Anxiety, Obsessive-Compulsive, and Related Disorders RN
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16 Terms
A nurse in the emergency department is triaging a client following a motor-vehicle crash. The nurse should identify that which of the following findings is associated with the alarm phase of Selye's General Adaptation Syndrome (GAS) framework?
anxiety
3 multiple choice options
A nurse is assessing a client who is scheduled for an appendectomy.
The nurse is reviewing the client's assessment findings and the pathophysiology of anxiety. Select the 4 findings that are associated with overactivation of the neural circuits within the limbic system.
Heart rate
Restlessness
Blood pressure
Irritability
Temperature
Heart rate
Restlessness
Blood pressure
Irritability
A nurse in a community health clinic is caring for an adolescent.
The nurse is reviewing the client's medical record. Which of the following findings should the nurse identify as adverse factors impacting the client's mental health?
Click to highlight below the findings that are adverse factors impacting the client's mental health.
Substance use
Academic success
Peer relationships
Ability to communicate
Ability to manage stress
Poverty
Physical safety
Gender equity
Access to basic needs
Peer relationships
Ability to manage stress
Physical safety
A nurse on a mental health unit is caring for a newly admitted client.
Click to highlight the statements in the nurses' notes that require follow-up by the nurse.
Able to ambulate without assistance to the bathroom.
Client says, "It's happening again, I feel like I am going to die!"
Client is alert and oriented to person, place, and time.
Client is tachypneic, tachycardic, and diaphoretic.
Speech is rapid and loud.
Noted the client was restless and shaking upon entering their room.
Client says, "It's happening again, I feel like I am going to die!"
Client is tachypneic, tachycardic, and diaphoretic.
Speech is rapid and loud.
Noted the client was restless and shaking upon entering their room.
A nurse in an outpatient mental health facility is caring for a group of clients.
Select the 2 client findings that are manifestations of social anxiety disorder.
Excessive worrying about routine everyday occurrences
Fear of shaking hands with other people
Fear of being in a group of people
Fear of riding in an elevator
Concerns about others' opinions of clothing choice
Fear of being in a group of people
Concerns about others' opinions of clothing choice
A nurse in an outpatient clinic is assessing a client who has obsessive-compulsive disorder (OCD).
The nurse is reviewing the client's assessment findings. Which of the following findings should the nurse identify as a risk factor for developing OCD? (Select all that apply.)
Sexually abused by a family member as a child
Current socialization status
History of ECT for depression
Sibling has been treated for OCD in the past
History of hospitalization
History of tobacco use
Sexually abused by a family member as a child
Sibling has been treated for OCD in the past
History of tobacco use
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." This client statement is suggestive of which of the following anxiety-related disorders?
panic disorder
3 multiple choice options
A nurse is caring for a child who demonstrates marked and disproportionate fear in response to the physical presence or representation of an object, such as a balloon. Which of the following do these manifestations suggest?
specific phobia
3 multiple choice options
A nurse is caring for a client who has panic disorder and wants to know what they can do to better control their panic attacks. Which of the following statements by the nurse addresses modifiable risk factors?
"Physical activity can decrease the intensity and frequency of panic attacks."
3 multiple choice options
A nurse in an outpatient mental health clinic is caring for a client who expresses concern about developing a mental illness. According to Meehl's Diathesis-Stress model, which of the following explanations best describes one's potential to develop a mental illness?
The dynamic interaction between genetic and environmental variables determines the potential for developing a mental illness.
3 multiple choice options
A nurse is caring for a client who has obsessive-compulsive disorder. The client's behaviors likely originate in which of the following brain circuits?
The cortico-striato-thalamocortical circuit
3 multiple choice options
A nurse is caring for an adult client who experiences discrete periods of acute psychological distress that includes heart palpitations, dyspnea, and lightheadedness. The nurse should identify that the client is demonstrating manifestations for which of the following types of anxiety disorders?
Panic disorder
3 multiple choice options
A nurse on an inpatient mental health unit is having a conversation with a client who is exhibiting manifestations similar to obsessive-compulsive disorder. Which of the following statements by the nurse reflects appropriate understanding of risk factors for developing manifestations of obsessive-compulsive disorder?
"I would like to know more about the manifestations that you share with your biological father."
3 multiple choice options
A nurse is caring for a client who is concerned about developing a mental health disorder. Which of the following statements regarding the relationship between adverse childhood experiences (ACEs) and positive childhood experiences (PCEs) is correct?
The presence of PCEs can provide some degree of symptomatic protection from ACEs in certain instances.
3 multiple choice options
A nurse is caring for a client who is experiencing anxiety and obsessive-compulsive behaviors. Which of the following chemicals is regulated by psychotropic medications to relieve manifestations of anxiety and obsessive-compulsive behaviors?
Serotonin
3 multiple choice options
A nurse on a mental health unit is caring for a client.
The nurse is continuing to care for the client. Select the 4 findings that require follow-up by the nurse.
Heart rate
Insomnia
Headache
Bowel sounds
Performance of ADLs
Respiratory rate
Oxygen saturation
Heart rate
Insomnia
Headache
Respiratory rate