Question 1

A person who feels unattractive repeatedly says, "Although I'm not beautiful, I am smart." This is an example of:

Accepted Answer

A)   repression.
B)   devaluation.
C)   identification.
D)   compensation.E) A) and B)
F) None of the above

Question 2

Which comment by a person experiencing severe anxiety indicates the possibility of obsessive-compulsive disorder?

Accepted Answer

A)   "I check where my car keys are eight times."
B)   "My legs often feel weak and spastic."
C)   "I'm embarrassed to go out in public."
D)   "I keep reliving the car accident."E) A) and B)
F) B) and D)

Question 3

A child is placed in a foster home after being removed from parental contact because of abuse. The child is apprehensive and overreacts to environmental stimuli. The foster parents ask the nurse how to help the child. What should the nurse recommend? (Select all that apply.)

Accepted Answer

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.F) A) and B)
G) B) and E)

Question 4

A person who has been unable to leave home for more than a week because of severe anxiety says, "I know it does not make sense, but I just can't bring myself to leave my apartment alone." Which nursing intervention is appropriate?

Accepted Answer

A)   Teach the person to use positive self-talk.
B)   Assist the person to apply for disability benefits.
C)   Ask the person to explain why the fear is so disabling.
D)   Advise the person to accept the situation and use a companion.E) A) and B)
F) All of the above

Question 5

Two staff nurses applied for a charge nurse position. After the promotion was announced, the nurse who was not promoted said, "The nurse manager had a headache the day I was interviewed." Which defense mechanism is evident?

Accepted Answer

A)   Introjection
B)   Conversion
C)   Projection
D)   SplittingE) C) and D)
F) A) and D)

Question 6

Alprazolam (Xanax)  is prescribed for a patient experiencing acute anxiety. Health teaching should include instructions to:

Accepted Answer

A)   report drowsiness.
B)   eat a tyramine-free diet.
C)   avoid alcoholic beverages.
D)   adjust dose and frequency based on anxiety level.E) A) and B)
F) All of the above

Question 7

If a cruel and abusive person rationalizes this behavior, which comment is most characteristic of this person?

Accepted Answer

A)   "I don't know why it happens."
B)   "I have always had poor impulse control."
C)   "That person should not have provoked me."
D)   "Inside I am a coward who is afraid of being hurt."E) A) and C)
F) None of the above C

Question 8

A patient has a fear of public speaking. The nurse should be aware that social anxiety disorders (social phobias)  are often treated with which type of medication?

Accepted Answer

A)   Beta blockers
B)   Antipsychotic medications
C)   Tricyclic antidepressant agents
D)   Monoamine oxidase inhibitorsE) B) and D)
F) B) and C)

Question 9

A patient experiencing severe anxiety suddenly begins running and shouting, "I'm going to explode!" The nurse should:

Accepted Answer

A)   say, "I'm not sure what you mean. Give me an example."
B)   chase after the patient, and give instructions to stop running.
C)   capture the patient in a basket-hold to increase feelings of control.
D)   assemble several staff members and state, "We will help you regain control."E) B) and C)
F) A) and D)

Question 10

A patient experiencing moderate anxiety says, "I feel undone." An appropriate response for the nurse would be:

Accepted Answer

A)   "Why do you suppose you are feeling anxious?"
B)   "What would you like me to do to help you?"
C)   "I'm not sure I understand. Give me an example."
D)   "You must get your feelings under control before we can continue."E) A) and C)
F) A) and B)

Question 11

Which assessment question would be most appropriate for the nurse to ask a patient who has possible generalized anxiety disorder (GAD) ?

Accepted Answer

A)   "Have you been a victim of a crime or seen someone badly injured or killed?"
B)   "Do you feel especially uncomfortable in social situations involving people?"
C)   "Do you repeatedly do certain things over and over again?"
D)   "Do you find it difficult to control your worrying?"E) A) and B)
F) A) and C)

Question 12

A patient performs ritualistic hand washing. What should the nurse do to help the patient develop more effective coping strategies?

Accepted Answer

A)   Allow the patient to set a hand-washing schedule.
B)   Encourage the patient to participate in social activities.
C)   Encourage the patient to discuss hand-washing routines.
D)   Focus on the patient's symptoms rather than on the patient.E) B) and D)
F) None of the above B

Question 13

A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states that a house fire is not likely. This counseling demonstrates the principles of:

Accepted Answer

A)   flooding.
B)   desensitization.
C)   relaxation technique.
D)   cognitive restructuring.E) C) and D)
F) A) and B) D

Question 14

A patient tells the nurse, "I don't go to restaurants because people might laugh at the way I eat, or I could spill food and be laughed at." The nurse assesses this behavior as consistent with:

Accepted Answer

A)   acrophobia.
B)   agoraphobia.
C)   social anxiety disorder (social phobia) .
D)   posttraumatic stress disorder (PTS
D)  .E) All of the above
F) A) and D)

Question 15

A patient approaches the nurse and impatiently blurts out, "You've got to help me! Something terrible is happening. My heart is pounding." The nurse responds, "It's almost time for visiting hours. Let's get your hair combed." Which approach has the nurse used?

Accepted Answer

A)   Bringing up an irrelevant topic
B)   Responding to physical needs
C)   Addressing false cognitions
D)   FocusingE) None of the above
F) B) and C)

Question 16

A nurse wishes to teach alternative coping strategies to a patient experiencing severe anxiety. The nurse will first need to:

Accepted Answer

A)   verify the patient's learning style.
B)   create outcomes and a teaching plan.
C)   lower the patient's current anxiety level.
D)   assess how the patient uses defense mechanisms.E) B) and D)
F) B) and C)

Question 17

A patient experiences an episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to administer as an as-needed (PRN)  anxiolytic medication?

Accepted Answer

A)   Buspirone (BuSpar) 
B)   Lorazepam (Ativan) 
C)   Amitriptyline (Elavil) 
D)   Desipramine (Norpramin) E) B) and D)
F) B) and C)

Question 18

A person who is speaking about a contender for a significant other's affection says in a gushy, syrupy voice, "What a lovely person. That's someone I simply adore." The individual is demonstrating:

Accepted Answer

A)   reaction formation.
B)   repression.
C)   projection.
D)   denial.E) B) and D)
F) A) and C)

Question 19

A patient in the emergency department has no physical injuries but exhibits disorganized behavior and incoherence after a minor traffic accident. In which room should the nurse place the patient?

Accepted Answer

A)   Interview room furnished with a desk and two chairs
B)   Small, empty storage room with no windows or furniture
C)   Room with an examining table, instrument cabinets, desk, and chair
D)   Nurse's office, furnished with chairs, files, magazines, and bookcasesE) B) and D)
F) None of the above

Question 20

A person has minor physical injuries after an automobile accident. The person is unable to focus and says, "I feel like something awful is going to happen." This person has nausea, dizziness, tachycardia, and hyperventilation. What is this person's level of anxiety?

Accepted Answer

A)   Mild
B)   Moderate
C)   Severe
D)   PanicE) None of the above
F) B) and C)

Exam 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders

A person who feels unattractive repeatedly says, "Although I'm not beautiful, I am smart." This is an example of:

Correct AnswerverifiedShow Answer

Which comment by a person experiencing severe anxiety indicates the possibility of obsessive-compulsive disorder?

Correct AnswerverifiedShow Answer

A child is placed in a foster home after being removed from parental contact because of abuse. The child is apprehensive and overreacts to environmental stimuli. The foster parents ask the nurse how to help the child. What should the nurse recommend? (Select all that apply.)

Correct AnswerverifiedShow Answer

A person who has been unable to leave home for more than a week because of severe anxiety says, "I know it does not make sense, but I just can't bring myself to leave my apartment alone." Which nursing intervention is appropriate?

Correct AnswerverifiedShow Answer

Two staff nurses applied for a charge nurse position. After the promotion was announced, the nurse who was not promoted said, "The nurse manager had a headache the day I was interviewed." Which defense mechanism is evident?

Correct AnswerverifiedShow Answer

Alprazolam (Xanax) is prescribed for a patient experiencing acute anxiety. Health teaching should include instructions to:

Correct AnswerverifiedShow Answer

If a cruel and abusive person rationalizes this behavior, which comment is most characteristic of this person?

Correct AnswerverifiedC

A patient has a fear of public speaking. The nurse should be aware that social anxiety disorders (social phobias) are often treated with which type of medication?

Correct AnswerverifiedShow Answer

A patient experiencing severe anxiety suddenly begins running and shouting, "I'm going to explode!" The nurse should:

Correct AnswerverifiedShow Answer

A patient experiencing moderate anxiety says, "I feel undone." An appropriate response for the nurse would be:

Correct AnswerverifiedShow Answer

Which assessment question would be most appropriate for the nurse to ask a patient who has possible generalized anxiety disorder (GAD) ?

Correct AnswerverifiedShow Answer

A patient performs ritualistic hand washing. What should the nurse do to help the patient develop more effective coping strategies?

Correct AnswerverifiedB

A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states that a house fire is not likely. This counseling demonstrates the principles of:

Correct AnswerverifiedD

A patient tells the nurse, "I don't go to restaurants because people might laugh at the way I eat, or I could spill food and be laughed at." The nurse assesses this behavior as consistent with:

Correct AnswerverifiedShow Answer

A patient approaches the nurse and impatiently blurts out, "You've got to help me! Something terrible is happening. My heart is pounding." The nurse responds, "It's almost time for visiting hours. Let's get your hair combed." Which approach has the nurse used?

Correct AnswerverifiedShow Answer

A nurse wishes to teach alternative coping strategies to a patient experiencing severe anxiety. The nurse will first need to:

Correct AnswerverifiedShow Answer

A patient experiences an episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to administer as an as-needed (PRN) anxiolytic medication?

Correct AnswerverifiedShow Answer

A person who is speaking about a contender for a significant other's affection says in a gushy, syrupy voice, "What a lovely person. That's someone I simply adore." The individual is demonstrating:

Correct AnswerverifiedShow Answer

A patient in the emergency department has no physical injuries but exhibits disorganized behavior and incoherence after a minor traffic accident. In which room should the nurse place the patient?

Correct AnswerverifiedShow Answer

A person has minor physical injuries after an automobile accident. The person is unable to focus and says, "I feel like something awful is going to happen." This person has nausea, dizziness, tachycardia, and hyperventilation. What is this person's level of anxiety?

Correct AnswerverifiedShow Answer

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C

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B

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D

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