NUR 383 Chapter 15 varcolis Updated
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Chapter 15: Anxiety and Obsessive-Compulsive Disorders
Halter: Varcarolis' Foundations of Psychiatric Mental Health Nursing: A Clinical
Approach, 8th Edition
MULTIPLE RESPONSE
1. A child was placed in a foster home after being removed from abusive parents.
The child is
apprehensive and overreacts to environmental stimuli. The foster parents ask the
nurse how to
help the child. Which interventions should the nurse suggest? (Select all that
apply.)
a. Use a calm manner and low voice.
b. Maintain simplicity in the environment.
c. Avoid repetition in what is said to the child.
d. Minimize opportunities for exercise and play.
e. Explain and reinforce reality to avoid distortions. - ANSWER ✓ ANS: A, B, E
The child has moderate anxiety. A calm manner will calm the child. A simple,
structured,
predictable environment is desirable to decrease anxiety provoking and reduce
stimuli. Calm,
simple explanations that reinforce reality validate the environment. Repetition is
often needed
when the individual is unable to concentrate because of elevated levels of anxiety.
Opportunities for play and exercise should be provided as avenues to reduce
anxiety. Physical
movement helps channel and lower anxiety. Play helps by allowing the child to act
out
concerns.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 15-39, 40 (Table 15-9) | Pages 15-41, 89 (Box 15-1)
,TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
2. A nurse plans health teaching for a patient diagnosed with generalized anxiety
disorder who
begins a new prescription for lorazepam. What information should be included?
(Select all
that apply.)
a. Caution in use of machinery
b. Foods allowed on a tyramine-free diet
c. The importance of caffeine restriction
d. Avoidance of alcohol and other sedatives
e. Take the medication on an empty stomach - ANSWER ✓ ANS: A, C, D
Caffeine is a central nervous system stimulant that acts as an antagonist to the
benzodiazepine
lorazepam. Daily caffeine intake should be reduced to the amount contained in one
cup of
coffee. Benzodiazepines are sedatives, thus the importance of exercising caution
when driving
or using machinery and the importance of not using other central nervous system
depressants
such as alcohol or sedatives to avoid potentiation. Benzodiazepines do not require
a special
diet. Food will reduce gastric irritation from the medication.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 15-88 (Table 15-11), 91 (Box 15-2) TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity
TestBankWorld.org
3. Which assessment questions would be most appropriate for the nurse to ask a
patient with
possible obsessive-compulsive disorder? (Select all that apply.)
a. "Are there certain social situations that cause you to feel especially
uncomfortable?"
b. "Are there others in your family who must do things in a certain way to feel
comfortable?"
c. "Have you been a victim of a crime or seen someone badly injured or killed?"
d. "Is it difficult to keep certain thoughts out of your awareness?"
e. "Do you do certain things over and over again?" - ANSWER ✓ ANS: B, D, E
, The correct questions refer to obsessive thinking and compulsive behaviors. There
is likely a
genetic correlation to the disorder. The incorrect responses are more pertinent to a
patient with
suspected posttraumatic stress disorder or with suspected social phobia.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 15-36, 37 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
4. The nurse assesses an adult who is socially withdrawn and hoards. Which
nursing diagnoses
most likely apply to this individual? (Select all that apply.)
a. Ineffective home maintenance
b. Situational low self-esteem
c. Chronic low self-esteem
d. Disturbed body image
e. Risk for injury - ANSWER ✓ ANS: A, C, E
Shame regarding the appearance of one's home is associated with hoarding. The
behavior is
usually associated with chronic low self-esteem. Hoarding results in problems of
home
maintenance, which may precipitate injury. The self-concept may be affected, but
not body
image.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 15-29, 30, 38, 81 (Table 15-8)
TOP: Nursing Process: Analysis/Diagnosis
MSC: Client Needs: Psychosocial Integrity
MULTIPLE CHOICE
1. A nurse wants to teach alternative coping strategies to a patient experiencing
severe anxiety.
Which action should the nurse perform first?
a. Verify the patient's learning style.
b. Lower the patient's current anxiety.
c. Create outcomes and a teaching plan.
d. Assess how the patient uses defense mechanisms. - ANSWER ✓ ANS: B
A patient experiencing severe anxiety has a markedly narrowed perceptual field
and difficulty
2025 Complete Exam Questions with
Elaborated Correct Answers||A+
GRADED||100% GUARANTEED
PASS!!!
TestBankWorld.org
Chapter 15: Anxiety and Obsessive-Compulsive Disorders
Halter: Varcarolis' Foundations of Psychiatric Mental Health Nursing: A Clinical
Approach, 8th Edition
MULTIPLE RESPONSE
1. A child was placed in a foster home after being removed from abusive parents.
The child is
apprehensive and overreacts to environmental stimuli. The foster parents ask the
nurse how to
help the child. Which interventions should the nurse suggest? (Select all that
apply.)
a. Use a calm manner and low voice.
b. Maintain simplicity in the environment.
c. Avoid repetition in what is said to the child.
d. Minimize opportunities for exercise and play.
e. Explain and reinforce reality to avoid distortions. - ANSWER ✓ ANS: A, B, E
The child has moderate anxiety. A calm manner will calm the child. A simple,
structured,
predictable environment is desirable to decrease anxiety provoking and reduce
stimuli. Calm,
simple explanations that reinforce reality validate the environment. Repetition is
often needed
when the individual is unable to concentrate because of elevated levels of anxiety.
Opportunities for play and exercise should be provided as avenues to reduce
anxiety. Physical
movement helps channel and lower anxiety. Play helps by allowing the child to act
out
concerns.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 15-39, 40 (Table 15-9) | Pages 15-41, 89 (Box 15-1)
,TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
2. A nurse plans health teaching for a patient diagnosed with generalized anxiety
disorder who
begins a new prescription for lorazepam. What information should be included?
(Select all
that apply.)
a. Caution in use of machinery
b. Foods allowed on a tyramine-free diet
c. The importance of caffeine restriction
d. Avoidance of alcohol and other sedatives
e. Take the medication on an empty stomach - ANSWER ✓ ANS: A, C, D
Caffeine is a central nervous system stimulant that acts as an antagonist to the
benzodiazepine
lorazepam. Daily caffeine intake should be reduced to the amount contained in one
cup of
coffee. Benzodiazepines are sedatives, thus the importance of exercising caution
when driving
or using machinery and the importance of not using other central nervous system
depressants
such as alcohol or sedatives to avoid potentiation. Benzodiazepines do not require
a special
diet. Food will reduce gastric irritation from the medication.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 15-88 (Table 15-11), 91 (Box 15-2) TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity
TestBankWorld.org
3. Which assessment questions would be most appropriate for the nurse to ask a
patient with
possible obsessive-compulsive disorder? (Select all that apply.)
a. "Are there certain social situations that cause you to feel especially
uncomfortable?"
b. "Are there others in your family who must do things in a certain way to feel
comfortable?"
c. "Have you been a victim of a crime or seen someone badly injured or killed?"
d. "Is it difficult to keep certain thoughts out of your awareness?"
e. "Do you do certain things over and over again?" - ANSWER ✓ ANS: B, D, E
, The correct questions refer to obsessive thinking and compulsive behaviors. There
is likely a
genetic correlation to the disorder. The incorrect responses are more pertinent to a
patient with
suspected posttraumatic stress disorder or with suspected social phobia.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 15-36, 37 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
4. The nurse assesses an adult who is socially withdrawn and hoards. Which
nursing diagnoses
most likely apply to this individual? (Select all that apply.)
a. Ineffective home maintenance
b. Situational low self-esteem
c. Chronic low self-esteem
d. Disturbed body image
e. Risk for injury - ANSWER ✓ ANS: A, C, E
Shame regarding the appearance of one's home is associated with hoarding. The
behavior is
usually associated with chronic low self-esteem. Hoarding results in problems of
home
maintenance, which may precipitate injury. The self-concept may be affected, but
not body
image.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 15-29, 30, 38, 81 (Table 15-8)
TOP: Nursing Process: Analysis/Diagnosis
MSC: Client Needs: Psychosocial Integrity
MULTIPLE CHOICE
1. A nurse wants to teach alternative coping strategies to a patient experiencing
severe anxiety.
Which action should the nurse perform first?
a. Verify the patient's learning style.
b. Lower the patient's current anxiety.
c. Create outcomes and a teaching plan.
d. Assess how the patient uses defense mechanisms. - ANSWER ✓ ANS: B
A patient experiencing severe anxiety has a markedly narrowed perceptual field
and difficulty
