Deck 68: Caring for Clients With Anxiety Disorders

Question 1

Which of the following is a side effect of beta-adrenergic blockers?

A) Sedation
B) Hyperglycemia
C) Tachycardia
D) Addiction

Answer 1

Tachycardia

Question 2

When implementing interventions to ensure that the anxiety of a client will return to a tolerable level, why does the nurse encourage the client to identify what he or she perceives to be a threat to emotional equilibrium?

A) It helps anxious clients, as they have a short attention spans and reduced ability to concentrate.
B) Processing situations verbally gives the client a more realistic perspective on perceived threats.
C) It relieves unnecessary distress and helps in performing tasks in correct sequence.
D) It helps divert the client's attention from distressing physiologic symptoms to the task at hand.

Answer 2

Processing situations verbally gives the client a more realistic perspective on perceived threats.

Question 3

Why is it important for the nurse to explain side effects associated with prescribed drugs when implementing interventions for the client to safely manage his or her own self-care?

A) It reduces the potential for sedation which may have adverse effects.
B) It creates motivation for remaining compliant.
C) It reduces the potential for noncompliance or harm.
D) It may reduce the potential for withdrawal symptoms that mimic anxiety.

Answer 3

It reduces the potential for noncompliance or harm.

Question 4

Which of the following is a true statement regarding antianxiety drugs?

A) When taking benzodiazepines, long-term treatment is recommended.
B) Benzodiazepines have the potential to exacerbate sleep apnea.
C) Long-acting benzodiazepines are less likely to cause toxicity.
D) Buspirone (BuSpar) interacts with alcohol.

Question 5

What nutritional factors should the nurse assess in the client with anxiety?

A) Caffeine consumption
B) Current weight status and recent weight fluctuations
C) Allergy to foods containing iodine
D) Consumption of alcohol

Question 6

Clients with obsessive-compulsive disorder (OCD) may be concerned about which of the following signs and symptoms?

A) Fear of situations in which they may capture the attention of others
B) Delayed anxiety response
C) Psychic numbing
D) Performing ritualistic behaviors

Question 7

Anxiety impairs problem-solving ability. Which of the following interventions does a nurse implement when helping clients in the problem- solving process to formulate decisions?

A) The nurse does not support the implementation of a decision if it is not one the nurse will personally prefer.
B) The nurse helps the clients in identifying problems.
C) The nurse ensures that the client does not change his or her mind at any time.
D) The nurse influences the client's preferences.

Question 8

Building trust is especially critical to developing a therapeutic relationship with an anxious client. Which of the following interventions contributes to this trust?

A) Leave the client alone during a new experience.
B) Give support in nonverbal ways.
C) Be available and attentive to the client's requirements.
D) Give detailed explanations and do not repeat them frequently.

Question 9

Which of the following nursing interventions contributes to building trust in a client with anxiety disorder?

A) Ask the client to suggest methods.
B) Determine the client's level of comprehension.
C) Leave the client alone when agitated.
D) Be available and attentive to the client's needs.

Question 10

Which medication classification is also known as minor tranquilizers?

A) Beta-blockers
B) Anxiolytics
C) Antidepressants
D) Central-acting sympatholytics

Question 11

During the evaluation of expected outcomes for a client with an anxiety disorder, which of the following indicates successful nursing interventions?

A) The client needs repeat information on the drug therapy.
B) The client implements measures to completely avoid anxiety.
C) The client deals with anxiety-provoking stimuli realistically.
D) The client has no need for follow-up care.

Question 12

A client has a history of alcoholism and is being seen in the clinic for anxiety. The nurse would anticipate which medication being prescribed for this client?

A) BuSpar
B) Xanax
C) Inderal

Question 13

A client is diagnosed with PTSD. The client is exhibiting avoidance of the situation and social detachment. This is recognized as which of the following?

A) Social phobia
B) Flashback
C) Psychic numbing
D) Guilt

Question 14

Persons experiencing panic-level anxiety may act impulsively and risk their safety. Which of the following interventions ensures the safety of clients with anxiety?

A) The nurse remains composed to help such persons reduce anxiety.
B) The nurse ensures that the client interacts with more than one nurse.
C) The nurse touches the client and gets physically close to him or her.
D) The nurse ensures that the client responds to many sources of stimulation.

Question 15

Which of the following is a cognitive manifestation that occurs with anxiety?

A) Tachycardia
B) Tremors
C) Poor judgment
D) Anorexia

Question 16

Which level of anxiety is constructive and prepares a person to take action in appropriate situations?

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

Question 17

A client is having severe anxiety. The nurse would expect to assess which clinical manifestation?

A) Muscle tone increases
B) Limited communication
C) Dyspnea
D) Slight hand tremors

Question 18

Which of the following is a true statement regarding a panic disorder?

A) Slow onset of physical symptoms
B) Lasts several minutes
C) The first instinct is to escape to a safer place
D) Marked by hypotension and bradycardia

Question 19

Which of the following antidepressants has been proved for the treatment of social phobia?

A) Fluoxetine (Prozac)
B) Sertraline (Zoloft)
C) Clomipramine (Anafranil)
D) Amitriptyline (Elavil)

Question 20

What measure should clients with diabetes who are administered central-acting sympatholytics administer to maintain normal ranges of blood glucose?

A) Adjust their medication regimen.
B) Learn to rise slowly from a sitting or lying position.
C) Abstain from alcohol.
D) Report episodes of dizziness or fainting.

Question 21

Which of the following is a behavior manifestation of panic anxiety?

A) Tense muscles
B) Narrowed perception
C) Fragmented thoughts
D) Intact reality

Question 22

Which of the following is a parasympathetic cardiovascular response to anxiety?

A) Hypertension
B) Fainting
C) Tachycardia

Question 23

Which of the following is classified as a central-acting sympatholytic?

A) Buspirone (BuSpar)
B) Alprazolam (Xanax)
C) Clonidine (Catapress)
D) Propanolol HCl (Inderal)

Question 24

Which of the following is a clinical manifestation of anxiety related to the neuromuscular system?

A) Insomnia
B) Palpations
C) Nausea

Question 25

Which type of therapy assists the client to alter their irrational thinking?

A) Psychopharmacology
B) Desensitization
C) Behavioral Therapy
D) Cognitive Therapy