NURS 403 exam 3 Questions And Answers With Complete Solutions

NURS 403 exam 3 Questions And Answers
With Complete Solutions
A nursing instructor is teaching about specific phobias. Which
student statement indicates to the instructor that learning has
occurred?
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 (CVA)."
4. "These clients experience the symptoms of tachycardia,
dysphagia, and diaphoresis." correct answer: 2. "These clients
have a panic level of fear that is overwhelming and
unreasonable."

2. Which nursing statement to a client about social anxiety
disorder versus schizoid personality disorder (SPD) is most
accurate?
1. "Clients diagnosed with social anxiety disorder can manage
anxiety without medications, whereas clients diagnosed with
SPD can only manage anxiety with medications."
2. "Clients diagnosed with SPD are distressed by the symptoms
experienced in social settings, whereas clients diagnosed with
social anxiety disorder are not."
3. "Clients diagnosed with social anxiety disorder avoid
interactions only in social settings, whereas clients diagnosed
with SPD avoid interactions in all areas of life."

,4. "Clients diagnosed with SPD avoid interactions only in social
settings, whereas clients diagnosed with social anxiety disorder
tend to avoid interactions in all areas of life." correct answer: 3.
"Clients diagnosed with social anxiety disorder avoid
interactions only in social settings, whereas clients diagnosed
with SPD avoid interactions in all areas of life."

What symptoms should a nurse recognize that 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. Hyperventilation is a common symptom in GAD and rare in
panic disorder.
4. Depersonalization is commonly seen in panic disorder and
absent in GAD. correct answer: 4. Depersonalization is
commonly seen in panic disorder and absent in GAD.

4. Which treatment should a nurse identify as most appropriate
for clients diagnosed with generalized anxiety disorder (GAD)?
1. Long-term treatment with diazepam (Valium)
2. Acute symptom control with citalopram (Celexa)
3. Long-term treatment with buspirone (BuSpar)
4. Acute symptom control with ziprasidone (Geodon) correct
answer: 3. Long-term treatment with buspirone (BuSpar)

5. Which symptoms should a nurse recognize that differentiate a
client diagnosed with obsessive-compulsive disorder (OCD)
from a client diagnosed with obsessive-compulsive personality
disorder?

,1. Clients diagnosed with OCD experience both obsessions and
compulsions, and clients diagnosed with obsessive-compulsive
personality disorder do not.
2. Clients diagnosed with obsessive-compulsive personality
disorder experience both obsessions and compulsions, and
clients diagnosed with OCD do not.
3. Clients diagnosed with obsessive-compulsive personality
disorder experience only obsessions, and clients diagnosed with
OCD experience only compulsions.
4. Clients diagnosed with OCD experience only obsessions, and
clients diagnosed with obsessive-compulsive personality
disorder experience only compulsions. correct answer: 1.
Clients diagnosed with OCD experience both obsessions and
compulsions, and clients diagnosed with obsessive-compulsive
personality disorder do not.

A cab driver, stuck in traffic, becomes lightheaded, tremulous,
diaphoretic, tachycardic and dyspneic. A workup in an
emergency department reveals no pathology. Which medical
diagnosis should a nurse suspect, and what nursing diagnosis
should be the nurse's first priority?
1. Generalized anxiety disorder and a nursing diagnosis of fear
2. Altered sensory perception and a nursing diagnosis of panic
disorder
3. Pain disorder and a nursing diagnosis of altered role
performance
4. Panic disorder and a nursing diagnosis of anxiety correct
answer: 4. Panic disorder and a nursing diagnosis of anxiety

, 7. A client diagnosed with panic disorder states, "When an
attack happens, I feel like I am going to die." Which is the most
appropriate nursing response?
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. "I know it's frightening,
but try to remind yourself that this will only last a short time."

8. A nursing instructor is teaching about the medications used to
treat panic disorder. Which student statement indicates that
learning has occurred?
1. "Clonazepam (Klonopin) is particularly effective in the
treatment of panic disorder."
2. "Clozapine (Clozaril) is used off-label in long-term treatment
of panic disorder."
3. "Doxepin (Sinequan) 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. "Clonazepam
(Klonopin) is particularly effective in the treatment of panic
disorder."

9. A family member is seeking advice about an older parent who
seems to worry unnecessarily about everything. The family
member states, "Should I seek psychiatric help for my mother?"
Which is an appropriate nursing response?