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Exam (elaborations)

Nur 162 - Final Exam (Chapters 1-28 Questions Bank) | 523 Questions | With Complete Solutions!!

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NUR 162 - FINAL EXAM (Chapters 1-28 QUESTIONS BANK) | 523 QUESTIONS | WITH COMPLETE SOLUTIONS!!

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NUR 162 - FINAL EXAM (QUESTIONS BANK) |
523 QUESTIONS | WITH COMPLETE
SOLUTIONS!!


The nurse is teaching the staff about specific phobias. Which statement from a
staff member indicates teaching has been effective?
1.
"These clients recognize their fear as excessive and frequently seek treatment."
2.
"These clients have a panic level of fear that is overwhelming and
unreasonable."
3.
"These clients experience symptoms that mirror a cerebrovascular accident."
4.
"These clients exhibit symptoms of tachycardia, dysphagia, and diaphoresis."
Answer - 2


Which information would a nurse include in client teaching about social anxiety
disorder?
1.
Obsessions are the underlying reason for clients to avoid social situations.
2.
These people avoid social interactions because of a perceived physical flaw.
3.
Individuals with social anxiety disorder avoid performing in front of others.
4.

,People with this disorder avoid social gatherings because of fear of separation.
Answer - 3


Which guideline should the nurse use to help differentiate a client diagnosed
with panic disorder from a client diagnosed with generalized anxiety disorder
(GAD)?
1.
GAD is acute in nature, and panic disorder is chronic.
2.
Chest pain is a common GAD symptom, whereas this symptom is absent in
panic disorders.
3.
Depression is a common symptom in GAD and rare in panic disorder.
4.
Depersonalization is absent in GAD but is commonly seen in panic disorder.
Answer - 4


Which medication treatment should the nurse administer to clients diagnosed
with generalized anxiety disorder (GAD)?
1.
Long-term treatment with diazepam (Valium)
2.
Acute symptom control with propranolol (Inderal)
3.
Long-term treatment with buspirone (BuSpar)
4.
Acute symptom control with ziprasidone (Geodon) Answer - 3

,The nurse is assessing a client diagnosed with hoarding disorder. Which
statement would the nurse expect to hear from the client?
1.
"I am a perfectionist."
2.
"I get obsessive about cleaning my counter tops."
3.
"I donate my clothing to charities."
4.
"I prefer to have wide walkways in my home." Answer - 1


A cab driver, stuck in traffic, becomes lightheaded, tremulous, diaphoretic,
tachycardic, and dyspneic. A work-up in an emergency department reveals no
pathology. Which nursing diagnosis should be the nurse's first priority?
1.
Fear
2.
Powerlessness
3.
Altered role performance
4.
Anxiety Answer - 4


The client with panic disorder says, "When an attack happens, I feel like I am
going to die." Which response should the nurse make?
1.
"I know it's frightening, but try to remind yourself that this will only last a short
time."

, 2.
"Death from a panic attack happens so infrequently that there is no need to
worry."
3.
"Most people who experience panic attacks have feelings of impending doom."
4.
"Tell me why you think you are going to die every time you have a panic
attack." Answer - 1


The nursing instructor is teaching about medications used to treat clients
diagnosed with panic disorder. Which student statement indicates teaching has
been effective?
1.
"Clonazepam (Klonopin) is particularly effective in the treatment of panic
disorder."
2.
"Clonidine (Catapres) is used off-label in long-term treatment of panic
disorder."
3.
"Atenolol (Tenormin) can be used in low doses to relieve symptoms of panic
attacks."
4.
"Buspirone (BuSpar) is used for its immediate effect to lower anxiety during
panic attacks." Answer - 1


A son is seeking advice about his mother who seems to worry unnecessarily
about everything. The son states, "Should I seek psychiatric help for my
mother?" Which is an appropriate nursing response?
1.

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