CHAPTER 15 VARCOLIS WITH
QUESTIONS AND CORRECT ANSWERS
TestBankWorld.org
Chapter s15: sAnxiety sand sObsessive-Compulsive sDisorders
Halter: sVarcarolis' sFoundations sof sPsychiatric sMental sHealth sNursing: sA sClinical
Approach, s8th sEdition
MULTIPLE sCHOICE
1. sA snurse swants sto steach salternative scoping sstrategies sto sa spatient sexperiencing
ssevere sanxiety.
Which saction sshould sthe snurse sperform sfirst?
a. sVerify sthe spatient's slearning sstyle.
b. sLower sthe spatient's scurrent sanxiety.
c. sCreate soutcomes sand sa steaching splan.
d. sAssess show sthe spatient suses sdefense smechanisms. s- scorrect sanswers✔✔ANS: sB
A spatient sexperiencing ssevere sanxiety shas sa smarkedly snarrowed sperceptual sfield sand
sdifficulty
attending sto sevents sin sthe senvironment. sA spatient sexperiencing ssevere sanxiety swill snot
slearn
readily. sDetermining spreferred smodes sof slearning, sdevising soutcomes, sand sconstructing
teaching splans sare srelevant sto sthe stask sbut sare snot sthe spriority smeasure. sThe snurse shas
salready
assessed sthe spatient's sanxiety slevel. sUse sof sdefense smechanisms sdoes snot sapply.
PTS: s1 sDIF: sCognitive sLevel: sAnalyze s(Analysis)
REF: sPages s15-4, s5, s64 s(Table s15-1) sTOP: sNursing sProcess: sImplementation
MSC: sClient sNeeds: sPsychosocial sIntegrity
2. sA swoman sis s5'7", s160 slbs. sand swears sa ssize s8 sshoe. sShe ssays, s"My sfeet sare shuge.
sI've sasked
three sorthopedists sto ssurgically sreduce smy sfeet." sThis sperson stries sto sbuy sshoes sto
smake sher
feet slook ssmaller sand, sin ssocial ssettings, sconceals sboth sfeet sunder sa stable sor schair.
sWhich
health sproblem sis slikely?
a. sSocial sanxiety sdisorder
b. sBody sdysmorphic sdisorder
c. sSeparation sanxiety sdisorder
d. sObsessive-compulsive sdisorder sdue sto sa smedical scondition s- scorrect
sanswers✔✔ANS: sB
Body sdysmorphic sdisorder srefers sto sa spreoccupation swith san simagined sdefect sin
sappearance sin
a snormal-appearing sperson. sThe spatient's sfeet sare sproportional sto sthe srest sof sthe sbody.
sIn
obsessive-compulsive sor srelated sdisorder sdue sto sa smedical scondition, sthe sindividual's
,symptoms sof sobsessions sand scompulsions sare sa sdirect sphysiological sresult sof sa smedical
condition. sSocial sanxiety sdisorder, salso scalled ssocial sphobia, sis scharacterized sby ssevere
sanxiety
or sfear sprovoked sby sexposure sto sa ssocial sor sa sperformance ssituation sthat swill sbe
sevaluated
negatively sby sothers. sPeople swith sseparation sanxiety sdisorder sexhibit sdevelopmentally
inappropriate slevels sof sconcern sover sbeing saway sfrom sa ssignificant sother.
PTS: s1 sDIF: sCognitive sLevel: sUnderstand s(Comprehension)
REF: sPages s15-28, s29 sTOP: sNursing sProcess: sAssessment
MSC: sClient sNeeds: sPsychosocial sIntegrity
TestBankWorld.org
3. sA spatient sexperiencing smoderate sanxiety ssays, s"I sfeel sundone." sAn sappropriate
sresponse sfor
the snurse swould sbe:
a. s"What swould syou slike sme sto sdo sto shelp syou?"
b. s"Why sdo syou ssuppose syou sare sfeeling sanxious?"
c. s"I'm snot ssure sI sunderstand. sGive sme san sexample."
d. s"You smust sget syour sfeelings sunder scontrol sbefore swe scan scontinue." s- scorrect
sanswers✔✔ANS: sC
Increased sanxiety sresults sin sscattered sthoughts sand san sinability sto sarticulate sclearly.
sClarifying
helps sthe spatient sidentify sthoughts sand sfeelings. sAsking sthe spatient swhy she sor sshe sfeels
anxious sis snontherapeutic; sthe spatient slikely sdoes snot shave san sanswer. sThe spatient smay
sbe
unable sto sdetermine swhat she sor sshe swould slike sthe snurse sto sdo sin sorder sto shelp. sTelling
sthe
patient sto sget shis sor sher sfeelings sunder scontrol sis sa sdirective sthe spatient sis sprobably
sunable sto
accomplish.
PTS: s1 sDIF: sCognitive sLevel: sApply s(Application)
REF: sPages s15-39, s40, s83 s(Table s15-9) sTOP: sNursing sProcess: sImplementation
MSC: sClient sNeeds: sPsychosocial sIntegrity
4. sA spatient sfearfully sruns sfrom schair sto schair scrying, s"They're scoming! sThey're scoming!"
sThe
patient sdoes snot sfollow sthe sstaff's sdirections sor srespond sto sverbal sinterventions. sThe
sinitial
nursing sintervention sof shighest spriority sis sto
a. sprovide sfor sthe spatient's ssafety.
b. sencourage sclarification sof sfeelings.
c. srespect sthe spatient's spersonal sspace.
d. soffer san soutlet sfor sthe spatient's senergy. s- scorrect sanswers✔✔ANS: sA
Safety sis sof shighest spriority sbecause sthe spatient sexperiencing spanic sis sat shigh srisk sfor
self-injury srelated sto sincreased snon-goal-directed smotor sactivity, sdistorted sperceptions,
sand
, disordered sthoughts. sOffering san soutlet sfor sthe spatient's senergy scan soccur swhen sthe
scurrent
panic slevel ssubsides. sRespecting sthe spatient's spersonal sspace sis sa slower spriority sthan
ssafety.
Clarification sof sfeelings scannot stake splace suntil sthe slevel sof sanxiety sis slowered.
PTS: s1 sDIF: sCognitive sLevel: sAnalyze s(Analysis)
REF: sPages s15-18, s40, s72 s(Table s15-4) sTOP: sNursing sProcess: sPlanning
MSC: sClient sNeeds: sSafe, sEffective sCare sEnvironment
5. sA spatient sfearfully sruns sfrom schair sto schair scrying, s"They're scoming! sThey're scoming!"
sThe
patient sdoes snot sfollow sthe sstaff's sdirections sor srespond sto sverbal sinterventions. sWhich
snursing
diagnosis shas sthe shighest spriority?
a. sFear
b. sRisk sfor sinjury
c. sSelf-care sdeficit
d. sDisturbed sthought sprocesses s- scorrect sanswers✔✔ANS: sB
TestBankWorld.org
A spatient sexperiencing spanic-level sanxiety sis sat shigh srisk sfor sinjury srelated sto sincreased
non-goal-directed smotor sactivity, sdistorted sperceptions, sand sdisordered sthoughts. sData
sare snot
present sto ssupport sa snursing sdiagnosis sof sself-care sdeficit sor sdisturbed sthought
sprocesses. sThe
patient smay shave sfear, sbut sthe srisk sfor sinjury shas sa shigher spriority.
PTS: s1 sDIF: sCognitive sLevel: sAnalyze s(Analysis)
REF: sPages s15-40, s81 s(Table s15-8), s85 s(Table s15-10)
TOP: sNursing sProcess: sDiagnosis/Analysis
MSC: sClient sNeeds: sSafe, sEffective sCare sEnvironment
6. sA spatient schecks sand srechecks selectrical scords srelated sto san sobsessive sthought sthat
sthe shouse
may sburn sdown. sThe snurse sand spatient sexplore sthe slikelihood sof san sactual sfire. sThe
spatient
states sthis sevent sis snot slikely. sThis scounseling sdemonstrates sprinciples sof
a. sflooding.
b. sdesensitization.
c. srelaxation stechnique.
d. scognitive srestructuring. s- scorrect sanswers✔✔ANS: sD
Cognitive srestructuring sinvolves sthe spatient sin stesting sautomatic sthoughts sand sdrawing
snew
conclusions. sDesensitization sinvolves sgraduated sexposure sto sa sfeared sobject.
sRelaxation
training steaches sthe spatient sto sproduce sthe sopposite sof sthe sstress sresponse. sFlooding
sexposes
QUESTIONS AND CORRECT ANSWERS
TestBankWorld.org
Chapter s15: sAnxiety sand sObsessive-Compulsive sDisorders
Halter: sVarcarolis' sFoundations sof sPsychiatric sMental sHealth sNursing: sA sClinical
Approach, s8th sEdition
MULTIPLE sCHOICE
1. sA snurse swants sto steach salternative scoping sstrategies sto sa spatient sexperiencing
ssevere sanxiety.
Which saction sshould sthe snurse sperform sfirst?
a. sVerify sthe spatient's slearning sstyle.
b. sLower sthe spatient's scurrent sanxiety.
c. sCreate soutcomes sand sa steaching splan.
d. sAssess show sthe spatient suses sdefense smechanisms. s- scorrect sanswers✔✔ANS: sB
A spatient sexperiencing ssevere sanxiety shas sa smarkedly snarrowed sperceptual sfield sand
sdifficulty
attending sto sevents sin sthe senvironment. sA spatient sexperiencing ssevere sanxiety swill snot
slearn
readily. sDetermining spreferred smodes sof slearning, sdevising soutcomes, sand sconstructing
teaching splans sare srelevant sto sthe stask sbut sare snot sthe spriority smeasure. sThe snurse shas
salready
assessed sthe spatient's sanxiety slevel. sUse sof sdefense smechanisms sdoes snot sapply.
PTS: s1 sDIF: sCognitive sLevel: sAnalyze s(Analysis)
REF: sPages s15-4, s5, s64 s(Table s15-1) sTOP: sNursing sProcess: sImplementation
MSC: sClient sNeeds: sPsychosocial sIntegrity
2. sA swoman sis s5'7", s160 slbs. sand swears sa ssize s8 sshoe. sShe ssays, s"My sfeet sare shuge.
sI've sasked
three sorthopedists sto ssurgically sreduce smy sfeet." sThis sperson stries sto sbuy sshoes sto
smake sher
feet slook ssmaller sand, sin ssocial ssettings, sconceals sboth sfeet sunder sa stable sor schair.
sWhich
health sproblem sis slikely?
a. sSocial sanxiety sdisorder
b. sBody sdysmorphic sdisorder
c. sSeparation sanxiety sdisorder
d. sObsessive-compulsive sdisorder sdue sto sa smedical scondition s- scorrect
sanswers✔✔ANS: sB
Body sdysmorphic sdisorder srefers sto sa spreoccupation swith san simagined sdefect sin
sappearance sin
a snormal-appearing sperson. sThe spatient's sfeet sare sproportional sto sthe srest sof sthe sbody.
sIn
obsessive-compulsive sor srelated sdisorder sdue sto sa smedical scondition, sthe sindividual's
,symptoms sof sobsessions sand scompulsions sare sa sdirect sphysiological sresult sof sa smedical
condition. sSocial sanxiety sdisorder, salso scalled ssocial sphobia, sis scharacterized sby ssevere
sanxiety
or sfear sprovoked sby sexposure sto sa ssocial sor sa sperformance ssituation sthat swill sbe
sevaluated
negatively sby sothers. sPeople swith sseparation sanxiety sdisorder sexhibit sdevelopmentally
inappropriate slevels sof sconcern sover sbeing saway sfrom sa ssignificant sother.
PTS: s1 sDIF: sCognitive sLevel: sUnderstand s(Comprehension)
REF: sPages s15-28, s29 sTOP: sNursing sProcess: sAssessment
MSC: sClient sNeeds: sPsychosocial sIntegrity
TestBankWorld.org
3. sA spatient sexperiencing smoderate sanxiety ssays, s"I sfeel sundone." sAn sappropriate
sresponse sfor
the snurse swould sbe:
a. s"What swould syou slike sme sto sdo sto shelp syou?"
b. s"Why sdo syou ssuppose syou sare sfeeling sanxious?"
c. s"I'm snot ssure sI sunderstand. sGive sme san sexample."
d. s"You smust sget syour sfeelings sunder scontrol sbefore swe scan scontinue." s- scorrect
sanswers✔✔ANS: sC
Increased sanxiety sresults sin sscattered sthoughts sand san sinability sto sarticulate sclearly.
sClarifying
helps sthe spatient sidentify sthoughts sand sfeelings. sAsking sthe spatient swhy she sor sshe sfeels
anxious sis snontherapeutic; sthe spatient slikely sdoes snot shave san sanswer. sThe spatient smay
sbe
unable sto sdetermine swhat she sor sshe swould slike sthe snurse sto sdo sin sorder sto shelp. sTelling
sthe
patient sto sget shis sor sher sfeelings sunder scontrol sis sa sdirective sthe spatient sis sprobably
sunable sto
accomplish.
PTS: s1 sDIF: sCognitive sLevel: sApply s(Application)
REF: sPages s15-39, s40, s83 s(Table s15-9) sTOP: sNursing sProcess: sImplementation
MSC: sClient sNeeds: sPsychosocial sIntegrity
4. sA spatient sfearfully sruns sfrom schair sto schair scrying, s"They're scoming! sThey're scoming!"
sThe
patient sdoes snot sfollow sthe sstaff's sdirections sor srespond sto sverbal sinterventions. sThe
sinitial
nursing sintervention sof shighest spriority sis sto
a. sprovide sfor sthe spatient's ssafety.
b. sencourage sclarification sof sfeelings.
c. srespect sthe spatient's spersonal sspace.
d. soffer san soutlet sfor sthe spatient's senergy. s- scorrect sanswers✔✔ANS: sA
Safety sis sof shighest spriority sbecause sthe spatient sexperiencing spanic sis sat shigh srisk sfor
self-injury srelated sto sincreased snon-goal-directed smotor sactivity, sdistorted sperceptions,
sand
, disordered sthoughts. sOffering san soutlet sfor sthe spatient's senergy scan soccur swhen sthe
scurrent
panic slevel ssubsides. sRespecting sthe spatient's spersonal sspace sis sa slower spriority sthan
ssafety.
Clarification sof sfeelings scannot stake splace suntil sthe slevel sof sanxiety sis slowered.
PTS: s1 sDIF: sCognitive sLevel: sAnalyze s(Analysis)
REF: sPages s15-18, s40, s72 s(Table s15-4) sTOP: sNursing sProcess: sPlanning
MSC: sClient sNeeds: sSafe, sEffective sCare sEnvironment
5. sA spatient sfearfully sruns sfrom schair sto schair scrying, s"They're scoming! sThey're scoming!"
sThe
patient sdoes snot sfollow sthe sstaff's sdirections sor srespond sto sverbal sinterventions. sWhich
snursing
diagnosis shas sthe shighest spriority?
a. sFear
b. sRisk sfor sinjury
c. sSelf-care sdeficit
d. sDisturbed sthought sprocesses s- scorrect sanswers✔✔ANS: sB
TestBankWorld.org
A spatient sexperiencing spanic-level sanxiety sis sat shigh srisk sfor sinjury srelated sto sincreased
non-goal-directed smotor sactivity, sdistorted sperceptions, sand sdisordered sthoughts. sData
sare snot
present sto ssupport sa snursing sdiagnosis sof sself-care sdeficit sor sdisturbed sthought
sprocesses. sThe
patient smay shave sfear, sbut sthe srisk sfor sinjury shas sa shigher spriority.
PTS: s1 sDIF: sCognitive sLevel: sAnalyze s(Analysis)
REF: sPages s15-40, s81 s(Table s15-8), s85 s(Table s15-10)
TOP: sNursing sProcess: sDiagnosis/Analysis
MSC: sClient sNeeds: sSafe, sEffective sCare sEnvironment
6. sA spatient schecks sand srechecks selectrical scords srelated sto san sobsessive sthought sthat
sthe shouse
may sburn sdown. sThe snurse sand spatient sexplore sthe slikelihood sof san sactual sfire. sThe
spatient
states sthis sevent sis snot slikely. sThis scounseling sdemonstrates sprinciples sof
a. sflooding.
b. sdesensitization.
c. srelaxation stechnique.
d. scognitive srestructuring. s- scorrect sanswers✔✔ANS: sD
Cognitive srestructuring sinvolves sthe spatient sin stesting sautomatic sthoughts sand sdrawing
snew
conclusions. sDesensitization sinvolves sgraduated sexposure sto sa sfeared sobject.
sRelaxation
training steaches sthe spatient sto sproduce sthe sopposite sof sthe sstress sresponse. sFlooding
sexposes
