Varcarolis Chapter 15 Qs

The nurse is providing care for a patient demonstrating

behaviors associated with moderate levels of anxiety. What

question should the nurse ask initially in attempting to help

the patient de-escalate the anxiety?

a. “Do you know what will help you manage your anxiety?”

b. “Do you need help to manage your anxiety?”

c. “Can you identify what was happening when your anxi-

ety began to increase?”

d. “Are you feeling anxious right now?”

c

Which patient is at increased risk for the development of

anxiety and will require frequent assessment by the nurse?

Select all that apply.

a. Exacerbation of asthma signs and symptoms

b. History of peanut and strawberry allergies

c. History of chronic obstructive pulmonary disease

d. Current treatment for unstable angina pectoris

e. History of a traumatic brain injury

a, c, d, e

Which medication should the nurse be prepared to educate

patients on when they are prescribed a selective serotonin

reuptake inhibitor (SSRI) for panic attacks?

a. Alprazolam (Xanax)

b. Fluoxetine (Prozac)

c. Clonazepam (Klonopin)

d. Venlafaxine (Effexor)

b

Which statement or statements made by the nurse

demonstrates an understanding of the effective use of

relaxation therapy for anxiety management? Select all

that apply.

a. “Relaxation therapy’s main goal is to prevent exhaustion

by removing muscle tension.”

b. “Muscle relaxation promotes the relaxation response.”

c. “Show me how you learned to deep breathe in yester-

day’s therapy session.”

d. “You’ve said that going to group makes you nervous, so

let’s start relaxing now.”

e. “I’ve given you written descriptions of the various relax-

ation exercises for you to review.”

b, c, d, e

To maximize the therapeutic effect, which lifestyle practice

should the nurse discourage for a patient who has recently

been prescribed an antianxiety medication?

a. Eating high-protein foods.

b. Using acetaminophen without first discussing it with a

healthcare provider

c. Taking medications after eating dinner or while having a

bedtime snack

d. Buying a large coffee with sugar and extra cream each

morning on the way to work

d

In a parent-teacher conference, the school nurse meets with

the parents of a profoundly shy 8-year-old girl. The parents

hold hands, speak softly, respond briefly, and have poor eye

contact. The nurse recognizes that the child is most likely

exposed to parental modeling and

a. The inherited shyness trait

b. A lack of affection in the home

c. Severe punishment by the parents

d. Is afraid to say something foolish

a

Isabel is a straight-A student, yet she suffers from severe test

anxiety and seeks medical attention. The nurse interviews

Isabel and develops a plan of care. The nurse recognizes

effective teaching about mild anxiety when Isabel states the

following:

a. “I would like to try a benzodiazepine for my anxiety.”

b. “If I study harder, my anxiety level will go down.”

c. “Mild anxiety is okay because it helps me to focus.”

d. “I have fear that I will fail at college.”

c

The activity of gamma-aminobutyric acid (GABA) contrib-

utes to a slowing of neural activity. Which of the following

drugs facilitate the action of GABA?

a. Benzodiazepines

b. Antihistamines

c. Anticonvulsants

d. Noradrenergics

a

Samantha is a new patient at the mental health clinic and

is seeking assistance for what she describes as “severe

anxiety.” In addition to daily self-medicating with alco-

hol, Samantha describes long-term use of herbal kava.

The nurse practitioner knows that kava is associated

with inhibiting P450 and orders which of the following

tests?

a. Electrocardiogram

b. Liver enzymes

c. Glomerular filtration rate

d. Complete blood count

b

A homebound patient diagnosed with agoraphobia

has been receiving therapy at home. The nurse recog-

nizes effective teaching when the patient states the fol-

lowing:

a. “I may never leave the house again.”

b. “Having groceries delivered is very convenient.”

c. “My risk for agoraphobia is increased by my family his-

tory.”

d. “I will go out again someday, just not today.”

c