiety. Which coping mechanisms is Ms. S. exhibiting? Correct Answer Denial Displacement Rationalizing