New Anxiety Presentation

Multiple Select

Which of the following is an immediate physical response associated with fight or flight? (Select all that apply)

• Pupils constrict

• Respiratory rate increases

• Sweat gland secretions decrease

• Renal and digestive system functions are suppressed

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 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.

​• The main difference between ASD and PTSD:

•ASD = 3 days to 1 month, symptoms are present

•PTSD = 1 month + symptoms are present

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 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 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.