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." - correct 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. - correct 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. - correct 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) - correct 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." - correct 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 - correct 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." - correct
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." -
correct 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.
"My mother also worries unnecessarily. I think it is part of the aging process."
2.
"Anxiety is considered abnormal when it is out of proportion to the stimulus causing it and
when it impairs functioning."
3.
"From what you have told me, you should get her to a psychiatrist as soon as possible."
4.
"Worry and anxiety are complex phenomena and are effectively treated only with psychotropic
medications." - correct answer 2
The client is experiencing a severe panic attack. Which nursing intervention would meet this
client's physiological need?
1.
Teach deep breathing relaxation exercises.
2.
Place the client in a brightly lit room.
3.
Have the client breathe into a paper bag.
4.
Administer the ordered prn buspirone (BuSpar). - correct answer 3
The college student has severe test anxiety. Instead of studying for finals, the student relieves
stress by attending a movie. Which priority nursing diagnosis should the campus nurse assign
for this student?
1.
Non-adherence R/T test taking
2.
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." - correct 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. - correct 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. - correct 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) - correct 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." - correct 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 - correct 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." - correct
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." -
correct 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.
"My mother also worries unnecessarily. I think it is part of the aging process."
2.
"Anxiety is considered abnormal when it is out of proportion to the stimulus causing it and
when it impairs functioning."
3.
"From what you have told me, you should get her to a psychiatrist as soon as possible."
4.
"Worry and anxiety are complex phenomena and are effectively treated only with psychotropic
medications." - correct answer 2
The client is experiencing a severe panic attack. Which nursing intervention would meet this
client's physiological need?
1.
Teach deep breathing relaxation exercises.
2.
Place the client in a brightly lit room.
3.
Have the client breathe into a paper bag.
4.
Administer the ordered prn buspirone (BuSpar). - correct answer 3
The college student has severe test anxiety. Instead of studying for finals, the student relieves
stress by attending a movie. Which priority nursing diagnosis should the campus nurse assign
for this student?
1.
Non-adherence R/T test taking
2.
