Ch 15 Anxiety and Obsessive-Compulsive Related Disorders
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1. If the record mentions that the patient habitually relies on rationalization, the
nurse might expect the patient to
1
Make jokes to relieve tension
2
Miss appointments
3
Justify illogical ideas and feelings
4
Behave in ways that are the opposite of his or her feelings: 3 (Rationalization involves
justifying illogical or unreasonable ideas or feelings by developing logical explanations that satisfy the teller and the
listener.)
2. Which statement demonstrates an expression of anxiety rather than fear?
1
"I can't stand spiders."
2
"You'd never get me on a roller coaster."
3
"I really dislike knowing that we have a 50-point test tomorrow."
4
"I can't imagine why anyone would want to parachute out of an airplane.": 3
(Anxiety is an emotion without a specific object that is provoked by the unknown or by new experiences. Being worried
about a test is a common expression of anxiety. An intense dislike for spiders, roller coasters, and parachuting are fears
because they are focused.)
3. Working to help the patient view an occurrence in a more positive light is
called
1
Flooding
2
Desensitization
3
Response prevention
, Ch 15 Anxiety and Obsessive-Compulsive Related Disorders
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4
Cognitive restructuring: 4 (The purpose of cognitive restructuring is to change the individual's negative
view of an event or a situation to a view that remains consistent with the facts but that is more positive)
4. The nurse is providing teaching to a preoperative patient just before surgery.
The patient is becoming more and more anxious as the information is pre-
sented. Soon the patient begins to report dizziness and heart pounding. The
nurse observes obvious trembling and the patient appears confused. What is
the nurse's immediate intervention?
1
Reinforcing the preoperative teaching by restating it slowly
2
Having the patient read the teaching materials instead of listening to them
3
Having a familiar family member read the preoperative materials to the pa-
tient
4
Ceasing any further attempt at preoperative teaching at this time: 4 (Patients
experiencing severe anxiety, as the symptoms suggest, are unable to learn or solve problems. Restating the preoperative
teaching slowly, having the patient read the teaching materials instead of listening to them, and having a familiar family
member read the preoperative materials to the patient would not be effective because the nurse is still attempting to
teach someone who has a severe level of anxiety.)
5. Which nursing intervention would be helpful when caring for a patient diag-
nosed with an anxiety disorder?
1
Express mild amusement over symptoms.
2
Arrange for patient to spend time away from others.
3
Advise patient to minimize exercise to conserve endorphins.
4
Reinforce use of positive self-talk to change negative assumptions: 4 (This technique
is a variant of cognitive restructuring. "I can't do that" is changed to "I can do it if I try.")
, Ch 15 Anxiety and Obsessive-Compulsive Related Disorders
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6. A child is extremely upset because of being constantly bullied by peers for
having a short stature. While giving advice to the child, the nurse states, "Your
stature is not going to affect your fitness. You could always excel in other
aspects like sports and academics." Which defense mechanism is the nurse
encouraging in the child?
1
Displacement
2
Compensation
3
Identification
4
Dissociation: 2 (The advice given by the nurse indicates that the nurse is trying to counterbalance the perceived
deficiencies in the child and advising him or her to focus on other activities. The nurse is encouraging the positive use
of compensation as a defense mechanism. Displacement is a defense mechanism wherein an individual transfers the
emotions related to a particular person or situation to a nonthreatening person or object. Identification is a defense
mechanism wherein an individual tries to imitate the characteristics of another person or group. Dissociation is a
defense mechanism wherein an individual mentally separates himself or herself from unpleasant situations.)
7. Inability to leave one's home because of avoidance of severe anxiety suggests
the anxiety disorder of
1
Panic attacks with agoraphobia
2
Obsessive-compulsive disorder
3
Posttraumatic stress response
4
Generalized anxiety disorder: 1 (Panic disorder with agoraphobia is characterized by recurrent panic
attacks combined with agoraphobia. Agoraphobia involves intense, excessive anxiety about being in places or situations
from which escape might be difficult or embarrassing or in which help might not be available if a panic attack occurred.)
8. Which category of medication used to treat anxiety has a potential for depen-
dence?
Study online at https://quizlet.com/_25sq7m
1. If the record mentions that the patient habitually relies on rationalization, the
nurse might expect the patient to
1
Make jokes to relieve tension
2
Miss appointments
3
Justify illogical ideas and feelings
4
Behave in ways that are the opposite of his or her feelings: 3 (Rationalization involves
justifying illogical or unreasonable ideas or feelings by developing logical explanations that satisfy the teller and the
listener.)
2. Which statement demonstrates an expression of anxiety rather than fear?
1
"I can't stand spiders."
2
"You'd never get me on a roller coaster."
3
"I really dislike knowing that we have a 50-point test tomorrow."
4
"I can't imagine why anyone would want to parachute out of an airplane.": 3
(Anxiety is an emotion without a specific object that is provoked by the unknown or by new experiences. Being worried
about a test is a common expression of anxiety. An intense dislike for spiders, roller coasters, and parachuting are fears
because they are focused.)
3. Working to help the patient view an occurrence in a more positive light is
called
1
Flooding
2
Desensitization
3
Response prevention
, Ch 15 Anxiety and Obsessive-Compulsive Related Disorders
Study online at https://quizlet.com/_25sq7m
4
Cognitive restructuring: 4 (The purpose of cognitive restructuring is to change the individual's negative
view of an event or a situation to a view that remains consistent with the facts but that is more positive)
4. The nurse is providing teaching to a preoperative patient just before surgery.
The patient is becoming more and more anxious as the information is pre-
sented. Soon the patient begins to report dizziness and heart pounding. The
nurse observes obvious trembling and the patient appears confused. What is
the nurse's immediate intervention?
1
Reinforcing the preoperative teaching by restating it slowly
2
Having the patient read the teaching materials instead of listening to them
3
Having a familiar family member read the preoperative materials to the pa-
tient
4
Ceasing any further attempt at preoperative teaching at this time: 4 (Patients
experiencing severe anxiety, as the symptoms suggest, are unable to learn or solve problems. Restating the preoperative
teaching slowly, having the patient read the teaching materials instead of listening to them, and having a familiar family
member read the preoperative materials to the patient would not be effective because the nurse is still attempting to
teach someone who has a severe level of anxiety.)
5. Which nursing intervention would be helpful when caring for a patient diag-
nosed with an anxiety disorder?
1
Express mild amusement over symptoms.
2
Arrange for patient to spend time away from others.
3
Advise patient to minimize exercise to conserve endorphins.
4
Reinforce use of positive self-talk to change negative assumptions: 4 (This technique
is a variant of cognitive restructuring. "I can't do that" is changed to "I can do it if I try.")
, Ch 15 Anxiety and Obsessive-Compulsive Related Disorders
Study online at https://quizlet.com/_25sq7m
6. A child is extremely upset because of being constantly bullied by peers for
having a short stature. While giving advice to the child, the nurse states, "Your
stature is not going to affect your fitness. You could always excel in other
aspects like sports and academics." Which defense mechanism is the nurse
encouraging in the child?
1
Displacement
2
Compensation
3
Identification
4
Dissociation: 2 (The advice given by the nurse indicates that the nurse is trying to counterbalance the perceived
deficiencies in the child and advising him or her to focus on other activities. The nurse is encouraging the positive use
of compensation as a defense mechanism. Displacement is a defense mechanism wherein an individual transfers the
emotions related to a particular person or situation to a nonthreatening person or object. Identification is a defense
mechanism wherein an individual tries to imitate the characteristics of another person or group. Dissociation is a
defense mechanism wherein an individual mentally separates himself or herself from unpleasant situations.)
7. Inability to leave one's home because of avoidance of severe anxiety suggests
the anxiety disorder of
1
Panic attacks with agoraphobia
2
Obsessive-compulsive disorder
3
Posttraumatic stress response
4
Generalized anxiety disorder: 1 (Panic disorder with agoraphobia is characterized by recurrent panic
attacks combined with agoraphobia. Agoraphobia involves intense, excessive anxiety about being in places or situations
from which escape might be difficult or embarrassing or in which help might not be available if a panic attack occurred.)
8. Which category of medication used to treat anxiety has a potential for depen-
dence?
