Mental Health NURS 261 Exam 1: questions With Complete Solutions
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Course
Mental Health NURS 261
Institution
Mental Health NURS 261
Mental Health NURS 261 Exam 1: questions With Complete Solutions
The nurse is educating a client and family about managing panic attacks after discharge from treatment. The nurse includes which of the following in the discharge teaching? - Answer-Continued development of positive coping skills
...
Mental Health NURS 261 Exam 1:
questions With Complete Solutions
The nurse is educating a client and family about managing panic attacks after discharge
from treatment. The nurse includes which of the following in the discharge teaching? -
Answer-Continued development of positive coping skills
Continued practice of relaxation techniques
Development of a regular exercise program
/.according to the videback what is included in family and patient teaching for anxiety
and anxiety disorders - Answer-Client/family education for panic disorder includes
reviewing breathing control and relaxation techniques, discussing positive coping
strategies, encouraging regular exercise, emphasizing the importance of maintaining
prescribed medication regimen and regular follow-up, describing time management
techniques such as creating "to do" lists with realistic estimated deadlines for each
activity, crossing off completed items for a sense of accomplishment, saying "no," and
stressing the importance of maintaining contact with community and participating in
supportive organizations. Medication should be adhered to as prescribed. Daily
responsibilities cannot be avoided, but rather should be successfully accomplished.
videback 6th ed chp. 14, p. 245
/.A client diagnosed with anxiety disorder has been prescribed benzodiazepine drugs.
The nurse is explaining the possible side effects of the medications. Which side effects
of the drug explained by the nurse is correct? - Answer-Dry mouth
Blurred vision
Constipation
/.according to the book, what are the side effects of benzodiazepines? - Answer-
Explanation: Dry mouth, blurred vision, and constipation are known side effects of
benzodiazepines. Agitation and vomiting are not known to occur with benzodiazepines.
These side effects are associated with non benzodiazepine drugs that are used to treat
anxiety like Buspirone (BuSpar).
Videbeck,6th ed. Chapter 14:, p. 237.
, /.When a client is experiencing a panic attack while in the recreation room, what
interventions are the nurse's first priorities? - Answer-Provide a safe environment.
Ensure the client's privacy.
/.According to the book what should the nurse prioritize when a client is experiencing a
panic attack? - Answer-Explanation: During a panic attack, the nurse's first concern is to
provide a safe environment and to ensure the client's privacy. If the environment is
overstimulating, the client should move to a less stimulating place. Decreasing external
stimuli will help lower the client's anxiety level. The client's safety is priority. Anxious
behavior can be escalated by external stimuli. In a large area, the client can feel lost
and panicked, but a smaller room can enhance a sense of security. An antianxiety
agent may be helpful, but it is not the priority. It would likely be stimulating to engage the
client in recreational activities.
Videbeck 6th ed. 14: p. 244.
/.When explaining the difference between anxiety and fear, the mental health nurse
shares that ... - Answer-Anxiety involves experiencing subjective, uncomfortable
feelings resulting from unknown causes
Fear results in objective, physical responses caused by real danger
Anxiety is likely to result from an attempt to overcome stress
/.according to the book what is the difference between anxiety and fear? - Answer-
Explanation: When explaining the difference between anxiety and fear, the mental
health nurse shares that anxiety involves experiencing subjective, uncomfortable
feelings resulting from unknown causes.
Videbeck 6th ed, ch.14, p.232
/.Which of the following statements about the use of defense mechanisms in persons
with anxiety disorders is accurate? - Answer-Defense mechanisms are a human's
attempt to reduce anxiety.
Defense mechanisms can be harmful when overused.
Defense mechanisms are cognitive distortions
Defense mechanisms can control the awareness of anxiety.
/.according to the book what are the defense mechanisms of anxiety disorders -
Answer-Freud described defense mechanisms as the human's attempt to control
awareness of and to reduce anxiety. Defense mechanisms are cognitive distortions that
a person uses unconsciously to maintain a sense of being in control of a situation, to
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