(Unit 3) Chapter 15 Review: Anxiety and Obsessive-Compulsive Disorders

The nurses are providing care for a patient demonstrating behavior associated with moderate levels of anxiety. What questions does the nurse ask initially in attempting to help the patient de-escalate anxiety?

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

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

c. “Can you identify what was happening when your anxiety began to increase?”

d. “Are you feeling anxious right now?”

c. “Can you identify what was happening when your anxiety began to increase?”

Which patient is at increased risk for the development of anxiety will require frequent assessments 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 traumatic brain injury

a. Exacerbation of asthma signs and symptoms

c. History of chronic obstructive pulmonary disease

d. Current treatment for unstable angina pectoris

e. History of traumatic brain injury

Which medication should the nurse be prepared to educate patient on when they are prescribed to selective serotonin reuptake inhibitor (SSRI) for panic attacks?

a. Alprazolam (Xanax)

b. Fluoxerine (Prozac)

c. Clonazepam (Klonopin)

d. Venlafaxine (Effector)

b. Fluoxerine (Prozac)

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 deep breathe in yesterday'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 relaxation exercises for you to review.”

b. “Muscle relaxation promotes the relaxation response.”

c. “ Show me how you learned deep breathe in yesterday'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 relaxation exercises for you to review.”

To maximize the therapeutic effect, which lifestyle practice should the nurse discourage for a patient who has recently been prescribed and anti-anxiety medication?

a. Eating high protein foods

b. Using acetaminophen without first discussing it what the healthcare provider

c. Taking medication 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. Buying a large coffee with sugar and extra cream each morning on the way to work

During 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 make 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. it's afraid to say something foolish

a. The inherited shyness trait

Isabella's 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 Isabelle states the following:

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

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

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

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

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

The activity of gamma-aminobutyric (GABA) contributes to a slow of neural activity. Which of the following drugs facilitates the action of GABA?

a. Benzodiazepines

b. Antihistamines

c. Anticonvulsants

d. Noradrenergics

a. Benzodiazepines

Samantha's a new patient at the mental hospital clinic and is seeking assistance for what she describes as “severe anxiety”. In addition to daily self-medicating with alcohol, 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 nine

b. Liver enzymes

A home bound patient diagnosed with agoraphobia has been receiving therapy at home. The nurse recognizes effective teaching when the patient states the following:

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

b. “Having groceries delivered is very convenient.”

c. “ My risk of agoraphobia is increased by my family history.”

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

c. “ My risk of agoraphobia is increased by my family history.”