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NUR 1300: ANXIETY, ANXIETY DISORDERS, AND OBSESSIVE-COMPULSIVE DISORDERS VARCAROLIS: ESSENTIALS TO PSYCHIATRIC MENTAL HEALTH NURSING EXAM WITH ANSWERS $27.49
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NUR 1300: ANXIETY, ANXIETY DISORDERS, AND OBSESSIVE-COMPULSIVE DISORDERS VARCAROLIS: ESSENTIALS TO PSYCHIATRIC MENTAL HEALTH NURSING EXAM WITH ANSWERS
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Course
NURSING
Institution
NURSING
NUR 1300: ANXIETY, ANXIETY DISORDERS, AND OBSESSIVE-COMPULSIVE DISORDERS
VARCAROLIS: ESSENTIALS TO PSYCHIATRIC MENTAL HEALTH NURSING EXAM WITH
ANSWERS
i.A child is placed in a foster home after being removed from parental contact because of abuse. The child is
apprehensive and overreacts to ...
NUR 1300: ANXIETY, ANXIETY DISORDERS, AND OBSESSIVE-COMPULSIVE DI
VARCAROLIS: ESSENTIALS TO PSYCHIATRIC MENTAL HEALTH NURSING EX
ANSWERS
i.A child is placed in a foster home after being removed from parental contact because of abuse. The chi
apprehensive and overreacts to environmental stimuli. The foster parents ask the nurse how to help th
, NUR 1300: ANXIETY, ANXIETY DISORDERS, AND OBSESSIVE-COMPULSIVE DI
VARCAROLIS: ESSENTIALS TO PSYCHIATRIC MENTAL HEALTH NURSING EX
ANSWERS
What should the nurse recommend? Select all that apply.
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.
ANS: A, B, E
The child can be hypothesized to have moderate-to-severe anxiety. A calm manner calms the child. A s
predictable environment is less anxiety provoking and reduces overreaction to stimuli. Calm, sim- ple e
reinforce reality validate the environment. Repetition is often needed when the child is unable to conce
elevated levels of anxiety. Opportunities for play and exercise should be pro-vided as avenues to reduc
Physical movement helps channel and lower anxiety. Play also helps by al- lowing the child to act out co
ii.A nurse plans health teaching for a patient diagnosed with generalized anxiety disorder (GAD) who take
(Ativan). What information should be included? Select all that apply.
a. Use caution when operating machinery.
b. Allow only tyramine-free foods in diet.
c. Restrict intake of caffeine.
d. Avoid using alcohol and other sedatives.
e. Take the medication on an empty stomach.
ANS: A, C, D
Caffeine is a central nervous system stimulant that acts as an antagonist to the benzodiazepine lorazep
caffeine intake should be reduced to the amount contained in one cup of coffee. Benzodiazepines are s
the importance of exercising caution when driving or using machinery and the importance of not using
nervous system depressants such as alcohol or sedatives to avoid potentiation. Benzo-diazepines do n
special diet. Food will reduce gastric irritation from the medication.
, NUR 1300: ANXIETY, ANXIETY DISORDERS, AND OBSESSIVE-COMPULSIVE DI
VARCAROLIS: ESSENTIALS TO PSYCHIATRIC MENTAL HEALTH NURSING EX
ANSWERS
iii.Which assessment questions are most appropriate to ask a patient with possible obsessive-compulsive
Select all that apply.
a. “Have you been a victim of a crime or seen someone badly injured or killed?”
b. “Are there certain social situations that cause you to feel especially uncomfortable?”
c. “Do you have to do things in a certain way to feel comfortable?”
d. “Is it difficult to keep certain thoughts out of awareness?”
e. “Do you do certain things over and over again?”
ANS: C, D, E
The correct questions refer to obsessive thinking and compulsive behaviors. The incorrect responses a
to a patient with suspected post-traumatic stress disorder or with suspected social anxiety disorder (so
1. A nurse wishes to teach alternative coping strategies to a patient experiencing severe anxiety. The nu
first need to:
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.
ANS: C
A patient experiencing severe anxiety has a significantly narrowed perceptual field and difficulty attend
the environment. A patient experiencing severe anxiety will not learn readily. Determining preferred mo
devising outcomes, and constructing teaching plans are relevant to the task but are not thepriority mea
has already assessed the patient’s anxiety level. Using defense mechanisms doesnot apply.
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