Chapter 15 Anxiety Exam 2 Questions with Complete Solutions
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Course
Anxiety Disorders
Institution
Anxiety Disorders
¨apprehension, uneasiness, uncertainty, or dread from real or perceived threat
¡Affects people on a deeper level - Answer-Anxiety
reaction to specific danger - Answer-fear
necessary for survival - Answer-Normal Anxiety
¨normal every day experiences
¡Makes us more effective
úListen ...
Chapter 15 Anxiety Exam 2 Questions
with Complete Solutions
¨apprehension, uneasiness, uncertainty, or dread from real or perceived threat
¡Affects people on a deeper level - Answer-Anxiety
reaction to specific danger - Answer-fear
necessary for survival - Answer-Normal Anxiety
¨normal every day experiences
¡Makes us more effective
úListen or look more, problem solve more
úMay have slight discomfort - restless, nail biting, tap foot - Answer-Mild Anxiety
¨perceptual field narrows
¡Selective inattention - grasping less information
úStill problem solving but at a lesser level
úHeart pounding, tachycardia, respiratory rate, shaky voice, hand tremors, etc...
¡Can this level of anxiety still be constructive? Yes still able to function - Answer-
Moderate Anxiety
Facts to review
Mild anxiety is rarely obstructive to the task at hand. It may be helpful to the patient by
promoting study and making him more aware of the nuances of questions.
Teaching about symptoms of anxiety, their relation to precipitating stressors, and the
positive effects of anxiety will serve to reassure the patient. Mild anxiety, as suggested
by the symptoms noted here, is not pathological and is rarely disruptive to functioning. It
can serve to sharpen perceptual focus and lead a person to attend to important matters
at hand. Medications and psychotherapy are important treatment modalities of more
severe forms of anxiety, especially for disabling anxiety disorders such as panic
disorder with agoraphobia, but are not indicated for mild anxiety. - Answer-facts
A patient complains of tension, indigestion, and difficult concentrating; his resting pulse
is 110/minute. An appropriate nursing response would be:
a. "Perhaps time out in the seclusion room would help you focus."
b. "What do you think would we could do to help you feel calmer?"
c. "It might help to talk. Tell me about what has been going on today."
d. "I'll check about getting you a PRN medication for your anxiety." - Answer-c
¨- perceptual field is greatly reduced
¡Focus on 1 particular detail or scattered details
, úEven when other details are pointed out by staff
úLearning and problem solving does not happen
May act dazed and confused
Headache, Nauseous, dizziness, hyperventilation, sense of impending doom
úPt. Behavior and Nursing intervention is aimed at reducing the anxiety before learning
can take place
¡See Table 15-10 page 286 - Answer-Severe anxiety
¨markedly disturbed behavior
¡Unable to process what is happening and may lose touch with reality
úPacing, running, shouting, screaming, withdrawal, hallucinations
This will all lead to exhaustion
Safety becomes the number one priority - Answer-Panic
Facts to review
A patient experiencing severe anxiety has a markedly narrowed perceptual field and
difficulty attending to events in the environment. Thus a patient experiencing severe
anxiety will not learn readily, and the patient's anxiety level must be lowered before
education about stress management and coping techniques can begin. Determining the
preferred mode of learning and constructing a teaching plan are relevant to the task but
are not the priority measures. Diagnosing a particular anxiety disorder is not necessarily
required in intervening to reduce a patient's level of anxiety.
Safety is of highest priority because the patient experiencing panic is at high risk for
self-injury related to increased non-goal-directed motor activity, distorted perceptions,
and disordered thoughts. The goal should be to decrease environmental stimuli.
Personal Space may need to be invaded. Clarification of feelings cannot - Answer-facts
•A parent is shopping with a 5-year-old child in a large, busy urban mall. The parent
suddenly realizes the child is missing. Which level of anxiety would likely result?
•
a.Mild
b.Moderate
c.Severe
d.Panic - Answer-C D
Is used to counterbalance perceived deficiencies by emphasizing strength s - Answer-
Compensation
is the unconscious transformation anxiety into a physical symptom with no organic
cause - Answer-Conversion
Involves escaping unpleasant, anxiety-causing thoughts, feelings, wishes, or needs by
ignoring their existence - Answer-Denial
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