Anxiety Disorders Test Questions and Answers
Graded A+
The nurse discovers that a client with obsessive- this client.
compulsive disorder (OCD) is attempting to resist Withhold the medication until the next scheduled
the compulsion. Based on this finding, the nurse dose.
should assess the client for which sign? Encourage the client to take some of her
medications.
Increased anxiety Put the medicine in applesauce to give it without
Depression the client's knowledge. - ANSWER -Notify
Excessive fear the health care provider of the status of this
Feelings of failure - ANSWER -Increased client.
anxiety
The nurse is caring for a client who has been
A 49-year-old painter who recently fractured his diagnosed as having social anxiety disorder.
tibia worries about his finances because he can't Which intervention would be appropriate for the
work. To treat his anxiety, his physician nurse to encourage the client to develop?
prescribes buspirone, 5 mg by mouth three times
per day. During buspirone therapy, the client being in situations where the client is alone
should avoid which of the following drugs? staying at home all the time
public speaking
Monoamine oxidase (MAO) inhibitors having to shake hands and be exposed to others'
Beta-adrenergic blockers germs - ANSWER -public speaking
Antiparkinsonian drugs
Antineoplastic drugs - ANSWER -
Monoamine oxidase (MAO) inhibitors A client with obsessive-compulsive disorder and
ritualistic behavior must brush the hair back from
his forehead 15 times before carrying out any
A client taking alprazolam reports activity. The nurse notices that the client's hair is
lightheadedness and nausea every day while thinning and the skin on the forehead is irritated
getting out of bed. Which action should the nurse — possible effects of this ritual. When planning
take to objectively validate this client's problem? the client's care, the nurse should assign highest
priority to:
Obtain a blood chemical profile.
Take the client's blood pressure. helping the client identify how the ritualistic
Teach Valsalva maneuver. behavior interferes with daily activities.
Monitor body temperature. - ANSWER - setting consistent limits on the ritualistic behavior
Take the client's blood pressure. if it harms the client or others.
using problem solving to help the client manage
anxiety more effectively.
A client is refusing all medications and is having exploring the purpose of the ritualistic behavior. -
difficulty breathing, with a respiratory rate of 34 ANSWER -setting consistent limits on the
breaths/minute and anxiety. What is the priority ritualistic behavior if it harms the client or others.
nursing action?
Notify the health care provider of the status of While shopping at a mall, a woman experiences
,Anxiety Disorders Test Questions and Answers
Graded A+
an episode of extreme terror accompanied by During a panic attack, a client runs to the nurse
anxiety, tachycardia, trembling, and fear of going and reports breathing difficulty, chest pain, and
crazy. A friend drives her to the emergency palpitations. The client is pale with his mouth
department, where a physician rules out wide open and eyebrows raised. What should the
physiological causes and refers her to the nurse do first?
psychiatric resident on call. The nurse caring for
this client would expect the health care Set limits for acting out delusional behaviors.
practitioner to prescribe which medication to Administer an I.M. anxiolytic agent.
control the client's anxiety? Assist the client to breathe deeply into a paper
bag.
Paroxetine Orient the client to person, place, and time. -
Bupropion ANSWER -Assist the client to breathe
Lorazepam deeply into a paper bag.
Haloperidol - ANSWER -Lorazepam
Change question to: A client is prescribed
A woman, age 18, is highly dependent on her alprazolam therapy. Which dose related adverse
parents and fears leaving home to go away to reactions should the nurse have the client report
college. Shortly before the fall semester starts, to the health care provider? Select all that apply.
she complains that her legs are paralyzed and is
rushed to the emergency department. When hepatomegaly
physical examination rules out a physical cause rash
for her paralysis, the physician admits her to the drowsiness
psychiatric unit where she is diagnosed with urticaria
functional neurologic symptom disorder. The ataxia - ANSWER -drowsiness
client asks the nurse, "Why has this happened to ataxia
me?" What is the most appropriate response?
"You've developed this paralysis so you can stay A client in a psychiatric facility is prescribed a
with your parents. You must deal with this conflict selective serotonin reuptake inhibitor (SSRI) for
if you want to walk again." depression. The client tells the nurse they have
"It isn't uncommon for someone with your had three seizures after taking the drug for 2
personality to develop this disorder during times weeks. What question would be appropriate to
of stress." ask at this time?
"It must be awful not to be able to move your
legs. You may feel better if you realize the "Are you sure you have seizures or is it this your
problem is psychological, not physical." imagination?"
"Your problem is real but there is no physical "Have you stopped taking the drug to see if your
basis fo - ANSWER -"Your problem is real seizures stop?"
but there is no physical basis for it. We'll work on "Do you take any herbs, such as St. John's wort
what is going on in your life to find out why it's or evening primrose?"
happened." "Do any other members of your family have
seizures? - ANSWER -"Do you take any
herbs, such as St. John's wort or evening
, Anxiety Disorders Test Questions and Answers
Graded A+
primrose?" diarrhea
constipation - ANSWER -abrupt withdrawal
A client sees a spider while raking leaves.
Immediately, the client's heart begins beating The nurse is caring for a client who complains of
rapidly and the client breaks into a sweat. To a choking sensation, racing heart, dizziness and
which condition is the client's response related? fearfulness. Which term would the nurse use to
document these symptoms?
anxiety triggered by sustained physical exertion
anxiety triggered by re-experiencing a previously obsessive-compulsive disorder
frightening event panic disorder
fear triggered by a known, specific object or substance abuse
event phobia - ANSWER -panic disorder
fear triggered by an attempt to go outside into a
public place - ANSWER -fear triggered by a
known, specific object or event The nurse notices that a client with obsessive-
compulsive disorder dresses and undresses
numerous times each day. Which comment by
A client has been diagnosed with an anxiety the nurse would be therapeutic?
disorder and is refusing any form of prescribed
therapy and medication. The client states, "I am "I saw you change clothes several times today.
going to try to use an internet support group That must be very tiring."
since it is free." What is the best response by the"Try to dress only once per day so you won't be
nurse? so tired."
"It bothers me to see you always so busy."
"I think that is a great idea and should be a good "It's foolish to change clothes so many times in
substitute for formal therapy." one day." - ANSWER -"I saw you change
"I need to reinforce that any advice obtained from clothes several times today. That must be very
the internet should be used with caution." tiring."
"It won't work and you will just end up on
medication and therapy anyway."
"Everyone with an anxiety disorder should also A client is admitted to the psychiatric unit with a
be on medication to help the symptoms." - diagnosis of functional neurologic symptom
ANSWER -"I need to reinforce that any disorder. Since witnessing the beating of his wife
advice obtained from the internet should be used at gunpoint, he has been unable to move his
with caution." arms, complaining that they are paralyzed. When
planning the client's care, the nurse should
incorporate nursing interventions with which
Which factor should the nurse be most focus?
concerned about when caring for a client taking
an antianxiety medication? Talking about topics other than the beating to
avoid causing anxiety
abrupt withdrawal Helping the client identify and verbalize feelings
transient hypertension about the incident
Graded A+
The nurse discovers that a client with obsessive- this client.
compulsive disorder (OCD) is attempting to resist Withhold the medication until the next scheduled
the compulsion. Based on this finding, the nurse dose.
should assess the client for which sign? Encourage the client to take some of her
medications.
Increased anxiety Put the medicine in applesauce to give it without
Depression the client's knowledge. - ANSWER -Notify
Excessive fear the health care provider of the status of this
Feelings of failure - ANSWER -Increased client.
anxiety
The nurse is caring for a client who has been
A 49-year-old painter who recently fractured his diagnosed as having social anxiety disorder.
tibia worries about his finances because he can't Which intervention would be appropriate for the
work. To treat his anxiety, his physician nurse to encourage the client to develop?
prescribes buspirone, 5 mg by mouth three times
per day. During buspirone therapy, the client being in situations where the client is alone
should avoid which of the following drugs? staying at home all the time
public speaking
Monoamine oxidase (MAO) inhibitors having to shake hands and be exposed to others'
Beta-adrenergic blockers germs - ANSWER -public speaking
Antiparkinsonian drugs
Antineoplastic drugs - ANSWER -
Monoamine oxidase (MAO) inhibitors A client with obsessive-compulsive disorder and
ritualistic behavior must brush the hair back from
his forehead 15 times before carrying out any
A client taking alprazolam reports activity. The nurse notices that the client's hair is
lightheadedness and nausea every day while thinning and the skin on the forehead is irritated
getting out of bed. Which action should the nurse — possible effects of this ritual. When planning
take to objectively validate this client's problem? the client's care, the nurse should assign highest
priority to:
Obtain a blood chemical profile.
Take the client's blood pressure. helping the client identify how the ritualistic
Teach Valsalva maneuver. behavior interferes with daily activities.
Monitor body temperature. - ANSWER - setting consistent limits on the ritualistic behavior
Take the client's blood pressure. if it harms the client or others.
using problem solving to help the client manage
anxiety more effectively.
A client is refusing all medications and is having exploring the purpose of the ritualistic behavior. -
difficulty breathing, with a respiratory rate of 34 ANSWER -setting consistent limits on the
breaths/minute and anxiety. What is the priority ritualistic behavior if it harms the client or others.
nursing action?
Notify the health care provider of the status of While shopping at a mall, a woman experiences
,Anxiety Disorders Test Questions and Answers
Graded A+
an episode of extreme terror accompanied by During a panic attack, a client runs to the nurse
anxiety, tachycardia, trembling, and fear of going and reports breathing difficulty, chest pain, and
crazy. A friend drives her to the emergency palpitations. The client is pale with his mouth
department, where a physician rules out wide open and eyebrows raised. What should the
physiological causes and refers her to the nurse do first?
psychiatric resident on call. The nurse caring for
this client would expect the health care Set limits for acting out delusional behaviors.
practitioner to prescribe which medication to Administer an I.M. anxiolytic agent.
control the client's anxiety? Assist the client to breathe deeply into a paper
bag.
Paroxetine Orient the client to person, place, and time. -
Bupropion ANSWER -Assist the client to breathe
Lorazepam deeply into a paper bag.
Haloperidol - ANSWER -Lorazepam
Change question to: A client is prescribed
A woman, age 18, is highly dependent on her alprazolam therapy. Which dose related adverse
parents and fears leaving home to go away to reactions should the nurse have the client report
college. Shortly before the fall semester starts, to the health care provider? Select all that apply.
she complains that her legs are paralyzed and is
rushed to the emergency department. When hepatomegaly
physical examination rules out a physical cause rash
for her paralysis, the physician admits her to the drowsiness
psychiatric unit where she is diagnosed with urticaria
functional neurologic symptom disorder. The ataxia - ANSWER -drowsiness
client asks the nurse, "Why has this happened to ataxia
me?" What is the most appropriate response?
"You've developed this paralysis so you can stay A client in a psychiatric facility is prescribed a
with your parents. You must deal with this conflict selective serotonin reuptake inhibitor (SSRI) for
if you want to walk again." depression. The client tells the nurse they have
"It isn't uncommon for someone with your had three seizures after taking the drug for 2
personality to develop this disorder during times weeks. What question would be appropriate to
of stress." ask at this time?
"It must be awful not to be able to move your
legs. You may feel better if you realize the "Are you sure you have seizures or is it this your
problem is psychological, not physical." imagination?"
"Your problem is real but there is no physical "Have you stopped taking the drug to see if your
basis fo - ANSWER -"Your problem is real seizures stop?"
but there is no physical basis for it. We'll work on "Do you take any herbs, such as St. John's wort
what is going on in your life to find out why it's or evening primrose?"
happened." "Do any other members of your family have
seizures? - ANSWER -"Do you take any
herbs, such as St. John's wort or evening
, Anxiety Disorders Test Questions and Answers
Graded A+
primrose?" diarrhea
constipation - ANSWER -abrupt withdrawal
A client sees a spider while raking leaves.
Immediately, the client's heart begins beating The nurse is caring for a client who complains of
rapidly and the client breaks into a sweat. To a choking sensation, racing heart, dizziness and
which condition is the client's response related? fearfulness. Which term would the nurse use to
document these symptoms?
anxiety triggered by sustained physical exertion
anxiety triggered by re-experiencing a previously obsessive-compulsive disorder
frightening event panic disorder
fear triggered by a known, specific object or substance abuse
event phobia - ANSWER -panic disorder
fear triggered by an attempt to go outside into a
public place - ANSWER -fear triggered by a
known, specific object or event The nurse notices that a client with obsessive-
compulsive disorder dresses and undresses
numerous times each day. Which comment by
A client has been diagnosed with an anxiety the nurse would be therapeutic?
disorder and is refusing any form of prescribed
therapy and medication. The client states, "I am "I saw you change clothes several times today.
going to try to use an internet support group That must be very tiring."
since it is free." What is the best response by the"Try to dress only once per day so you won't be
nurse? so tired."
"It bothers me to see you always so busy."
"I think that is a great idea and should be a good "It's foolish to change clothes so many times in
substitute for formal therapy." one day." - ANSWER -"I saw you change
"I need to reinforce that any advice obtained from clothes several times today. That must be very
the internet should be used with caution." tiring."
"It won't work and you will just end up on
medication and therapy anyway."
"Everyone with an anxiety disorder should also A client is admitted to the psychiatric unit with a
be on medication to help the symptoms." - diagnosis of functional neurologic symptom
ANSWER -"I need to reinforce that any disorder. Since witnessing the beating of his wife
advice obtained from the internet should be used at gunpoint, he has been unable to move his
with caution." arms, complaining that they are paralyzed. When
planning the client's care, the nurse should
incorporate nursing interventions with which
Which factor should the nurse be most focus?
concerned about when caring for a client taking
an antianxiety medication? Talking about topics other than the beating to
avoid causing anxiety
abrupt withdrawal Helping the client identify and verbalize feelings
transient hypertension about the incident
