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Exam 2 Practice Questions Anxiety Disorder with Latest Update
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  • Anxiety Disorders
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  • Anxiety Disorders

A client informs the nurse at the anxiety disorders clinic that he experiences palpitations, difficulty breathing, and a sense of overwhelming dread whenever he leaves his home. This problem began after he was assaulted and robbed on his way to work. He has been unable to go to his office for over ...

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  • October 14, 2024
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  • 2024/2025
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  • exam 2 practice questions anxiety disorder with la
  • a client informs the nurse at the anxiety disorder

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  • Anxiety Disorders
  • Anxiety Disorders

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Exam 2 Practice Questions Anxiety
Disorder with Latest Update
A client informs the nurse at the anxiety disorders clinic that he experiences
palpitations, difficulty breathing, and a sense of overwhelming dread whenever he
leaves his home. This problem began after he was assaulted and robbed on his way to
work. He has been unable to go to his office for over a month. The client asks the nurse,
"Don't you agree that not being able to go out is pretty awful?" The most therapeutic
reply is:
1. "What do you mean by 'awful'?"
2. "You feel awful because you're afraid to leave home?"
3. "No, I don't think it's awful."
4. "I guess some people might say that being housebound is pretty strange." - Answer-
*2. "You feel awful because you're afraid to leave home?"*

Rationale: The nurse will be able to validate the possibility that the client is dissatisfied
with being unable to control symptoms. The nurse should neither agree nor disagree
with the client. It is important for the client to clarify his/her own thinking.

The client in question #1 has elected to be voluntarily admitted to a private mental
health unit in order to work intensively on his problem. He has refused to leave the unit
for activities since the day of admission. An appropriate nursing intervention to include
in the care plan is to:
1. encourage him to ask for a community pass.
2. ask another client to accompany him off the unit.
3. assist him to journal the challenges of leaving the unit.
4. point out the irrationality of his fear. - Answer-*3. assist him to journal the challenges
of leaving the unit.*

Rationale: Assisting the client to identify specific problems related to the phobia can
foster problem solving, especially when cognitive therapy is used.

A client has sought treatment for a specific phobia: fear of cats. The nurse in the anxiety
disorders clinic has established the nursing diagnosis, Anxiety related to exposure to
phobic object (cats). A realistic short-term goal for this client would be: within 10 days,
client will
1. avoid feared object whenever possible.
2. face feared object unassisted.
3. state that feared object no longer produces feelings of dread associated with anxiety.
4. practice relaxation techniques and report less distress related to thoughts of the
feared object. - Answer-*4. practice relaxation techniques and report less distress
related to thoughts of the feared object.*

, Rationale: When the client is able to relax in the presence of thoughts, or the phobic
object, the client will begin to experience a sense of control over the phobia.

Which piece of subjective data obtained during the nurse's psychiatric assessment of a
client experiencing severe anxiety would indicate the possibility of posttraumatic stress
disorder?
1. "I keep washing my hands over and over."
2. "My legs feel weak most of the time."
3. "I'm afraid to go out in public."
4. "I keep reliving the rape." - Answer-*4. "I keep reliving the rape."*

Rationale: After a psychologically traumatic event, the person may re-experience the
event via dreams or flashbacks.

For the nursing diagnosis, Powerlessness related to inability to prevent rape, an
appropriate nursing intervention would be to:
1. help the client discuss how she could have prevented the rape.
2. assist the client to identify coping strategies related to feeling helpless about the rape.
3. reassure the client that she has no control over situations such as these.
4. tell the client that everyone reacts in the same way she did. - Answer-*2. assist the
client to identify coping strategies related to feeling helpless about the rape.*

Rationale: While the client may be reassured that she was not responsible for the event,
to reduce feelings of powerlessness she should be encouraged to learn how to cope
with her feelings.

When the psychiatrist prescribes alprazolam (Xanax) for the acute anxiety experienced
by a client with agoraphobia, health teaching should include instructions
1. about a tyramine-free diet
2. to adjust dose and frequency of based on level of anxiety
3. to avoid alcoholic beverages
4. to report drowsiness - Answer-*3. to avoid alcoholic beverages*

Rationale: Drinking alcohol or taking other anxiolytics along with prescribed
benzodiazepines should be avoided due to potentiation of the depressant effects of both
drugs. Drowsiness is an expected effect and should be reported only if excessive
somnolence is experienced.

Which statement made by a client who washes his or her hands compulsively identifies
the thinking typical of a client with obsessive-compulsive disorder?
1. "I know I'll get my hands clean eventually; it just takes time."
2. "I need a milder soap that won't damage my hands so much."
3. "I feel so much better when my hands are clean. I can do other things."
4. "I feel driven to wash my hands, although I don't like doing it." - Answer-*4. "I feel
driven to wash my hands, although I don't like doing it."*

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