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Exam 3 Chapter 15, Anxiety and Obsessive-Compulsive Disorders Questions and Answers $15.49   Add to cart
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Exam 3 Chapter 15, Anxiety and Obsessive-Compulsive Disorders Questions and Answers
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A nurse wants to teach alternative coping strategies to a patient experiencing severe anxiety. Which action should the nurse perform first? a. Verify the patient's learning style. b. Lower the patient's current anxiety. c. Create outcomes and a teaching plan. d. Assess how the patient uses de...

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  • October 14, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • exam 3 chapter 15 anxiety and obsessive compulsiv
  • a nurse wants to teach alternative coping strategi

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  • Anxiety Disorders
  • Anxiety Disorders

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Exam 3 Chapter 15, Anxiety and
Obsessive-Compulsive Disorders
Questions and Answers
A nurse wants to teach alternative coping strategies to a patient experiencing severe
anxiety. Which action should the nurse perform first?

a. Verify the patient's learning style.
b. Lower the patient's current anxiety.
c. Create outcomes and a teaching plan.
d. Assess how the patient uses defense mechanisms. - Answer-B
A patient experiencing severe anxiety has a markedly narrowed perceptual field and
difficulty attending to events in the environment. A patient experiencing severe anxiety
will not learn readily. Determining preferred modes of learning, devising outcomes, and
constructing teaching plans are relevant to the task but are not the priority measure.
The nurse has already assessed the patient's anxiety level. Use of defense
mechanisms does not apply.

A woman is 5'7", 160 lbs. and wears a size 8 shoe. She says, "My feet are huge. I've
asked three orthopedists to surgically reduce my feet." This person tries to buy shoes to
make her feet look smaller and, in social settings, conceals both feet under a table or
chair. Which health problem is likely?

a. Social anxiety disorder
b. Body dysmorphic disorder
c. Separation anxiety disorder
d. Obsessive-compulsive disorder due to a medical condition - Answer-B
Body dysmorphic disorder refers to a preoccupation with an imagined defect in
appearance in a normal-appearing person. The patient's feet are proportional to the rest
of the body. In obsessive-compulsive or related disorder due to a medical condition, the
individual's symptoms of obsessions and compulsions are a direct physiological result of
a medical condition. Social anxiety disorder, also called social phobia, is characterized
by severe anxiety or fear provoked by exposure to a social or a performance situation
that will be evaluated negatively by others. People with separation anxiety disorder
exhibit developmentally inappropriate levels of concern over being away from a
significant other.

A patient experiencing moderate anxiety says, "I feel undone." An appropriate response
for the nurse would be:

a. "What would you like me to do to help you?"
b. "Why do you suppose you are feeling anxious?"
c. "I'm not sure I understand. Give me an example."

, d. "You must get your feelings under control before we can continue." - Answer-C
Increased anxiety results in scattered thoughts and an inability to articulate clearly.
Clarifying helps the patient identify thoughts and feelings. Asking the patient why he or
she feels anxious is nontherapeutic; the patient likely does not have an answer. The
patient may be unable to determine what he or she would like the nurse to do in order to
help. Telling the patient to get his or her feelings under control is a directive the patient
is probably unable to accomplish.

A patient fearfully runs from chair to chair crying, "They're coming! They're coming!" The
patient does not follow the staff's directions or respond to verbal interventions. The initial
nursing intervention of highest priority is to

a. provide for the patient's safety.
b. encourage clarification of feelings.
c. respect the patient's personal space.
d. offer an outlet for the patient's energy. - Answer-A
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. Offering an outlet for the patient's energy can occur when the
current panic level subsides. Respecting the patient's personal space is a lower priority
than safety. Clarification of feelings cannot take place until the level of anxiety is
lowered.

A patient fearfully runs from chair to chair crying, "They're coming! They're coming!" The
patient does not follow the staff's directions or respond to verbal interventions. Which
nursing diagnosis has the highest priority?

a. Fear
b. Risk for injury
c. Self-care deficit
d. Disturbed thought processes - Answer-B
A patient experiencing panic-level anxiety is at high risk for injury related to increased
non-goal-directed motor activity, distorted perceptions, and disordered thoughts. Data
are not present to support a nursing diagnosis of self-care deficit or disturbed thought
processes. The patient may have fear, but the risk for injury has a higher priority.

A patient checks and rechecks electrical cords related to an obsessive thought that the
house may burn down. The nurse and patient explore the likelihood of an actual fire.
The patient states this event is not likely. This counseling demonstrates principles of

a. flooding.
b. desensitization.
c. relaxation technique.
d. cognitive restructuring. - Answer-D
Cognitive restructuring involves the patient in testing automatic thoughts and drawing
new conclusions. Desensitization involves graduated exposure to a feared object.

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