Ch 25 Anxiety Disorders Management of Anxiety, Phobia, and PDF

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TestBank-PsychiatricNursing:ContemporaryPractice(6thEditionbyBoyd)

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Chapter25:AnxietyDisorders:ManagementofAnxiety,Phobia,and Panic  Thenurseisplanningapresentationtoagroupofnursingstudentsonthetopicofanxietydisorders. Whichofthefollowingwouldthenurseincludewhendescribingpanicdisorder? A) B) C) D)

A) B) C) D)

A) B) C) D)

A) B) C) D)

A) B) C) D) 6.

A) B) C) D) .

Peoplewithpanicattacksoftenhavefewerattacksiftheyalsohaveagoraphobia. Typically,individualsexperiencethisdisorderaftertheageof30years. Personsrarelyhaveanunderlyingcomorbidconditionofdepression. Aclientcomestotheemergencydepartmentbecausehethinksheishavingaheartattack.Further assessmentdeterminesthattheclientisnothavingaheartattackbutishavingapanicattack.When beginningtointerviewtheclient,whichquestionwouldbemostappropriateforthenursetouse? Areyoufeelingmuchbetternowthatyouarelyingdown?  oyouthinkyouwillbeabletodrivehome? D Whatdoyouthinkcausedyoutofeelthisway? Aclientwithapanicdisorderhasbeenprescribedabenzodiazepinemedication.Whichofthefollowing wouldthenurseemphasizeasariskassociatedwithusingthismedication? Dietaryrestrictions Agitation Fecalimpaction Afemaleclientisdiagnosedwithpanicdisorder.Theclienttellsthenursethatshehasn’tleftherhouse inmorethanamonthbecauseshewasafraidofanotherattack.Shevisitedthementalhealthclinic todayonlybecausehersonbroughther.Whichnursingdiagnosiswouldbeapriorityforthisclient? Powerlessnessrelatedtosymptomsofanxiety DecisionalConflictrelatedtofearofleavingthehouse IneffectiveFamilyCopingrelatedtosymptomsofanxiety

Thenursehasinstructedaclientwithpanicdisorderabouthowtousethetechniqueofpositiveselftalk.Thenursedeterminesthattheclienthasunderstoodtheinstructionswhentheclientverbalizes whichstatementtouseduringanimpendingpanicattack? Iamfeelingverynervousrightnow. I Iamtakingmedicationtoeliminatethesesymptoms. Relaxyourmuscles,relaxyourmuscles. Aclientwhohasbeendiagnosedwithpanicdisordervisitstheclinicandexperiencesapanicattack. Theclienttellsthenurse,I’msonervous.Myhandsareshaking,andI’msweating.IfeelasifI’m havingastrokerightnow.Whichofthefollowingwouldthenursedofirst? Movetheclienttoasafeenvironment. Telltheclientthattheattackwillsoonpass. Teachtheclientdeepbreathingtechniquestocalmher. Anursewhohasworkedwithaclientdiagnosedwithgeneralizedanxietydisorder(GAD)whenhewas aninpatientonthepsychiatricunitseestheclientinthewaitingroomoftheoutpatientpsychiatric clinic.Theclientmotionstothenursetocomeoversohecantellthenursehowthingshavebeengoing

TestBank-PsychiatricNursing:ContemporaryPractice(6thEditionbyBoyd)

A)

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sincehewasdischarged.Whiletalkingwiththeclient,thenursedeterminesthattheclient’stherapyhas beeneffectivewhentheclientstateswhichofthefollowing? Iamstillexperiencingquiteabitofstressathomeandatwork;thingsaredifferentathomethan theywereinthehospital.

B) C) D) . A) B) C) D)

A) B) C) D) .

A) B) C) D) 11.

A) B) C) D) 12.

A) B) C) D) 13.

A) B) C) D)

I’mstilldrinkingcoffee;Ican’tquitafterdrinkingitalltheseyears. I’velearnedhavingabeerafterIgethomefromworkhelpsmerelax. Thenurseiscaringforaclientwhoisbeingtreatedintheemergencydepartmentforapanicattack. Whichofthefollowingnursinginterventionswouldbemostappropriate? Demonstrateempathyfortheclientbytryingtomimictheclient’sstateofanxiety. Telltheclientthatyoumustleavetogoreporthissymptomstothepsychiatristonduty. Telltheclientthisisanacuteexacerbationwithapositiveprognosisandlowmorbidity.

Anursedeterminesthataclientwhoisexperiencinganxietyisusingreliefbehaviors.Thenurse determinesthattheclientisexperiencingwhichdegreeofanxiety? Mild Moderate Panic Agroupofstudentsisreviewinginformationaboutanxietydisordersinpreparationforaclass examination.Thestudentsdemonstrateunderstandingofthematerialwhentheystatewhichofthe following? Anxietydisordersranksecondtodepressioninpsychiatricillnessesbeingtreated. . Mostanxietydisorderstendtobeshorttermwithindividualsachievingfullrecovery. Anxietydisordersaremorecommoninchildrenthaninadolescents. Whileinterviewingaclient,theclientreportsanintensefearofspiders,stating,Ican’tbenearthem.I getsoupset.IstarttosweatandhyperventilateifIseeone.Thenursedocumentsthisfindingaswhich ofthefollowing? Algophobia Entomophobia Cynophobia Afterteachingaclassaboutthebiochemicaltheoriesassociatedwithpanicdisorder,theinstructor determinesaneedforadditionalteachingwhenthestudentsidentifywhichneurotransmitterasbeing implicated? Serotonin Norepinephrine Gamma-aminobutyricacid(GABA) Anurseispreparinganin-servicepresentationaboutpanicdisordersandassociatedtheoriesrelatedto thecause.Whendescribingthecognitivebehavioralconceptsassociatedwithpanicdisorders,whichof thefollowingwouldthenurseexpecttoaddress? Personallosses Earlyseparation Dysfunctionalfamilycommunication

TestBank-PsychiatricNursing:ContemporaryPractice(6thEditionbyBoyd)

14. A) B) C) D) 15.

A) B) C) D) E) 16.

A) B) C) D) 17.

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Anurseisdevelopingtheplanofcareforaclientwithpanicdisorderthatwillincludepharmacologic therapy.Whichofthefollowingwouldthenursemostlikelyexpecttoadminister? Selectiveserotoninreuptakeinhibitor(SSRI) Monoamineoxidaseinhibitor(MAOI) Tricyclicantidepressant(TCA) Aclientwithpanicdisorderwhohasbeenprescribedsertralineinconjunctionwithalprazolamcomesto theclinicforafollow-up.Theclientstates,Istoppedtakingthealprazolamabout2daysago.Iwas feelingreallysleepyandtired.Whichofthefollowingwouldalertthenursetosuspectpossible withdrawal?Selectallthatapply.

Dry,flushedskin Muscleflaccidity Agroupofstudentsisreviewinginformationabouttheetiologyofgeneralizedanxietydisorder(GAD). Thestudentsdemonstrateunderstandingofthisinformationwhentheyidentifywhichofthefollowing asrepresentingthepsychoanalytictheoryforthisdisorder? Inaccurateenvironmentaldangerassessment Exposuretomultiplestressfullifeevents Kindlingcausedbyoverstimulation

Anurseisdevelopingateachingplanforaclientwithgeneralizedanxietydisorder,focusingon nutrition.Whichofthefollowingwouldthenurseencouragetheclienttoavoid?Selectallthatapply.

A) C) D) E) 18.

A) B) C) D) E) F) 19.

A) B) C) D)

Milkproducts Citrusjuices Agedcheese Agroupofstudentsisreviewingthesignsandsymptomsassociatedwithanxiety.Thestudents demonstrateanunderstandingoftheinformationwhentheyidentifywhichofthefollowingascognitive symptoms?Selectallthatapply. Edginess

Apprehensiveness Speechdysfluency Aclientisdiagnosedwithgeneralizedanxietydisorderandisprescribedmedicationtherapy.Which agentwouldthenurseexpecttoadministertotheclienttoobtainthequickestrelieffromanxiety symptoms? Buspirone Venlafaxine Imipramine

AnswerKey

TestBank-PsychiatricNursing:ContemporaryPractice(6thEditionbyBoyd)

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19.

A B B D B A B D C B C A B B A,B,D D A,B B,C,D C

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