Varcarolis Ch 15 Anxiety & Obsessive - Compulsive Disorders
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1. A nurse wants to teach alternative cop- B. Lower the patient's current anxiety.
ing strategies to a patient experiencing
severe anxiety. Which action should the A patient experiencing severe anxiety has a
nurse perform first? markedly narrowed perceptual field and diffi-
culty attending to events in the environment.
a. Verify the patient's learning style. A patient experiencing severe anxiety will not
learn readily. Determining preferred modes of
b. Lower the patient's current anxiety. learning, devising outcomes, and constructing
teaching plans are relevant to the task but are
c. Create outcomes and a teaching plan.
not the priority measure. The nurse has already
assessed the patient's anxiety level. Use of de-
d. Assess how the patient uses defense
fense mechanisms does not apply.
mechanisms.
2. A woman is 5'7", 160 lbs, and wears a size B. Body dysmorphic disorder
8 shoe. She says, "My feet are huge. I've
Body dysmorphic disorder refers to a preoccu-
asked three orthopedists to surgically re-
duce my feet." This person tries to buy pation with an imagined defect in appearance
shoes to make her feet look smaller and,in a normal-appearing person. The patient's
feet are proportional to the rest of the body.
in social settings, conceals both feet un-
In obsessive-compulsive or related disorder
der a table or chair. Which health problem
is likely? due to a medical condition, the individual's
symptoms of obsessions and compulsions are
a. Social anxiety disorder a direct physiological result of a medical con-
dition. Social anxiety disorder, also called so-
b. Body dysmorphic disorder cial phobia, is characterized by severe anxiety
or fear provoked by exposure to a social or
c. Separation anxiety disorder
a performance situation that will be evaluated
negatively by others. People with separation
d. Obsessive-compulsive disorder due to
anxiety disorder exhibit developmentally inap-
a medical condition
propriate levels of concern over being away
from a significant other.
, Varcarolis Ch 15 Anxiety & Obsessive - Compulsive Disorders
Study online at https://quizlet.com/_a0rjto
3. A patient experiencing moderate anxiety C. "I'm not sure I understand. Give me an ex-
says, "I feel undone." An appropriate re- ample."
sponse for the nurse would be:
Increased anxiety results in scattered thoughts
a. "What would you like me to do to help and an inability to articulate clearly. Clarifying
you?" helps the patient identify thoughts and feel-
ings. Asking the patient why he or she feels
b. "Why do you suppose you are feeling anxious is non-therapeutic; the patient likely
anxious?" does not have an answer. The patient may be
unable to determine what he or she would like
c. "I'm not sure I understand. Give me an
the nurse to do in order to help. Telling the
example."
patient to get his or her feelings under control
is a directive the patient is probably unable to
d. "You must get your feelings under con-
accomplish.
trol before we can continue."
4. A patient fearfully runs from chair to A. provide for the patient's safety.
chair crying, "They're coming! They're
coming!" The patient does not follow the Safety is of highest priority because the patient
staff's directions or respond to verbal in- experiencing panic is at high risk for self-injury
terventions. The initial nursing interven- related to increased non-goal-directed motor
tion of highest priority is to: activity, distorted perceptions, and disordered
thoughts. Offering an outlet for the patient's
a. provide for the patient's safety. energy can occur when the current panic lev-
el subsides. Respecting the patient's personal
b. encourage clarification of feelings. space is a lower priority than safety. Clarifica-
tion of feelings cannot take place until the level
c. respect the patient's personal space.
of anxiety is lowered.
d. offer an outlet for the patient's energy.
5. A patient fearfully runs from chair to B. Risk for injury
chair crying, "They're coming! They're
coming!" The patient does not follow the A patient experiencing panic-level anxiety
, Varcarolis Ch 15 Anxiety & Obsessive - Compulsive Disorders
Study online at https://quizlet.com/_a0rjto
staff's directions or respond to verbal in- is at high risk for injury related to in-
terventions. Which nursing diagnosis has creased non-goal-directed motor activity, dis-
the highest priority? torted perceptions, and disordered thoughts.
Data are not present to support a nursing diag-
a. Fear nosis of self-care deficit or disturbed thought
processes. The patient may have fear, but the
b. Risk for injury
risk for injury has a higher priority.
c. Self-care deficit
d. Disturbed thought processes
6. A patient checks and rechecks electrical D. cognitive restructuring.
cords related to an obsessive thought
that the house may burn down. The Cognitive restructuring involves the patient in
nurse and patient explore the likelihood testing automatic thoughts and drawing new
of an actual fire. The patient states conclusions. Desensitization involves graduat-
this event is not likely. This counseling ed exposure to a feared object. Relaxation
demonstrates principles of: training teaches the patient to produce the op-
posite of the stress response. Flooding expos-
a. flooding. es the patient to a large amount of an unde-
sirable stimulus in an effort to extinguish the
b. desensitization. anxiety response.
c. relaxation technique.
d. cognitive restructuring.
7. A patient undergoing diagnostic tests D. Denial
says, "Nothing is wrong with me except a
stubborn chest cold." The spouse reports Denial is an unconscious blocking of threat-
the patient smokes, coughs daily, lost 15 ening or painful information or feelings. Re-
pounds, and is easily fatigued. Which de- gression involves using behaviors appropriate
fense mechanism is the patient using? at an earlier stage of psychosexual develop-
Study online at https://quizlet.com/_a0rjto
1. A nurse wants to teach alternative cop- B. Lower the patient's current anxiety.
ing strategies to a patient experiencing
severe anxiety. Which action should the A patient experiencing severe anxiety has a
nurse perform first? markedly narrowed perceptual field and diffi-
culty attending to events in the environment.
a. Verify the patient's learning style. A patient experiencing severe anxiety will not
learn readily. Determining preferred modes of
b. Lower the patient's current anxiety. learning, devising outcomes, and constructing
teaching plans are relevant to the task but are
c. Create outcomes and a teaching plan.
not the priority measure. The nurse has already
assessed the patient's anxiety level. Use of de-
d. Assess how the patient uses defense
fense mechanisms does not apply.
mechanisms.
2. A woman is 5'7", 160 lbs, and wears a size B. Body dysmorphic disorder
8 shoe. She says, "My feet are huge. I've
Body dysmorphic disorder refers to a preoccu-
asked three orthopedists to surgically re-
duce my feet." This person tries to buy pation with an imagined defect in appearance
shoes to make her feet look smaller and,in a normal-appearing person. The patient's
feet are proportional to the rest of the body.
in social settings, conceals both feet un-
In obsessive-compulsive or related disorder
der a table or chair. Which health problem
is likely? due to a medical condition, the individual's
symptoms of obsessions and compulsions are
a. Social anxiety disorder a direct physiological result of a medical con-
dition. Social anxiety disorder, also called so-
b. Body dysmorphic disorder cial phobia, is characterized by severe anxiety
or fear provoked by exposure to a social or
c. Separation anxiety disorder
a performance situation that will be evaluated
negatively by others. People with separation
d. Obsessive-compulsive disorder due to
anxiety disorder exhibit developmentally inap-
a medical condition
propriate levels of concern over being away
from a significant other.
, Varcarolis Ch 15 Anxiety & Obsessive - Compulsive Disorders
Study online at https://quizlet.com/_a0rjto
3. A patient experiencing moderate anxiety C. "I'm not sure I understand. Give me an ex-
says, "I feel undone." An appropriate re- ample."
sponse for the nurse would be:
Increased anxiety results in scattered thoughts
a. "What would you like me to do to help and an inability to articulate clearly. Clarifying
you?" helps the patient identify thoughts and feel-
ings. Asking the patient why he or she feels
b. "Why do you suppose you are feeling anxious is non-therapeutic; the patient likely
anxious?" does not have an answer. The patient may be
unable to determine what he or she would like
c. "I'm not sure I understand. Give me an
the nurse to do in order to help. Telling the
example."
patient to get his or her feelings under control
is a directive the patient is probably unable to
d. "You must get your feelings under con-
accomplish.
trol before we can continue."
4. A patient fearfully runs from chair to A. provide for the patient's safety.
chair crying, "They're coming! They're
coming!" The patient does not follow the Safety is of highest priority because the patient
staff's directions or respond to verbal in- experiencing panic is at high risk for self-injury
terventions. The initial nursing interven- related to increased non-goal-directed motor
tion of highest priority is to: activity, distorted perceptions, and disordered
thoughts. Offering an outlet for the patient's
a. provide for the patient's safety. energy can occur when the current panic lev-
el subsides. Respecting the patient's personal
b. encourage clarification of feelings. space is a lower priority than safety. Clarifica-
tion of feelings cannot take place until the level
c. respect the patient's personal space.
of anxiety is lowered.
d. offer an outlet for the patient's energy.
5. A patient fearfully runs from chair to B. Risk for injury
chair crying, "They're coming! They're
coming!" The patient does not follow the A patient experiencing panic-level anxiety
, Varcarolis Ch 15 Anxiety & Obsessive - Compulsive Disorders
Study online at https://quizlet.com/_a0rjto
staff's directions or respond to verbal in- is at high risk for injury related to in-
terventions. Which nursing diagnosis has creased non-goal-directed motor activity, dis-
the highest priority? torted perceptions, and disordered thoughts.
Data are not present to support a nursing diag-
a. Fear nosis of self-care deficit or disturbed thought
processes. The patient may have fear, but the
b. Risk for injury
risk for injury has a higher priority.
c. Self-care deficit
d. Disturbed thought processes
6. A patient checks and rechecks electrical D. cognitive restructuring.
cords related to an obsessive thought
that the house may burn down. The Cognitive restructuring involves the patient in
nurse and patient explore the likelihood testing automatic thoughts and drawing new
of an actual fire. The patient states conclusions. Desensitization involves graduat-
this event is not likely. This counseling ed exposure to a feared object. Relaxation
demonstrates principles of: training teaches the patient to produce the op-
posite of the stress response. Flooding expos-
a. flooding. es the patient to a large amount of an unde-
sirable stimulus in an effort to extinguish the
b. desensitization. anxiety response.
c. relaxation technique.
d. cognitive restructuring.
7. A patient undergoing diagnostic tests D. Denial
says, "Nothing is wrong with me except a
stubborn chest cold." The spouse reports Denial is an unconscious blocking of threat-
the patient smokes, coughs daily, lost 15 ening or painful information or feelings. Re-
pounds, and is easily fatigued. Which de- gression involves using behaviors appropriate
fense mechanism is the patient using? at an earlier stage of psychosexual develop-
