Chapter 19 Anxiety Disorders

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Chapter 19  Anxiety Disorders

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

 

A client who has been admitted for an appendectomy states, “I’m really afraid of the surgery because my mother died when she was admitted for an emergency surgery.” When preparing to work with the client about her anxiety about the surgery, you recognize what?
A)
The client is expressing her fear about the surgery. Her fear is her body’s physiologic and emotional response to a known danger.
B)
The client has “signal anxiety,” which is always the first symptom of anxiety.
C)
The client has “trait anxiety,” and this reflects her anger toward her mother’s surgeon.
D)
The client is expressing “free-floating anxiety” and needs to have medication in order to bring it under control.
Ans:
A

Feedback:

Fear is different from anxiety. It is the body’s physiologic and emotional response to a known or recognized danger. Signal anxiety is a response to an anticipated event, but it is not always the first symptom of anxiety. Trait anxiety is a component of personality that has been present over a long period and is measurable by observing the person’s physiologic, emotional, and cognitive behaviors. Free-floating anxiety is anxiety that is always present and accompanied by a feeling of dread.

2.
An adolescent client reveals that she is about to take a math test from her tutor. Nursing assessment reveals mild anxiety. You explain that this level of anxiety does what?
A)
Will interfere with her cognitive abilities
B)
Is conducive to concentration and problem solving
C)
May be transferred to her tutor and result in test anxiety
D)
Is pathologic and warrants postponing the test
Ans:
B

Feedback:

Mild anxiety is often helpful to individuals and can assist in maintaining concentration and problem-solving abilities. Moderate to severe anxiety can begin to inhibit an individual’s coping because these levels create physiologic responses (such as tachycardia and sweating) and psychological responses (such as loss of concentration and inability to focus) that may prevent the person from functioning adequately, interfere with cognitive abilities, and become pathologic if not treated adequately.

3.
A client with obsessive–compulsive disorder describes all doorknobs as being contaminated with a variety of viruses. He cleans each knob three times with paper towels before use. Such behavior allows the client to do what?
A)
Punish himself for past infractions
B)
Receive needed attention from others
C)
Temporarily reduce anxiety
D)
Adequately contain his guilt feelings
Ans:
C

Feedback:

Compulsions, such as cleaning the doorknob three times prior to use, are an unconscious mechanism by which the individual can reduce his or her anxiety level. These behaviors often become problematic, as they often eventually interfere with the individual’s activities of daily living.

4.
Eight months ago, a client was in a hotel fire and was the last person to be rescued from the roof. She watched her husband burn to death from the helicopter. She continues to have nightmares and is fearful that she will die in a fire. An appropriate nursing diagnosis for the client is what?
A)
Anxiety related to illusions
B)
Unrealistic fear of fire related to conversion reaction
C)
Sleep pattern disturbance related to recurrent nightmares
D)
Ego disintegration related to severe anxiety
Ans:
C

Feedback:

The appropriate nursing diagnosis is sleep pattern disturbance. The client is not having illusions, nor is her fear of the fire unrealistic. She is not experiencing ego disintegration.

5.
All of the following pharmacological agents are useful in treating anxiety disorders except which ones?
A)
Tricyclic antidepressants
B)
SSRIs
C)
Benzodiazepines
D)
Calcium channel blockers
Ans:
D

Feedback:

Tricyclic antidepressants and SSRIs are known to be useful in reducing anxiety and are sometimes useful in treating the anxiety disorders. Benzodiazepines are an excellent choice for the treatment of symptoms of anxiety; however, they are extremely addictive and should only be given in the case of true anxiety disorders. Calcium channel blockers are not used in treating anxiety disorders.

 

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