Anxiety quiz

The nurse observes a client who is becoming increasingly upset. He is rapidly pacing, hyperventilating, clenching his jaw, wringing his hands, and trembling. His speech is high-pitched and random; he seems preoccupied with his thoughts. He is pounding his fist into his other hand. The nurse identifies his anxiety level as:
a. Mild
b. Moderate
c. Severe
d. Panic

C

When assessing a client with anxiety, the nurse's questions should be:
a. Avoided until the anxiety is gone.
b. Open ended
c. Postponed until the client volunteers information
d. Specific and direct

D

Which of the four classes of medications used for panic disorder is considered the safest because of low incidence of side effects and lack of physiologic dependence?
a. Benzodiazepines
b. Tricyclice
c. Monoamine oxidase inhibitors
d. Selective serotonin reuptake inhibitor

D

Which of the following would be the best intervention for a client having a panic attack?
a. Involve the client in a physical activity
b. Offer a distraction such as music.
c. Remain with the client.
d. Teach the client a relaxation technique.

C

A client with GAD states "I have learned that the best thing I can do is to forget my worries." How would the nurse evaluate this statement?
a. The client is developing insight.
b. The client's coping skills have improved.
c. The client needs encouragement to verbalize feelings.
d. The client's treatment has been successful.

C

A client with anxiety is beginning treatment with lorazepam (Ativan). It is most important for the nurse to assess the client's
a. Motivation for treatment
b. Family and social support
c. Use of coping mechanisms
d. Use of alcohol

D

Interventions for a patient with panic disorder would include:
a. Encouraging the client to verbalize feelings.
b. Helping the client to avoid panic-producing situations.
c. Reminding the client to practice relaxation when anxiety level is low.
d. Teaching the client reframing techniques
e. Teaching relaxation exercises to the client.
f. Telling the client to ignore any anxious feelings.

A,C,D,E

When working with a client with moderate anxiety, the nurse would expect to see:
a. Inability to complete tasks.
b. Failure to respond to redirection.
c. Increased automatisms or gestures
d. Narrowed perceptual field
e. Selective attention.
f. Inability to connect thoughts independently

C,D,E, F

A client with OCD is admitted to the hospital due to ritualistic hand washing that occupies several hours each day. The skin on the client's hands is red and cracked, with evidence of minor bleeding. The goal for the client is:
a. Decreasing the time spent washing hands.
b. Eliminating the hand washing rituals
c. Providing milder soap for hand washing
d. Providing good skin care.

A