Exam 5 MH (VARCAROLIS)
The nurse is providing care for a patient demonstrating behaviors associated with moderate
levels of anxiety. What question should the nurse ask initially when attempting to help the
patient deescalate their anxiety?
a. "Do you know what will help you manage your anxiety?"
b. "Do you need help to manage your anxiety?"
c. "Can you identify what was happening when your anxiety began to increase?"
d. "Are you feeling anxious right now?" - ANSC (chapter 15)
Which patient has an increased risk for the development of anxiety and will require frequent
assessment by the nurse? Select all that apply.
a. Exacerbation of asthma signs and symptoms
b. History of peanut and strawberry allergies
c. History of chronic obstructive pulmonary disease
d. Current treatment for unstable angina pectoris
e. History of a traumatic brain injury - ANSA, C, D, E (chapter 15)
Which medication should the nurse be prepared to educate patients on when they are
prescribed a selective serotonin reuptake inhibitor (SSRI) for panic attacks?
a. Alprazolam (Xanax)
b. Fluoxetine (Prozac)
c. Clonazepam (Klonopin)
d. Venlafaxine (Effexor) - ANSB (chapter 15)
Which statement(s) made by the nurse demonstrates an understanding of the effective use of
relaxation therapy for anxiety management? Select all that apply.
a. "Relaxation therapy's main goal is to prevent exhaustion by removing muscle tension."
b. "Muscle relaxation promotes the relaxation response."
c. "Show me how you learned to deep breathe in yesterday's therapy session."
d. "You've said that going to group makes you nervous so let's start relaxing now."
e. "I've given you written descriptions of the various relaxation exercises for you to review." -
ANSB, C, D, E (chapter 15)
To maximize the therapeutic effect, which lifestyle practice should the nurse discourage for a
patient who has been recently prescribed an antianxiety medication?
a. Eating high protein foods.
,b. Using acetaminophen without first discussing it with a healthcare provider
c. Taking medications after eating dinner or while having a bedtime snack
d. Buying a large coffee with sugar and extra cream each morning on the way to work - ANSD
(chapter 15)
In a parent teacher conference, the school nurse meets with the parents of a profoundly shy
8-year-old girl. The parents hold hands, speak softly, respond briefly, and have poor eye
contact. The nurse recognizes that the child is most likely exposed to parental modeling and:
a. The inherited shyness trait
b. A lack of affection in the home
c. Severe punishment by the parents
d. Is afraid to say something foolish - ANSA (chapter 15)
Isabel is a straight-A student, yet she suffers from severe test anxiety and seeks medical
attention. The nurse interviews Isabel and develops a plan of care. The nurse recognizes
effective teaching about mild anxiety when Isabel states:
a. "I would like to try a benzodiazepine for my anxiety."
b. "If I study harder, my anxiety level will go down."
c. "Mild anxiety is okay because it helps me to focus."
d. "I have fear that I will fail at college." - ANSC (chapter 15)
The activity of gamma-aminobutyric acid (GABA) contributes to a slowing of neural activity.
Which of the following drugs facilitates the action of GABA?
a. Benzodiazepines
b. Antihistamines
c. Anticonvulsants
d. Noradrenergic - ANSA (chapter 15)
Samantha is a new patient to the mental health clinic and is seeking assistance for what she
describes as "severe anxiety." In addition to daily self-medicating with alcohol, Samantha
describes long-term use of herbal kava. The nurse knows that kava is associated with inhibiting
P450 and orders which of the following tests?
a. Electrocardiogram
b. Liver enzymes
c. Glomerular filtration rate
d. Complete blood count - ANSB (chapter 15)
A homebound patient diagnosed with agoraphobia has been receiving therapy in the home. The
nurse evaluates patient teaching is effective when the patient states:
, a. "I may never leave the house again."
b. "Having groceries delivered is very convenient."
c. "My risk for agoraphobia is increased by my family history."
d. "I will go out again, someday, just not today." - ANSC (chapter 15)
Which patient statement acknowledges the characteristic behavior associated with a diagnosis
of pica?
a. "Nothing could make me drink milk."
b. "I'm ashamed of it, but I eat my hair."
c. "I haven't eaten a green vegetable since I was 3 years old."
d. "I regurgitate and re-chew my food after almost every meal." - ANSB (chapter 18)
When considering an eating disorder, what is a physical criterion for hospital admission?
a. A daytime heart rate of less than 50 beats per minute
b. An oral temperature of 100°F or more
c. 90% of ideal body weight
d. Systolic blood pressure greater than 130 mm Hg - ANSA (chapter 18)
When considering the need for monitoring, which intervention should the nurse implement for a
patient with anorexia nervosa? Select all that apply.
a. Provide scheduled portion-controlled meals and snacks.
b. Congratulate patients for weight gain and behaviors that promote weight gain.
c. Limit time spent in bathroom during periods when not under direct supervision.
d. Promote exercise as a method to increase appetite.
e. Observe patient during and after meals/snacks to ensure that adequate intake is achieved
and maintained. - ANSA, C, E (chapter 18)
Which intervention will promote independence in a patient being treated for bulimia nervosa?
a. Have the patient monitor daily caloric intake and intake and output of fluids.
b. Encourage the patient to use behavior modification techniques to promote weight gain
behaviors.
c. Ask the patient to use a daily log to record feelings and circumstances related to urges to
purge.
d. Allow the patient to make limited choices about eating and exercise as weight gain
progresses. - ANSD (chapter 18)
Which patient statement supports the diagnosis of anorexia nervosa?
a. "I'm terrified of gaining weight."
b. "I wish I had a good friend to talk to."
The nurse is providing care for a patient demonstrating behaviors associated with moderate
levels of anxiety. What question should the nurse ask initially when attempting to help the
patient deescalate their anxiety?
a. "Do you know what will help you manage your anxiety?"
b. "Do you need help to manage your anxiety?"
c. "Can you identify what was happening when your anxiety began to increase?"
d. "Are you feeling anxious right now?" - ANSC (chapter 15)
Which patient has an increased risk for the development of anxiety and will require frequent
assessment by the nurse? Select all that apply.
a. Exacerbation of asthma signs and symptoms
b. History of peanut and strawberry allergies
c. History of chronic obstructive pulmonary disease
d. Current treatment for unstable angina pectoris
e. History of a traumatic brain injury - ANSA, C, D, E (chapter 15)
Which medication should the nurse be prepared to educate patients on when they are
prescribed a selective serotonin reuptake inhibitor (SSRI) for panic attacks?
a. Alprazolam (Xanax)
b. Fluoxetine (Prozac)
c. Clonazepam (Klonopin)
d. Venlafaxine (Effexor) - ANSB (chapter 15)
Which statement(s) made by the nurse demonstrates an understanding of the effective use of
relaxation therapy for anxiety management? Select all that apply.
a. "Relaxation therapy's main goal is to prevent exhaustion by removing muscle tension."
b. "Muscle relaxation promotes the relaxation response."
c. "Show me how you learned to deep breathe in yesterday's therapy session."
d. "You've said that going to group makes you nervous so let's start relaxing now."
e. "I've given you written descriptions of the various relaxation exercises for you to review." -
ANSB, C, D, E (chapter 15)
To maximize the therapeutic effect, which lifestyle practice should the nurse discourage for a
patient who has been recently prescribed an antianxiety medication?
a. Eating high protein foods.
,b. Using acetaminophen without first discussing it with a healthcare provider
c. Taking medications after eating dinner or while having a bedtime snack
d. Buying a large coffee with sugar and extra cream each morning on the way to work - ANSD
(chapter 15)
In a parent teacher conference, the school nurse meets with the parents of a profoundly shy
8-year-old girl. The parents hold hands, speak softly, respond briefly, and have poor eye
contact. The nurse recognizes that the child is most likely exposed to parental modeling and:
a. The inherited shyness trait
b. A lack of affection in the home
c. Severe punishment by the parents
d. Is afraid to say something foolish - ANSA (chapter 15)
Isabel is a straight-A student, yet she suffers from severe test anxiety and seeks medical
attention. The nurse interviews Isabel and develops a plan of care. The nurse recognizes
effective teaching about mild anxiety when Isabel states:
a. "I would like to try a benzodiazepine for my anxiety."
b. "If I study harder, my anxiety level will go down."
c. "Mild anxiety is okay because it helps me to focus."
d. "I have fear that I will fail at college." - ANSC (chapter 15)
The activity of gamma-aminobutyric acid (GABA) contributes to a slowing of neural activity.
Which of the following drugs facilitates the action of GABA?
a. Benzodiazepines
b. Antihistamines
c. Anticonvulsants
d. Noradrenergic - ANSA (chapter 15)
Samantha is a new patient to the mental health clinic and is seeking assistance for what she
describes as "severe anxiety." In addition to daily self-medicating with alcohol, Samantha
describes long-term use of herbal kava. The nurse knows that kava is associated with inhibiting
P450 and orders which of the following tests?
a. Electrocardiogram
b. Liver enzymes
c. Glomerular filtration rate
d. Complete blood count - ANSB (chapter 15)
A homebound patient diagnosed with agoraphobia has been receiving therapy in the home. The
nurse evaluates patient teaching is effective when the patient states:
, a. "I may never leave the house again."
b. "Having groceries delivered is very convenient."
c. "My risk for agoraphobia is increased by my family history."
d. "I will go out again, someday, just not today." - ANSC (chapter 15)
Which patient statement acknowledges the characteristic behavior associated with a diagnosis
of pica?
a. "Nothing could make me drink milk."
b. "I'm ashamed of it, but I eat my hair."
c. "I haven't eaten a green vegetable since I was 3 years old."
d. "I regurgitate and re-chew my food after almost every meal." - ANSB (chapter 18)
When considering an eating disorder, what is a physical criterion for hospital admission?
a. A daytime heart rate of less than 50 beats per minute
b. An oral temperature of 100°F or more
c. 90% of ideal body weight
d. Systolic blood pressure greater than 130 mm Hg - ANSA (chapter 18)
When considering the need for monitoring, which intervention should the nurse implement for a
patient with anorexia nervosa? Select all that apply.
a. Provide scheduled portion-controlled meals and snacks.
b. Congratulate patients for weight gain and behaviors that promote weight gain.
c. Limit time spent in bathroom during periods when not under direct supervision.
d. Promote exercise as a method to increase appetite.
e. Observe patient during and after meals/snacks to ensure that adequate intake is achieved
and maintained. - ANSA, C, E (chapter 18)
Which intervention will promote independence in a patient being treated for bulimia nervosa?
a. Have the patient monitor daily caloric intake and intake and output of fluids.
b. Encourage the patient to use behavior modification techniques to promote weight gain
behaviors.
c. Ask the patient to use a daily log to record feelings and circumstances related to urges to
purge.
d. Allow the patient to make limited choices about eating and exercise as weight gain
progresses. - ANSD (chapter 18)
Which patient statement supports the diagnosis of anorexia nervosa?
a. "I'm terrified of gaining weight."
b. "I wish I had a good friend to talk to."
