Wk. 15 - Anxiety & OCD Practice Questions

Which of the following symptoms are most characteristic of Generalized Anxiety Disorder (GAD)? A. Repetitive checking and washing B. Sudden, untriggered panic attacks C. Persistent, excessive worry about daily life events D. Visual hallucinations

C

A patient diagnosed with Panic Disorder presents to the ED stating, “I feel like I’m dying!” Which physical symptom is most consistent with panic disorder? A. Elevated blood glucose B. Chest pain and shortness of breath C. Abdominal cramping D. Jaundice

B

Which of the following are components of Obsessive-Compulsive Disorder? (Select all that apply) A. Intrusive thoughts about contamination B. Emotional numbing C. Repetitive rituals such as handwashing D. Disorganized speech E. High levels of distress when unable to complete rituals

A,C,E

True or False: Exposure and Response Prevention (ERP) involves both exposing the patient to their fear and allowing them to perform their usual compulsive behaviors.

False

Which of the following best describes the difference between Panic Disorder and GAD? A. GAD includes psychosis; Panic Disorder does not B. GAD involves physical symptoms only, while Panic Disorder involves emotional symptoms C. Panic attacks in Panic Disorder are sudden and untriggered; GAD involves chronic worry D. GAD is treated only with benzodiazepines; Panic Disorder is not

C

What is the primary purpose of benzodiazepines in treating anxiety? A. Treating long-term anxiety disorders B. Curing obsessive-compulsive behavior C. Providing rapid relief of acute anxiety symptoms D. Increasing serotonin levels over time

C

Which of the following are evidence-based treatments for anxiety disorders? (Select all that apply) A. EMDR B. Exposure therapy C. CBT D. Electroconvulsive therapy E. SSRIs

A,B,C,E

True or False: SSRIs are considered first-line pharmacologic treatment for both Panic Disorder and OCD.

True

Which of the following is a common physical symptom seen in clients with GAD? A. Tardive dyskinesia B. Alopecia C. Muscle tension D. Weight gain

C

A nurse is teaching a client with high anxiety how to perform relaxation techniques. Which techniques are appropriate? (Select all that apply) A. Diaphragmatic breathing B. Progressive muscle relaxation C. Visualizing a safe space D. Memory suppression exercises E. Imagining worst-case scenarios

A,B,C

What are two significant side effects of buspirone? A. Sedation and dependence B. Dizziness and headache C. Diarrhea and bradycardia D. Hypertension and rash

B

True or False: OCD typically begins in late adulthood and is usually triggered by physical illness.

False

Which nursing interventions can help reduce anxiety in hospitalized clients? (Select all that apply) A. Maintain a calm environment B. Encourage 5 cups of coffee per day for focus C. Offer frequent orientation and information D. Encourage relaxation techniques E. Engage in structured activities if tolerated

A,C,D,E

Which medication is most appropriate for rapid relief of acute anxiety symptoms in a crisis setting? A. Fluoxetine B. Buspirone C. Alprazolam D. Sertraline

C

Which of the following side effects are most associated with long-term use of SSRIs? (Select all that apply) A. GI upset B. Sexual dysfunction C. Sedation D. Tachycardia E. Hallucinations

A,B

Which approach is considered a lifestyle intervention for anxiety management? A. Hypnosis B. Nutrition and exercise C. Repetitive exposure to trauma D. Memory enhancement therapy

B

True or False: Benzodiazepines carry a high risk of addiction and should be used short-term.

True

A nurse suspects a patient may have OCD. What behavior supports this suspicion? A. Talking excessively about their feelings B. Pacing and handwringing when upset C. Engaging in repetitive checking behaviors to reduce anxiety D. Crying when discussing past trauma

C

What is the focus of Cognitive Behavioral Therapy (CBT) for anxiety disorders? A. Reducing dopamine levels B. Addressing childhood memories C. Identifying and changing distorted thought patterns D. Inducing a mild seizure to reset mood

C

Which of the following represent appropriate evidence-based nursing education for a patient with OCD? (Select all that apply) A. “Try to avoid any situation that makes you anxious.” B. “Exposure to your fear with help over time can reduce your distress.” C. “You may experience discomfort initially, but that’s part of treatment.” D. “Let’s help you understand your rituals so you can perform them more easily.” E. “You don’t have to do your compulsions — this will help retrain your brain.”

B,C,E