Question 1

In which way can anxiety be distinguished from fear?

Accepted Answer

The answer of In which way can anxiety be distinguished...

Question 2

A client has the following symptoms: preoccupation with imagined defect,verbalizations that are out of proportion to actual physical abnormalities,and numerous visits to plastic surgeons to seek relief.Which nursing diagnosis best describes the problems evidenced by these symptoms?

Accepted Answer

The symptoms described suggest a disturbed body image, where the client's preoccupation with imagined defects is causing distress and leading them to seek out multiple plastic surgeons in an attempt to achieve physical perfection. The other options do not fully capture the specific symptoms described.

Question 3

How would the nurse best describe the major maladaptive client response to panic disorder?

Accepted Answer

The major maladaptive client response to panic disorder is feeling a loss of control over life situations, which can lead to avoidance of certain situations or activities that may trigger panic attacks. Option A may occur, but it is not a major response. Option B may occur, but it is not a specific response related to panic disorder. Option D is a response seen in obsessive-compulsive disorder, not panic disorder.

Question 4

The nurse is discussing treatment options with a client whose life has been negatively impacted by claustrophobia.The nurse would expect which of the following behavioral therapies to be most commonly used in the treatment of phobias? Select all that apply.

Accepted Answer

Behavioral therapies are commonly used in the treatment of phobias. Among these, systematic desensitization and imploding (flooding) are the most commonly used therapies. Benzodiazepine therapy is a medication-based treatment approach and aversion therapy and assertiveness training are less commonly used in the treatment of phobias.

Question 5

____________ is an external pressure that is brought to bear on the individual.

Accepted Answer

The answer of ____________ is an external pressure that is...

Question 6

Neuroimaging studies of individuals with a hoarding disorder have indicated less activity in the:

Accepted Answer

The answer of Neuroimaging studies of individuals with a hoarding...

Question 7

A client diagnosed with Generalized Anxiety states,"I know the best thing for me to do now is to just forget my worries." How should the nurse evaluate this statement?

Accepted Answer

The statement implies a belief that forgetting worries is a viable solution to the client's problems. This shows a distorted perception of problem resolution, as simply forgetting or suppressing worries is not an effective long-term solution to managing anxiety. The nurse should work with the client to develop more effective coping strategies.

Question 8

Prior to anxiety being clearly defined as a separate entity,which of the following diagnostic terms were used to identify symptoms? Select all that apply.

Accepted Answer

Vasomotor neurosis and vasoregulatory asthenia were diagnostic terms used to identify symptoms prior to anxiety being clearly defined as a separate entity.

Question 9

The nurse has been caring for a client diagnosed with GAD.Which of the following nursing interventions address this client's symptoms? Select all that apply.

Accepted Answer

Encouraging the client to recognize signs of escalating anxiety, employing relaxation techniques, reframing cognitive thoughts about anxiety-generating situations, and avoiding caffeinated products are all effective interventions for managing symptoms of Generalized Anxiety Disorder (GAD). Avoiding any situation that causes stress (B) is not practical or therapeutic, as it can lead to avoidance behaviors that may worsen the condition over time.

Question 10

Warren's college roommate actively resists going out with friends whenever they invite him.He says he can't stand to be around other people and confides to Warren "They wouldn't like me anyway." Which disorder is Warren's roommate likely suffering from?

Accepted Answer

Warren's roommate is exhibiting symptoms of social anxiety disorder, which is characterized by extreme fear and avoidance of social situations due to the belief that one will be humiliated or rejected by others. This is reflected in his statement that "They wouldn't like me anyway."

Question 11

A client is prescribed alprazolam (Xanax)for acute anxiety.Which client history should cause the nurse to question this order?

Accepted Answer

Alprazolam is a benzodiazepine that can be addictive, and its use should be cautioned in clients with a history of alcohol or drug dependence. It can also potentiate the effects of alcohol and other CNS depressants.

Question 12

A client is taking chlordiazepoxide (Librium)for GAD symptoms.In which situation should the nurse recognize that this client is at greatest risk for drug overdose?

Accepted Answer

Combining chlordiazepoxide with alcohol increases its sedative effects and can lead to dangerous levels of sedation, respiratory depression, and potentially fatal overdose. The other options may contribute to adverse effects or decrease the drug's effectiveness, but they do not pose the same immediate risk of overdose as combining with alcohol.

Question 13

A college student has been diagnosed with GAD.Which of the following symptoms should a campus nurse expect this client to exhibit? Select all that apply.

Accepted Answer

The answer of A college student has been diagnosed with...

Question 14

Nursing care of a client with a diagnosis of substance-induced anxiety disorder must take into consideration the nature of the substance and if the symptoms are in the context of: Select all that apply.

Accepted Answer

Nursing care must consider if the anxiety symptoms are due to intoxication or withdrawal from a substance, as these factors can greatly impact treatment and management. Psychosocial needs and previous exposure may also be important considerations, but they are not as directly relevant to addressing the immediate symptoms of substance-induced anxiety disorder as intoxication and withdrawal. Therefore, the best choices are A and D.

Question 15

A client who has been diagnosed with a phobic disorder asks the nurse if there are any medications that would be beneficial in treating phobic disorders.Which of the following responses by the nurse are accurate? Select all that apply.

Accepted Answer

Antianxiety agents and antidepressants can be effective in treating social phobias and agoraphobia. Specific phobias may not require medication unless there are panic attacks. Beta blockers are used to manage physical symptoms of anxiety, such as those experienced during public performances.

Quiz 27: Anxiety,obsessive-Compulsive,and Related Disorders