Levels of Anxiety and Anxiety Disorders

Multiple Choice

A client is experiencing a panic level anxiety. Which nursing intervention would meet this client's immediate need?

• Teach deep breathing relaxation exercises

• Place the client in a Trendelenburg position

• Stay with the client and ensure safety

• Administer the ordered PRN buspirone (BuSpar)

Multiple Select

A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information to client? Select all that apply

• Reassure the client that everything will be ok

• Ignore the client anxiety, so the client will not feel embarrassed

• Demonstrate a calm manner while using simple and clear directions

• 
  Discuss proper coping mechanisms with the client

Multiple Choice

A nurse is caring for a client who states, "I have been isolating myself from socializing because I am afraid that I am going to experience another episode of intense anxiety." The client statement is suggestive of which of the following anxiety-related disorders? 

• Substance/medication-induced anxiety disorder

• Separation anxiety disorder

• Panic disorder

• Generalized anxiety disorder

Multiple Choice

A nurse is caring for a child who demonstrates marked and disproportionate fear in response to physical presence or representation of object, such as a balloon. Which of the following do these manifestations suggests?

• Social anxiety disorder

• Separation anxiety disorder

• Agoraphobia

• Specific phobia

Multiple Choice

A patient is diagnosed with agoraphobia. Which of the following would the nurse identify as a characteristic of this disorder?

• Avoid being in the presence of clowns.

• Refuse to go on mountain climb with friends.

• Avoid petting dogs.

• Fear to use public transportation.

Multiple Choice

A patient diagnosed with obsessive-compulsive disorder (OCD) continually carries a toothbrush and will brush and floss up to fifty times each day. The nurse understands that the patient’s behavior is an attempt to accomplish which of the following?

• 
  Promote oral health.

• Experience pleasure.

• Avoid interacting with others.

• Relieve anxiety.

Multiple Choice

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?

• A physical examination is needed to determine the etiology of the client's problem.

• 
  The client is exhibiting signs and symptoms of an exacerbation of generalized anxiety disorder.

• The client's signs and symptoms are due to an underlying medical condition.

• The client's anxiolytic dosage needs to be increased.

Multiple Choice

Which statement below best describes the mechanism of action of how SSRIs work?

• 
  "SSRIs inhibit the reuptake of GABA by blocking the reuptake of serotonin from the pre-synaptic neuron."

• "SSRIs inhibit the reuptake of the neurotransmitter serotonin by the pre-synaptic neuron."

• 
  "SSRIs enhance the reuptake of GABA by amplifying the action of the serotonin receptors found on the post-synaptic neuron."

• "SSRIs enhance the reuptake of serotonin by the receptors on the post-synaptic neuron."

Multiple Select

The nurse is assessing a newly admitted client for symptoms of post-traumatic stress disorder (PTSD). Which symptoms are typically seen with this diagnosis? Select all that apply

• Anger with numbing of other emotions.

• Feeling as one is having a heart attack.

• Frequent Nightmares

• Exaggerated startled response.

• Frequent thoughts about contamination.

Multiple Choice

A nurse is caring for a client who has been diagnosed with DID. The client develops an alter personality when discussing the trauma. How should the nurse respond when this occurs?

• Display empathetic listening and keep the client comfortable and safe.

• Inform the client that the nurse will not work with them until they return from their alter state.

• Flood the client with data from previous trauma.

• Encourage the client not to switch to their alter personality.

Multiple Choice

A nurse in an outpatient clinic is working with a client who has been diagnosed with dissociative amnesia. Which of the following statements would be an indication that the client is likely to experience an exacerbation of manifestations related to dissociative amnesia?

• "Last week I learned that I have an aggressive form of skin cancer."

• "I sometimes find it difficult to concentrate in the morning."

• "There are times when I don't feel like eating lunch."

• "My family does not understand my condition and it makes feel lonely."

Multiple Choice

A newly admitted client is diagnosed with dissociative identity disorder. Which nursing intervention is a priority?

• Process events associated with the origins of the disorder.

• Teach new coping skills to replace dissociative behaviors.

• Establish an atmosphere of safety and security.

• 
  Identify relationships among subpersonalities and work with each equally.

​Functional Neurological Symptom Disorder

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​Functional Neurological Symptom Disorder.

Multiple Choice

A client's family member asks the nurse, "What is a functional neurological symptom disorder?" Which of the following is the best response by the nurse?

• It is a preoccupation with the fear that one has a serious disease.

• 
  It is a preoccupation with an imagined or exaggerated defect in physical appearance.

• It involves unexplained, usually sudden, deficits in sensory or motor function.

• It is characterized by multiple physical symptoms.