ATI PROCTERED EXAM 2024/2025 WITH DETAILED
ANSWERS A+
flooding - ANSWER-intensive exposure to a feared stimulus (not gradual) in an
attempt to turn off anxiety response, useful to treat phobias
Response prevention - ANSWER-preventing a client from performing a compulsive
behavior with the intent that anxiety will diminish
thought stopping - ANSWER-Teaches a client to say "stop" when negative thoughts
or compulsive behaviors arise, and substitute a positive thought. The goal of therapy
is that with time, the client uses the command silently.
Benzodiazepines - ANSWER-rapid relief from anxiety
-1st line treatment for GAD and Panic disorder
other uses: seizure disorder, insomnia, muscle spasm, alcohol withdrawal,induction
of anesthesia, amnesia prior to surgery or procedures
mild anxiety - ANSWER-Motivating force that provides energy to carry out tasks of
living, may increase productivity
- Increases perception, improves problem
solving
- Manifested by restlessness, irritability, mild tension-relieving behaviors (nail biting,
finger/foot tapping, fidgeting)
moderate anxiety - ANSWER-Escalation from normal experience
- Decreases productivity (selective inattention) and learning can still occur but just
not at optimal level
- Manifested by tension, increased respiration, muscle tension, heart rate and pulse
(pounding heart), perspiration, mild somatic symptoms(headache, backache,
insomnia, urinary frequency), changes in voice pitch, shakiness, pacing, fidgeting,
withdrawal
-able to solve problems but not at optimal ability
,-narrowed perceptual field, grasps less of what is going on
-focuses on source of anxiety and is less able to pay attention
severe anxiety - ANSWER-Greatly reduced perceptual field- tunnel vision
- Learning and problem solving not possible due scattered attention and due to
inability to see connection between details and events
-focuses on details or 1 specific detail
- Manifested by erratic, uncoordinated, and
impulsive behavior
- Can have somatic Sxs: h/a, nausea, dizziness, insomnia, increased trembling, chest
discomfort, diaphoresis possible hyperventilation, sense of impending doom or
dread, confusion purposeless activity, loud rapid speech and threats and demands
Panic anxiety - ANSWER-loses touch in reality-unable to tend to environment,
irrational and disorganized thinking
- Markedly disturbed behavior
- Manifested by confusion, shouting,
screaming, severe withdrawal, unable to verbally communicate, hallucinations or
false sensory perceptions,
--terror, immobility or severe hyperactivity, unintelligent communication or inability
to speak, somatic complaints: (numbness, tingling, chills, overheating, SOB, dizziness,
chest pain)
healthy - ANSWER-Altruism, sublimation, humor, suppression
Intermediate - ANSWER-Repression, displacement, reaction formation,
undoing, rationalization
immature - ANSWER-- Passive aggression, acting-out behaviors,
dissociation, devaluation, idealization,
splitting, projection, denial
Nursing Interventions for Severe to Panic anxiety - ANSWER-Reduce environmental
stimuli
- Remove patient to quiet area
- Remain with patient
• Can use a gross motor activity to drain tension
• Therapeutic communication techniques
- Firm, short, and simple statements
- Reinforce reality
- Medications
panic disorder - ANSWER-Sudden onset of extreme apprehension or fear of
impending doom
Often described as Fear of losing one's mind or having a heart attack
Lasts 15-30 min
Four or more of the following manifestations are present:
, -Palpations
-Shortness of breath
-trembling, shaking
-Choking or smothering sensation
-Chest pain
-Nausea, abdominal distress, dizzy, lightheadedness, unsteady, faint
-Feeling of depersonalization, losing control, going crazy
-Fear of dying or insanity
-Chills/hot flashes.
-parasthesias
May feel persistent worry about when the next attack will occur.
Acrophobia - ANSWER-heights
Agoraphobia - ANSWER--fear of open spaces
-is fear of being in places or open spaces or situations from which escape is difficult
or help unavailable
-Feared places avoided, restricting one's life;
elevators, closed doors, touching another person in close quarters (standing in line),
restaurants, movie theaters, air planes, cars
-Often demonstrate SOB, sweating, chest pain, need to run, escape when outside of
the home
-Avoidance of potential situations is most prominent
-SSRI's are best for this disorder
Social Anxiety Disorder - ANSWER--severe anxiety provoked by potential or real
exposure to social or performance situations where the person could be evaluated
negatively by others
-Fear of saying something foolish, not being able to answer questions in the
classroom, looking awkward in public, esp while eating or drinking, performing badly
on stage
SSRI's are best for this disorder
GAD (Generalized Anxiety Disorder) - ANSWER--Uncontrollable, excessive worry
lasting at least 6 months
-causes significant impairment in one or more areas of functioning- school, work,
home
-Manifestations include: Restlessness, muscle tension, fatigue, poor concentration,
irritability, sleep disturbances, difficulty concentrating or mind going blank
increased time and effort required to prepare for stressful activities or events,
procrastination, seeks repeated assurance
Anxiety Caused by Medical Conditions - ANSWER-Client can experience anxiety due
to an acute medical condition. It is important to assess the manifestations of anxiety
in a medical facility to rule out a physical cause.
- Hyperthyroidism
ANSWERS A+
flooding - ANSWER-intensive exposure to a feared stimulus (not gradual) in an
attempt to turn off anxiety response, useful to treat phobias
Response prevention - ANSWER-preventing a client from performing a compulsive
behavior with the intent that anxiety will diminish
thought stopping - ANSWER-Teaches a client to say "stop" when negative thoughts
or compulsive behaviors arise, and substitute a positive thought. The goal of therapy
is that with time, the client uses the command silently.
Benzodiazepines - ANSWER-rapid relief from anxiety
-1st line treatment for GAD and Panic disorder
other uses: seizure disorder, insomnia, muscle spasm, alcohol withdrawal,induction
of anesthesia, amnesia prior to surgery or procedures
mild anxiety - ANSWER-Motivating force that provides energy to carry out tasks of
living, may increase productivity
- Increases perception, improves problem
solving
- Manifested by restlessness, irritability, mild tension-relieving behaviors (nail biting,
finger/foot tapping, fidgeting)
moderate anxiety - ANSWER-Escalation from normal experience
- Decreases productivity (selective inattention) and learning can still occur but just
not at optimal level
- Manifested by tension, increased respiration, muscle tension, heart rate and pulse
(pounding heart), perspiration, mild somatic symptoms(headache, backache,
insomnia, urinary frequency), changes in voice pitch, shakiness, pacing, fidgeting,
withdrawal
-able to solve problems but not at optimal ability
,-narrowed perceptual field, grasps less of what is going on
-focuses on source of anxiety and is less able to pay attention
severe anxiety - ANSWER-Greatly reduced perceptual field- tunnel vision
- Learning and problem solving not possible due scattered attention and due to
inability to see connection between details and events
-focuses on details or 1 specific detail
- Manifested by erratic, uncoordinated, and
impulsive behavior
- Can have somatic Sxs: h/a, nausea, dizziness, insomnia, increased trembling, chest
discomfort, diaphoresis possible hyperventilation, sense of impending doom or
dread, confusion purposeless activity, loud rapid speech and threats and demands
Panic anxiety - ANSWER-loses touch in reality-unable to tend to environment,
irrational and disorganized thinking
- Markedly disturbed behavior
- Manifested by confusion, shouting,
screaming, severe withdrawal, unable to verbally communicate, hallucinations or
false sensory perceptions,
--terror, immobility or severe hyperactivity, unintelligent communication or inability
to speak, somatic complaints: (numbness, tingling, chills, overheating, SOB, dizziness,
chest pain)
healthy - ANSWER-Altruism, sublimation, humor, suppression
Intermediate - ANSWER-Repression, displacement, reaction formation,
undoing, rationalization
immature - ANSWER-- Passive aggression, acting-out behaviors,
dissociation, devaluation, idealization,
splitting, projection, denial
Nursing Interventions for Severe to Panic anxiety - ANSWER-Reduce environmental
stimuli
- Remove patient to quiet area
- Remain with patient
• Can use a gross motor activity to drain tension
• Therapeutic communication techniques
- Firm, short, and simple statements
- Reinforce reality
- Medications
panic disorder - ANSWER-Sudden onset of extreme apprehension or fear of
impending doom
Often described as Fear of losing one's mind or having a heart attack
Lasts 15-30 min
Four or more of the following manifestations are present:
, -Palpations
-Shortness of breath
-trembling, shaking
-Choking or smothering sensation
-Chest pain
-Nausea, abdominal distress, dizzy, lightheadedness, unsteady, faint
-Feeling of depersonalization, losing control, going crazy
-Fear of dying or insanity
-Chills/hot flashes.
-parasthesias
May feel persistent worry about when the next attack will occur.
Acrophobia - ANSWER-heights
Agoraphobia - ANSWER--fear of open spaces
-is fear of being in places or open spaces or situations from which escape is difficult
or help unavailable
-Feared places avoided, restricting one's life;
elevators, closed doors, touching another person in close quarters (standing in line),
restaurants, movie theaters, air planes, cars
-Often demonstrate SOB, sweating, chest pain, need to run, escape when outside of
the home
-Avoidance of potential situations is most prominent
-SSRI's are best for this disorder
Social Anxiety Disorder - ANSWER--severe anxiety provoked by potential or real
exposure to social or performance situations where the person could be evaluated
negatively by others
-Fear of saying something foolish, not being able to answer questions in the
classroom, looking awkward in public, esp while eating or drinking, performing badly
on stage
SSRI's are best for this disorder
GAD (Generalized Anxiety Disorder) - ANSWER--Uncontrollable, excessive worry
lasting at least 6 months
-causes significant impairment in one or more areas of functioning- school, work,
home
-Manifestations include: Restlessness, muscle tension, fatigue, poor concentration,
irritability, sleep disturbances, difficulty concentrating or mind going blank
increased time and effort required to prepare for stressful activities or events,
procrastination, seeks repeated assurance
Anxiety Caused by Medical Conditions - ANSWER-Client can experience anxiety due
to an acute medical condition. It is important to assess the manifestations of anxiety
in a medical facility to rule out a physical cause.
- Hyperthyroidism
