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(N129) EAQ Anxiety exam QUESTION AND
ANSWER LATEST 2024 COMPLETE 100%
CORRECT (Samuel Merritt University)
Which method would the nurse expect to be used successfully with a client who has a phobia about closed spaces? A. Desensitization B. Contracting C. Role Playing D. Assertiveness Training A. Desensitization Desensitization is a method that is used successfully with a client who has phobias. Contracting, role playing, and assertiveness training are all useful general behavioral approaches, but these types of techniques are not as successful as desensitization. Which problem would the nurse anticipate when working with a client who has a phobia of black cats? A. Denying that phobia exists B. Anger toward the feared object
C. Anxiety when discussing the phobia. D. Distortion of reality when completing daily routines. C. Anxiety when discussing the phobia Discussion of the feared object triggers anxiety and an emotional response to the object. Which developmental conflict is a college student attempting to resole when they struggle with indecision about an academic major according to Erikson's psychosocial stages of development? A. Initiative versus guilt B. Integrity versus despair C. Industry versus inferiority D. Identity versus role confusion D. Identity Versus Role Confusion The client is demonstrating a search for self and has not resolved the developmental conflict of adolescence, identity versus role confusion. Initiative versus guilt is the developmental conflict of early childhood. Integrity versus despair is the developmental conflict of old age. Industry versus inferiority is the developmental conflict of middle childhood. Which nursing intervention would be indicated for a client with an anxiety disorder?
Recognition of anxiety or symptoms of increasing anxiety is an indication that the client is improving. Which intervention would the nurse expect to implement to alleviate anxiety for a preoperative client? a. Attempt to identity the client's concerns. b. Reassure the client that the surgery is routine. c. Report the client's anxiety to the health care provider. d. Provide privacy by pulling the curtain around the client. a. Attempt to identify the client's concerns Which feelings are often the basis of obsessive compulsive disorder? a. Anxiety and guilt b. Anger and Hostility c. Embarrassment and shame d. Hopelessness and Powerlessness A. Anxiety and guilt Ritualistic behavior seen in this disorder is aimed at controlling feelings of anxiety and guilty by maintaining an absolute set pattern of action. Although angry and hostile feelings may be present, these feelings do not precipitate the rituals.
Which characteristic distinguishes post-traumatic stress disorders from other anxiety disorders? a. Lack of interest in family and others b. Reliving the trauma in dreams and flashbacks c. Avoidance of situations that resemble the stress d. Blunted affect when discussing eh traumatic situation B. Reliving the trauma in dreams and flashbacks Which rationale supports given the client diagnosed with obsessive-compulsive disorder time to perform a specific ritual? a. It demonstrates respect for the clients autonomy b.. This behavior is viewed as a result of anger turned inward. c. Denying this activity may precipitate an increased level of anxiety. d. Successful performance of independent activities enhances self-esteem. C. Denying this activity may precipitate an increased level of anxiety Which behavior is most commonly used by an individual with a phobic disorder? a. Rumination b. Desensitization c. Avoidance
Which nursing action would be included in the plan of care for a client scheduled to have a computed tomography (CT) scan of the brain? a. Withholding routine medications b. Administering the prescribed sedative c. Explaining that metal must be removed d. Telling the client what to expect during the test d. Telling the client what to expect during the test. Knowing what to expect decreases anxiety. Routine medications are not withheld. A sedative is not necessary for a CT scan. Removing metal is for a magnetic resonance imaging (MRI) test. Which assessment finding for a client who is anxious indicates sympathetic nervous system stimulation? a. Dry skin b. Skin pallor c. pupil constriction d. Bradycardia b. Skin Pallor The sympathetic nervous system constricts teh smooth muscle of blood vessels in the skin when a person is under stress, thereby causing skin pallor. The sympathetic system stimulates, rather than inhibits, secretion by the sweat glands. Constrictions of the pupils is not under sympathetic control the parasympathetic system constricts the pupils. The parasympathetic system (Vagus nerve) slows the pulse, and the sympathetic system increases it.
Which symptom would the nurse identify when assessing a client with Graves Disease? a. Constipation b. Lethargy c. Exophthalmos d. Weight gain c. Exophthalmos Graves disease is a common cause of hyperthyroidism. Exophthalmos Which medication would the nurse recognize as being contraindicated for use in clients with eating and seizure disorders? a. Bupropion b. Trazadone C. Amitriptyline d. Lithium Citrate A. Bupropion Bupropion is contraindicated in clients with eating and seizure disorders. Trazadone is contraindicated in clients with a known allergic reaction to this medication. Amitriptyline is contraindicated in clients with a known allergic reaction to this medication. Amitriptyline is contraindicated in clients with renal or cardiovascular disease.
The nurse is discussing discharge plans with a client. The client states, "I'm worried about going home." The nurse responds, "Tell me more about this." Which interviewing technique did the nurse use? a. Exploring b. Reflecting c. Refocusing d. Acknowledging a. Exploring Exploring is a technique used to obtain more information to better understand the nature of the client's statement. Which statement about benzodiazepines requires correction? A. They are indicated for ethanol withdrawal. B. These medications increase teh activity of gamma-aminobutrycic acid. C. Benzodiazepines are the first line medications D. These medications depress activity in the brainstem. a. They are indicated for ethanol withdrawal b. These medications increase the activity of gamma-aminobutyric acid. c. Benzodiazepines are the first line medications used in chronic anxiety disorders. d. These medications depress activity in the brainstem.
Which statement about benzodiazepines requires correction? a. They are indicted for ethanol withdrawal b. These medications increase the activity of gamma-aminobutry c. Benzodiazepines are the first-line medications used in chronic anxiety disorders. d. These medications depress activity in the brainstem. b. These medications increase the activity of gamma-aminobutric acid Which are the adverse effects of mirtazapine? a. Asthenia b. Dyskinesia c. Drowsiness d. Gynecomastia e. abnormal dreams A. Asthenia C. Drowsiness E. Abnormal Dreams Mirtazapine is a second-generation antidepressant medication with potential adverse effects of asthenia, drowsiness, and abnormal dreams. Dyskinesia and gynecomastia are the side effects of first generation antidepressant medications.
Setting mutual goals for the relationship would be difficult for clients during the orientation phase. clients with borderline personality disorder often demonstrate a patterns of unstable interpersonal relationships, impulsiveness, affective instability and frantic efforts to avoid abandonment; these behaviors usually create great difficulty in establishing mutual goals. Which action would the nurse take for a newly admitted client diagnosed with schizophrenia who refuses to remove dirty clothing? a. Allow the client to undress when ready to help maintain identity. b. Provide two outfits and help the client decide which one to wear. c. Explain that clean clothes will look more attractive and increase self esteem. d. get assistance to remove the clothing to meet the client's basic hygiene needs. a. allow the client to undress when ready to help maintain identity. Any approach other than allowing the client to undress when ready will probably be seen as threatening, increase anxiety, and result in a physical confrontation. A client with obsessive-compulsive disorder has an anxiety level that is approaching a panic level, and the client's ritual is interfering with work and daily living. Which selective serotonin reuptake inhibitor (SSRI) would be considered when preparing a teaching plan? a. Haloperiodl b. Fluvoxamine c. Imipramine d. Benztropine
b. Fluvoxamine Fluvoxamine inhibits central nervous system neuron uptake of serotonin but not norepinephrine. Haloperidol is not an SSRI; it is an antipsychotic that blocks neurotransmission produced by dopamine at synapses. Imipramine is a tricyclic antidepressant, not an SSRI. Benztropine is an antiparkinsonian agent not an SSRI. Which adverse effect would the nurse assess for in a client receiving haloperidol? a. ataxia b. asthenia c. insomnia d. gynecomastia d. Gynecomastia Gynecomastia is one of the adverse effects of this medication Which primary reason identifies why diazepam is given during detoxification? a. prevents injury when seizures occur b. enables the client to sleep better during periods of agitation c. encourages the client to accept treatment for alcoholism d. minimizes withdrawal symptoms the clients may experience d. Minimizes withdrawal symptoms the client may experience.
Imagery is used during desensitization therapy. imagery is a therapeutic approach used to facilitate positive self talk; mental pictures under the control of and initiated by the clients may correct faculty cognitions. Which information about radiation therapy would guide a nurse's response to a 20 year old female client scheduled to receive pelvic radiation for Hodgkin lymphoma who expresses anxiety about her future ability to conceive a child? a. Radiation used is not radical enough to destroy ovarian function. b. intermittent radiation to the area does not cause permanent sterilization c. reproductive ability may be preserved through a variety of interventions d. ovarian function will be destroyed temporarily but will return in about 6 months. c. Reproductive ability may be preserved through a variety of interventions. During the first meeting of a therapy group, members of therapy group, members exhibit frequent periods of silence, tense laughter, and nervous movements. which conclusion would the nurse make? a. The group requires an active leader who will intervene to relieve signs of obvious stress. b. the group process is unhealthy and there is unwillingness to openly relate. c. the members are displaying expected behaviors because relationships are not yet established. d. The behaviors should be immediately addressed to members will not become too uncomfortable. c. The members are displaying expected behaviors because relationships are not yet established.
Which information about anxiety would the nurse teach the family before discharging an anxious client? a. Anxiety is a totally unique feeling and experience. b. Apprehension is generalized to the total environment c. Fears results from conscious actions, thoughts, and wishes. d. Anxiety is a pattern of emotional and behavioral responses to stress. D. Anxiety is a pattern of emotional and behavioral responses to stress. Which defense mechanism would the nurse conclude a female client with obsessive-compulsive disorder who washes her hands more than 20 times a day is using to ease anxiety? a. Undoing b. Projection c. Introjection d. Displacement a. Undoing undoing is an act that partially negates a previous one; the client is using this defense mechanism to atone for unacceptable acts or wishes. The client is not attributing self-thoughts or impulses to another person or group, which is called projection. Which type of play will help develop a leader-follower type of relationship?
Which parameter would be assessed to determine the degree of anxiety being experienced by the client? a. memory state b. creativity level c. perceptual field d. delusional system c. Perceptual field Perceptual fields would be assessed to determine the degree of anxiety bc the perceptual fields narrow as anxiety increases. Which communication technique would the nurse be using when he or she states "Let's see whether we mean the same thing,"" to a client who is not making sense? a. Reflecting feelings b. Making observations c. Seeking consensual validation d. Attempting to place events in sequence c. seeking consensual validation Which approach would the nurse use when managing the care of a client diagnosed with generalized anxiety disorder (GAD)? a. Creating an anxiety-free environment for the client b. Assisting the client with the development of healthy, adaptive coping mechanisms
c. avoiding triggers that produce anxiety in the client d. Providing reinforcement the the client's anxiety issues can be eliminated b. Assisting the client with the devilment of healthy, adaptive coping mechanisms Which reaction toward the physical symptom would the nurse observe in a client with conversion disorder? a. Anger b. Apathy c. Anxiety d. Agitation b. Apathy The nurse would observe apathy toward the physical symptom in conversion disorder. Development of the symptom is an unconscious method of reducing anxiety. Which purpose is served ritualistic behavior for a client diagnosed with an obsessive- compulsive personality disorder? a. The rituals are useless but uncontrollable b.. Rituals lessens rigidity and inflexibility. c. Ritualistic behavior decreases depression. D. The rituals temporarily relieve anxiety. D. the rituals temporarily relieve anxiety.
