Exam 27: Anxiety-Related, Obsessive-Compulsive, Trauma- and Stressor-Related, Somatic, and Dissociative Disorders

A patient says, "I have the same continuous and intrusive thoughts that my house is contaminated with lethal bacteria. I spend hours cleaning the walls, floors, and furniture." These symptoms are most consistent with which diagnosis?

A priority focus of milieu management for a patient diagnosed with dissociative identity disorder ( DID ) should be:

The effects of stress can be seen by measurement of clinical changes of the body. This statement is a tenet of which theorist?

A patient is hospitalized with blindness of sudden onset. According to the spouse, the patient entered a room and found the spouse in a romantic embrace with a neighbor. The patient is unconcerned about the blindness and says, "I'm sure things will turn out all right." Which term best describes this reaction?

A nurse is assigned to care for a patient diagnosed with moderate (+2) anxiety. Which assessment findings are most likely?

Which term describes the final stage in the normal process of anxiety?

A patient with panic attacks awakens from sleep complaining of chest pain. The patient is diaphoretic and breathlessly says, "I feel like I'm going to die." Select the nurse's priority action.

If a patient's threshold set point for anxiety is lowered, the nurse can expect subsequent stressors to:

A patient diagnosed with OCD paces up and down the corridor counting every tile. Select the nurse's best action.

Which principle best applies to care of a patient diagnosed with conversion disorder?

The nurse would expect which comment from a patient diagnosed with depersonalization disorder?

An anxious patient has distorted perceptions and ineffective reasoning. On an anxiety rating scale, the nurse would expect to record the patient's level of anxiety as:

After a mass transit disaster many injured patients are expected at the emergency room. The nurse expects victims to have which assessment findings?

Which intervention should the nurse use first when caring for a patient experiencing anxiety?

Select the most important assessment question to ask a patient suspected of having a dissociative disorder.

Which statement by an individual with PTSD best indicates that treatment was effective?

A patient diagnosed with obsessive-compulsive disorder ( OCD ) experiences improvement after beginning treatment with a selective serotonin reuptake inhibitor ( SSRI ). This phenomenon supports the theory that OCD is associated with:

The nurse is assigned to care for a patient with moderate anxiety (+2). The most effective nursing intervention will be:

A driver was trapped in a car for several hours after an earthquake caused a bridge to collapse. A year later this person still has nightmares and reexperiences feelings of fear associated with being trapped in the car. The assessment findings are consistent with symptoms of:

What is the nurse's initial action when working with a patient with PTSD?