Deck 18: Managing Anxiety

Question 1

Which is a typical symptom of posttraumatic stress disorder?

A)Constant use of defense mechanisms
B)Flashbacks
C)Distressing persistent thoughts
D)Irrational fear

Answer 1

Flashbacks

Question 2

A male client has had agoraphobia for several years.In the past 2 years,he has not left his home,and he only speaks to people on the phone occasionally.Which nursing diagnosis has the highest priority in this situation?

A)Social isolation
B)Thought processes,disturbed
C)Coping,ineffective individual
D)Powerlessness

Answer 2

Social isolation

Question 3

An adolescent caught stealing a classmate's laptop says that he needed it to write his paper and that the classmate "has enough money to buy another one anyway." This adolescent is demonstrating which of the following defense mechanisms?

A)Denial
B)Restitution
C)Rationalization
D)Conversion

Answer 3

Rationalization

Question 4

Of individuals who suffer from panic attacks,__________% are women.

A)20
B)30
C)50
D)70

Question 5

A 6-year-old is preparing to have a dental procedure.His anxious mother is in the room with him.When the child asks if everything will be okay,she assures him it will but continues to pace and wring her hands.What is the most appropriate action for the dentist to take?

A)Give the mother a seat near the child and continue to assure the mother.
B)Request that the mother wait in the waiting room.
C)Allow the mother to verbalize what her concerns are.
D)Tell the child to ignore his mother.

Question 6

A client tells the nurse that exercising in the gym helps him keep his stress level reduced.Which type of coping mechanism best describes this situation?

A)Spiritual
B)Emotional
C)Intellectual
D)Physical

Question 7

A learned response to an anticipated event,such as when a person who does not like to fly experiences nausea and sweaty palms before boarding an airplane,is best described as:

A)A normal anxiety response
B)Signal anxiety
C)An anxiety state
D)An anxiety trait

Question 8

When a client has a mild level of anxiety,his or her emotional response is:

A)Relaxed and calm
B)Energized
C)Feeling overloaded
D)Helplessness with loss of control

Question 9

A female college student is seeking help from the counseling center for test anxiety.She reports that during an exam,she "freezes," and says,"It feels like the time I have to take the exam is racing by,and I can't answer any of the questions when I know the answers." Which level of anxiety is the client experiencing?

A)Mild
B)Moderate
C)Severe
D)Panic

Question 10

On the morning of a final exam,a student is feeling tense and excited,with her heart rate and breathing slightly increased.She is feeling energized and alert,with her attention focused on the exam.Based on these findings what advice can the student be given?

A)Practice deep breathing and do some exercise to stabilize vital signs.
B)Request to take the exam at a later date when anxiety decreases.
C)Take the exam more seriously and treat it with more concern.
D)The level of anxiety described should allow for a positive outcome.

Question 11

The nurse is aware that several theories have been proposed to explain anxiety.Which theory explains anxiety as a result of interactions with others?

A)Biological model
B)Psychodynamic model
C)Interpersonal model
D)Behavioral model

Question 12

The treatment team and a male client in whom obsessive-compulsive disorder associated with hand washing has been diagnosed decide on a treatment plan for the disorder.The nurse begins to implement the plan by having the client gradually extend the time between hand washes.This intervention is an example of which type of therapy?

A)Behavior modification
B)Desensitization
C)Flooding
D)Pharmacological therapy

Question 13

The charge nurse is angry with another nurse who has arrived one hour after the shift begins.Rather than expressing her anger,the nurse avoids confrontation by denying approval of the nurse's requested vacation day.What does this behavior demonstrate?

A)Substitution
B)Restitution
C)Suppression
D)Rationalization

Question 14

What is the term for physical expression of anxiety by an individual in ways such as nausea or headaches?

A)Compensation
B)Somatization
C)Denial
D)Fantasy

Question 15

The nurse is meeting with a client suffering from agoraphobia who recently moved to the United States from a country where acts of violence and civil unrest are common.The theoretical model that links anxiety to the uncontrollable events the client experienced in his previous country is the ____________ model.

A)Behavioral
B)Interpersonal
C)Environmental
D)Psychodynamic

Question 16

A female client is taking a benzodiazepine for her anxiety disorder.She complains of anorexia and nausea since she started taking the medication a few days ago.What is the nurse's best response?

A)"Be sure to take the medicine on an empty stomach to avoid these symptoms."
B)"It takes a while to get used to the medicine.Give it a couple of weeks."
C)"Try taking the medication with food or milk,and see if the symptoms improve."
D)"Stop taking the medication immediately,and I will notify your doctor."

Question 17

Symptoms of obsessive-compulsive disorder can occur in children as young as:

A)3 years old
B)5 years old
C)7 years old
D)9 years old

Question 18

A client has constant thoughts about locking his front door every time he leaves his house.This client is experiencing a/an:

A)Compulsion
B)Phobia
C)Obsession
D)Anxiety reaction

Question 19

Adolescents who ineffectively cope with anxiety often express their anxiety through:

A)Inappropriate behaviors
B)Calm behavior
C)Psychotic behavior
D)Suicide

Question 20

Which term best describes an individual's feelings of anxiety that are broad,long-lasting,and excessive?

A)Generalized anxiety disorder
B)Panic attack
C)Phobic disorder
D)Obsessive-compulsive disorder

Question 21

__________ is a defense mechanism that is characterized by redirecting one's energy to another person or object.

Question 22

Which of the following activities are examples of addictive behaviors? (Select all that apply. )

A)Gambling
B)Shopping
C)Working
D)Excessive sexual activity
E)Flashbacks

Question 23

Which statements best describe an anxiety disorder? (Select all that apply. )

A)Anxiety is expressed in ineffective ways.
B)Coping mechanisms are used to deal with anxiety.
C)Coping mechanisms do not relieve anxiety.
D)Defense mechanisms are used occasionally.

Question 24

When an individual uses psychological strategies to cope with stressors in an attempt to decrease anxiety,this person is using a __________.

Question 25

Which symptoms may be seen in a person who is having a panic attack? (Select all that apply. )

A)Shortness of breath
B)Fear of dying
C)Recurrent persistent thoughts
D)Palpitations
E)Chills
F)Feelings of depersonalization

Question 26

__________ refers to a vague,uneasy feeling of uncertainty and helplessness.