Deck 45: Care of Patients with Anxiety, Mood, and Eating Disorders

Question 1

The nurse is caring for a patient with moderate anxiety.Which activity should the nurse encourage to best manage the patient's anxiety?

A) Taking a walk
B) Learning a new game
C) Watching an intense television show
D) Reading a pamphlet about the negative effects of anxiety

Answer 1

Taking a walk

Question 2

Which signs and symptoms are consistent with general anxiety disorder (GAD)?

A) Heart rate of over 100 beats/min
B) Restlessness
C) Urinary retention
D) Fatigue
E) Muscular tension

Answer 2

Heart rate of over 100 beats/min
Restlessness
Fatigue
Muscular tension

Question 3

The nurse explains that anxiety disorders differ from normal anxiety.Which statement accurately describes anxiety disorders?

A) Anxiety disorders develop into suicidal tendencies.
B) Anxiety disorders are seldom controlled.
C) Anxiety disorders interfere with effective functioning.
D) Anxiety disorders make maintenance of relationships impossible.

Answer 3

Anxiety disorders interfere with effective functioning.

Question 4

A resident in a long-term care facility has been in a manic stage for 2 days.He has not slept and cannot focus long enough to eat a meal.How should the nurse best enhance the resident's nutrition?

A) Insist he sit down and eat at the table.
B) Spoon-feed him at the table at regular mealtimes.
C) Offer him small glasses of high-protein drinks every hour.
D) Make up a game about who can finish a meal first.

Question 5

The nurse is educating a patient with a new prescription for lithium carbonate.Which information is most important for the nurse to include in the teaching plan?

A) It can take up to two weeks for Lithium to reach a therapeutic level in the body.
B) Lithium is often given in conjunction with loop diuretics.
C) Carefully restrict sodium intake to less than 1 gram/day.
D) Take medication before breakfast for maximum effectiveness.

Question 6

The nurse is caring for a patient who was admitted with fractures sustained during an MVC (motor vehicle collision).The patient tearfully confesses that she relives the accident in her dreams and is afraid to sleep.The nurse recognizes that this scenario is consistent with which disorder?

A) Post-traumatic stress disorder (PTSD)
B) Phobic disorder
C) obsessive-compulsive disorder (OCD)
D) Panic level of anxiety disorder

Question 7

A patient has been taking lithium for 5 days.The nurse notes his gait is a little unsteady with a walker,and he complains of thirst and insomnia.Which finding is most important for the nurse to report?

A) Manic behavior
B) Unsteady gait
C) Thirst
D) Insomnia

Question 8

After having refused lunch and dinner because her "regular" chair was occupied at breakfast,the resident in a long-term care facility asks for a snack.How should the nurse respond?

A) "You are hungry now. Is there something else you could have done earlier besides refusing to eat?"
B) "Here is your snack. Maybe you won't be so quick to refuse meals the next time you don't get your way."
C) "Refusing meals is not the answer. You must eat."
D) "Tell me why you left the dining room without eating."

Question 9

The nurse is caring for a patient admitted with a diagnosis of serotonin syndrome.Which type of medication will most likely be included in the plan of treatment?

A) Antihypertensive medications
B) Intravenous (IV) therapy
C) Antianxiety medications
D) Sedatives

Question 10

A long-term care facility resident with generalized anxiety disorder (GAD)enters the dining room and discovers that a visitor is sitting in her regular seat.The resident becomes agitated and insists that she cannot eat unless she sits in her chair.Which response is most appropriate?

A) Instruct the visitor to move.
B) Reassure the resident that she can sit in her regular spot at supper.
C) Remind the resident that she will be hungry if she does not eat.
D) Insist that the resident eat.

Question 11

An older adult resident in a long-term care facility expresses multiple minor complaints at the nurse's station and wanders about aimlessly in the hallway.The nurse examines the patient's chart.Which newly prescribed drug may explain his behavior?

A) Tylenol
B) Theophylline
C) Bisacodyl
D) Lisinopril

Question 12

The nurse is caring for a suicidal patient who has been treated effectively with antidepressant therapy.The patient verbalizes that he feels better.The nurse is alert that the patient is most at risk for which potential complication?

A) Increased risk of self-harm
B) Increased emotional fragility
C) Increased potential for weight gain
D) Increased activity intolerance

Question 13

The nurse is educating a patient who has just been prescribed diazepam (Valium).The nurse cautions the patient that diazepam (Valium)may cause which problem?

A) Dependency
B) Urinary retention
C) Severe dehydration
D) Hallucinations

Question 14

The nurse observes a coworker who is always behind because he checks and rechecks the accuracy of his medication dosages.Even after being reassured his dosages are correct,he checks them again.The nurse suspects her coworker suffers from which disorder?

A) Perfectionism
B) Phobic disorder
C) Obsessive-compulsive disorder (OCD)
D) General anxiety disorder

Question 15

The nurse is helping a patient get dressed to go to her dialysis treatment.The patient bursts into tears and says,"I can't go! I can't stand another day in that awful place.I will die if I have to go!" Which intervention is best?

A) Stop the dressing process and calmly ask the patient talk about her feelings.
B) Continue to dress the patient and reassure her that she will feel better after her treatment.
C) Stop the dressing process and remind the patient that missing a treatment can make her very sick.
D) Continue dressing the patient and remind her that she must stay on task in order to be on time.

Question 16

The depressed patient who has been taking amitriptyline (Elavil)for the past 2 weeks complains of still feeling depressed and wants to abandon the drug.How should the nurse respond?

A) "I will ask the physician about a new order for a different drug."
B) "You probably should quit taking Elavil if it is not helping you."
C) "Sometimes drinking a small glass of wine with meals helps."
D) "These drugs take several weeks to become effective."

Question 17

The nurse is educating a patient with generalized anxiety disorder (GAD)who has a new prescription for buspirone (BuSpar).Which information is most important for the nurse to include in the teaching plan?

A) Use this medication as needed to manage your anxiety.
B) Taper this medication before discontinuing.
C) Allow 3 weeks before expecting any relief of symptoms.
D) This medication poses a great risk of tolerance and dependence.

Question 18

Which classic behavior characterizes bulimia?

A) Bingeing and purging
B) Refusal to eat
C) Excessive exercising
D) Hiding food to make it appear it was eaten

Question 19

The nurse is caring for an older adult patient with a history of anxiety.Which complaint could indicate that the patient may actually be experiencing emotional distress?

A) Upset stomach
B) Heightened tooth sensitivity
C) Unpleasant taste in mouth
D) Dizziness

Question 20

What thought process underscores a patient's anorexia nervosa?

A) A desire to be attractive by staying slender.
B) A desire to be involved with food preparation of food, but not eating it.
C) A desire to punish self by denial of adequate nutrition.
D) A desire to gain a sense of control by limiting food intake.

Question 21

The nurse takes into consideration that it is estimated that _____% of the population will have some form of anxiety disorder.

Question 22

Which nursing considerations relate to the administration of lithium?

A) Administer the medication on an empty stomach.
B) Restrict fluids to 1000 mL daily.
C) Draw frequent blood levels.
D) Teach the importance of contraception while taking the drug.
E) Teach the importance of avoid caffeine while taking the drug.

Question 23

The nurse points out that a persistent irrational fear of a specific object or situation that causes anxiety that interferes with responsibilities is a(n)_________.

Question 24

Which signs and symptoms characterize a major depressive disorder?

A) Euphoria
B) Psychomotor retardation
C) Indecisiveness
D) Sleep disturbances
E) Suicidal ideation

Question 25

The nurse outlines the treatment for a person with anxiety disorders,which include(s)which of the following?

A) Anxiolytic medication.
B) Education about disorder.
C) Individual therapy.
D) Relaxation techniques.
E) Stress management.
F)None of above

Question 26

The nurse is reviewing the medical history of a patient who is being evaluated for anorexia nervosa.Which characteristic(s)would be consistent with the condition?

A) Weight loss of 2 to 3 pounds in the past month
B) Binge eating
C) Frequent mood changes
D) Absence of three consecutive menstrual periods
E) Body weight less than 85% of what is expected for height and weight

Question 27

Which characteristic(s)increase(s)the probability of suicidal ideations in a depressed patient?

A) Owning a gun collection
B) Living with wife and three children
C) Being an active member of the local church
D) Having a plan to shoot himself in a motel
E) Having a brother that recently committed suicide

Question 28

A patient is considering having electroconvulsive therapy (ECT)to treat his severe depression.Which statement(s)indicate(s)the patient understands the procedure?

A) "I will have treatments once every other month."
B) "The shock will cause me to have a short seizure."
C) "This treatment is often more successful than medications."
D) "I will have to be hospitalized the day before and after the treatments for observation."
E) "The treatments will be performed in the early morning hours."