ANXIETY DISORDERS & MEDICATIONS NCLEX EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
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ANXIETY DISORDERS & MEDICATIONS NCLEX
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ANXIETY DISORDERS & MEDICATIONS NCLEX
ANXIETY DISORDERS & MEDICATIONS NCLEX EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
A client newly admitted to an in-patient psychiatric unit is diagnosed with obsessivecompulsive disorder. Which behavioral symptom would the nurse expect to assess?
1. The client uses excessive hand washing to re...
ANXIETY DISORDERS & MEDICATIONS
NCLEX EXAM TEST BANK QUESTIONS
WITH CORRECT ANSWERS
A client newly admitted to an in-patient psychiatric unit is diagnosed with
obsessivecompulsive disorder. Which behavioral symptom would the nurse expect to
assess?
1. The client uses excessive hand washing to relieve anxiety.
2. The client rates anxiety at 8/10.
3. The client uses breathing techniques to decrease anxiety.
4. The client exhibits diaphoresis and tachycardia. - Answer-1. Using excessive hand
washing to relieve
anxiety is a behavioral symptom exhibited
by clients diagnosed with obsessivecompulsive disorder (OCD).
TEST-TAKING HINT: To answer this question correctly, the test taker must be able to
differentiate various classes of symptoms exhibited by clients diagnosed with OCD. The
keyword "behavioral"
determines the correct answer to this question.
A client with a history of generalized anxiety disorder enters the emergency department
complaining of restlessness, irritability, and exhaustion. Vital signs are blood pressure
140/90 mm Hg, pulse 96, and respirations 20. Based on this assessed information,
which assumption would be correct?
1. The client is exhibiting signs and symptoms of an exacerbation of generalized anxiety
disorder.
2. The client's signs and symptoms are due to an underlying medical condition.
3. A physical examination is needed to determine the etiology of the client's problem.
4. The client's anxiolytic dosage needs to be increased. - Answer-3. Physical problems
should be ruled out
before determining a psychological cause
for this client's symptoms.
TEST-TAKING HINT: The test taker needs to remember that although a client may have
a history of a psychiatric illness, a complete, thorough evaluation must be done before
assuming exhibited symptoms are related to the psychiatric diagnosis. Many medical
conditions generate anxiety as a symptom.
Anxiety is a symptom that can result from which of the following physiological
conditions? Select all that apply.
1. Chronic obstructive pulmonary disease.
2. Hyperthyroidism.
3. Hypertension.
,4. Diverticulosis.
5. Hypoglycemia. - Answer-1. Chronic obstructive pulmonary disease
causes shortness of breath. Air deprivation
causes anxiety, sometimes to the point of
panic.
2. Hyperthyroidism (Graves's disease)
involves excess stimulation of the sympathetic nervous system and excessive levels of
thyroxine. Anxiety is one of several
symptoms brought on by these increases.
5. Marked irritability and anxiety are some
of the many symptoms associated with
hypoglycemia.
TEST-TAKING HINT: To answer this question correctly, the test taker needs to
understand that anxiety is manifested by physiological responses.
Which assessment data would support a physician's diagnosis of an anxiety disorder in
a client?
1. A client experiences severe levels of anxiety in one area of functioning.
2. A client experiences an increased level of anxiety in one area of functioning for a
6-month period.
3. A client experiences increased levels of anxiety that affect functioning in more than
one area of life over a 6-month period.
4. A client experiences increased levels of anxiety that affect functioning in at least three
areas of life. - Answer-3. For a client to be diagnosed with an anxiety disorder, the client
must experience
symptoms that interfere in a minimum of
two areas, such as social, occupational, or
other important functioning. These symptoms must be experienced for durations of 6
months or longer.
TEST-TAKING HINT: To answer this question correctly, the test taker must understand
that specific symptoms must be exhibited and specific timeframes achieved for clients to
be diagnosed with anxiety disorders.
Which of the following symptom assessments would validate the diagnosis of
generalized anxiety disorder? Select all that apply.
1. Excessive worry about items difficult to control.
2. Muscle tension.
3. Hypersomnia.
4. Excessive amounts of energy.
5. Feeling "keyed up" or "on edge." - Answer-1. A client diagnosed with generalized
anxiety disorder (GAD) would experience excessive worry about items difficult to
control.
2. A client diagnosed with GAD would experience muscle tension.
5. A client diagnosed with GAD would
, experience an increased startle reflex and
tension, causing feelings of being "keyed
up" or being "on edge."
TEST-TAKING HINT: To answer this question correctly, the test taker would need to
recognize the signs and symptoms of GAD.
A client diagnosed with obsessive-compulsive disorder is newly admitted to an inpatient
psychiatric unit. Which cognitive symptom would the nurse expect to assess?
1. Compulsive behaviors that occupy more than 4 hours per day.
2. Excessive worrying about germs and illness.
3. Comorbid abuse of alcohol to decrease anxiety.
4. Excessive sweating and an increase in blood pressure and pulse. - Answer-2.
Excessive worrying about germs and illness is a cognitive symptom experienced
by clients diagnosed with OCD.
TEST-TAKING HINT: To answer this question correctly, the test taker must note the
keyword "cognitive." Only "2" is a cognitive symptom.
A newly admitted client diagnosed with posttraumatic stress disorder is exhibiting
recurrent flashbacks, nightmares, sleep deprivation, and isolation from others. Which
nursing diagnosis takes priority?
1. Posttrauma syndrome R /T a distressing event AEB flashbacks and nightmares.
2. Social isolation R /T anxiety AEB isolating because of fear of flashbacks.
3. Ineffective coping R /T flashbacks AEB alcohol abuse and dependence.
4. Risk for injury R /T exhaustion because of sustained levels of anxiety. - Answer-4.
Risk for injury is the priority nursing diagnosis for this client. In the question, the client is
exhibiting recurrent flashbacks, nightmares, and sleep deprivation that can cause
exhaustion and lead to injury. It is important for the nurse to prioritize the nursing
diagnosis that addresses safety.
TEST-TAKING HINT: When the question asks for a priority, it is important for the test
taker to understand that all answer choices may be appropriate statements. Client
safety always should be prioritized.
A client leaving home for the first time in a year arrives on the psychiatric in-patient unit
wearing a surgical mask and white gloves and crying, "The germs in here are going to
kill me." Which nursing diagnosis addresses this client's problem?
1. Social isolation R /T fear of germs AEB continually refusing to leave the home.
2. Fear of germs R /T obsessive-compulsive disorder, resulting in dysfunctional
isolation.
3. Ineffective coping AEB dysfunctional isolation R /T unrealistic fear of germs.
4. Anxiety R /T the inability to leave home, resulting in dysfunctional fear of germs. -
Answer-1. According to the North American Nursing Diagnosis Association (NANDA),
the nursing diagnosis format must
contain three essential components:
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