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Anxiety Disorders Exam Questions and Answers Latest Update
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The nurse discovers that a client with obsessive-compulsive disorder (OCD) is attempting to resist the compulsion. Based on this finding, the nurse should assess the client for which sign? Increased anxiety Depression Excessive fear Feelings of failure - Answer-Increased anxiety A 49-year-...

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  • October 13, 2024
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  • 2024/2025
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Anxiety Disorders Exam Questions and
Answers Latest Update
The nurse discovers that a client with obsessive-compulsive disorder (OCD) is
attempting to resist the compulsion. Based on this finding, the nurse should assess the
client for which sign?

Increased anxiety
Depression
Excessive fear
Feelings of failure - Answer-Increased anxiety

A 49-year-old painter who recently fractured his tibia worries about his finances
because he can't work. To treat his anxiety, his physician prescribes buspirone, 5 mg by
mouth three times per day. During buspirone therapy, the client should avoid which of
the following drugs?

Monoamine oxidase (MAO) inhibitors
Beta-adrenergic blockers
Antiparkinsonian drugs
Antineoplastic drugs - Answer-Monoamine oxidase (MAO) inhibitors

A client taking alprazolam reports lightheadedness and nausea every day while getting
out of bed. Which action should the nurse take to objectively validate this client's
problem?

Obtain a blood chemical profile.
Take the client's blood pressure.
Teach Valsalva maneuver.
Monitor body temperature. - Answer-Take the client's blood pressure.

A client is refusing all medications and is having difficulty breathing, with a respiratory
rate of 34 breaths/minute and anxiety. What is the priority nursing action?

Notify the health care provider of the status of this client.
Withhold the medication until the next scheduled dose.
Encourage the client to take some of her medications.
Put the medicine in applesauce to give it without the client's knowledge. - Answer-Notify
the health care provider of the status of this client.

The nurse is caring for a client who has been diagnosed as having social anxiety
disorder. Which intervention would be appropriate for the nurse to encourage the client
to develop?

,being in situations where the client is alone
staying at home all the time
public speaking
having to shake hands and be exposed to others' germs - Answer-public speaking

A client with obsessive-compulsive disorder and ritualistic behavior must brush the hair
back from his forehead 15 times before carrying out any activity. The nurse notices that
the client's hair is thinning and the skin on the forehead is irritated — possible effects of
this ritual. When planning the client's care, the nurse should assign highest priority to:

helping the client identify how the ritualistic behavior interferes with daily activities.
setting consistent limits on the ritualistic behavior if it harms the client or others.
using problem solving to help the client manage anxiety more effectively.
exploring the purpose of the ritualistic behavior. - Answer-setting consistent limits on the
ritualistic behavior if it harms the client or others.

While shopping at a mall, a woman experiences an episode of extreme terror
accompanied by anxiety, tachycardia, trembling, and fear of going crazy. A friend drives
her to the emergency department, where a physician rules out physiological causes and
refers her to the psychiatric resident on call. The nurse caring for this client would
expect the health care practitioner to prescribe which medication to control the client's
anxiety?

Paroxetine
Bupropion
Lorazepam
Haloperidol - Answer-Lorazepam

A woman, age 18, is highly dependent on her parents and fears leaving home to go
away to college. Shortly before the fall semester starts, she complains that her legs are
paralyzed and is rushed to the emergency department. When physical examination
rules out a physical cause for her paralysis, the physician admits her to the psychiatric
unit where she is diagnosed with functional neurologic symptom disorder. The client
asks the nurse, "Why has this happened to me?" What is the most appropriate
response?

"You've developed this paralysis so you can stay with your parents. You must deal with
this conflict if you want to walk again."
"It isn't uncommon for someone with your personality to develop this disorder during
times of stress."
"It must be awful not to be able to move your legs. You may feel better if you realize the
problem is psychological, not physical."
"Your problem is real but there is no physical basis fo - Answer-"Your problem is real
but there is no physical basis for it. We'll work on what is going on in your life to find out
why it's happened."

, During a panic attack, a client runs to the nurse and reports breathing difficulty, chest
pain, and palpitations. The client is pale with his mouth wide open and eyebrows raised.
What should the nurse do first?

Set limits for acting out delusional behaviors.
Administer an I.M. anxiolytic agent.
Assist the client to breathe deeply into a paper bag.
Orient the client to person, place, and time. - Answer-Assist the client to breathe deeply
into a paper bag.

Change question to: A client is prescribed alprazolam therapy. Which dose related
adverse reactions should the nurse have the client report to the health care provider?
Select all that apply.

hepatomegaly
rash
drowsiness
urticaria
ataxia - Answer-drowsiness
ataxia

A client in a psychiatric facility is prescribed a selective serotonin reuptake inhibitor
(SSRI) for depression. The client tells the nurse they have had three seizures after
taking the drug for 2 weeks. What question would be appropriate to ask at this time?

"Are you sure you have seizures or is it this your imagination?"
"Have you stopped taking the drug to see if your seizures stop?"
"Do you take any herbs, such as St. John's wort or evening primrose?"
"Do any other members of your family have seizures? - Answer-"Do you take any herbs,
such as St. John's wort or evening primrose?"

A client sees a spider while raking leaves. Immediately, the client's heart begins beating
rapidly and the client breaks into a sweat. To which condition is the client's response
related?

anxiety triggered by sustained physical exertion
anxiety triggered by re-experiencing a previously frightening event
fear triggered by a known, specific object or event
fear triggered by an attempt to go outside into a public place - Answer-fear triggered by
a known, specific object or event

A client has been diagnosed with an anxiety disorder and is refusing any form of
prescribed therapy and medication. The client states, "I am going to try to use an
internet support group since it is free." What is the best response by the nurse?

"I think that is a great idea and should be a good substitute for formal therapy."

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