Exam 15: Anxiety and Obsessive Compulsive Related Disorders

A patient with an abdominal mass is scheduled for a biopsy.The patient has difficulty understanding the nurse's comments and asks,"What do you mean? What are they going to do?" Assessment findings include tremulous voice,respirations 28,and pulse 110.What is the patient's level of anxiety?

A nurse assesses an individual who commonly experiences anxiety.Which comment by this person indicates the possibility of obsessive-compulsive disorder?

A patient fearfully runs from chair to chair crying,"They're coming! They're coming!" The patient does not follow the staff's directions or respond to verbal interventions.The initial nursing intervention of highest priority is to:

A woman is 5'7",160 lbs,and wears a size 8 shoe.She says,"My feet are huge.I've asked three orthopedists to surgically reduce my feet." This person tries to buy shoes to make her feet look smaller and,in social settings,conceals both feet under a table or chair.Which health problem is likely?

A person speaking about a rival for a significant other's affection says in an emotional,syrupy voice,"What a lovely person.That's someone I simply adore." The individual is demonstrating:

A patient in the emergency department shows disorganized behavior and incoherence after a friend suggested a homosexual encounter.In which room should the nurse place the patient?

Which assessment questions would be most appropriate for the nurse to ask a patient with possible obsessive-compulsive disorder? Select all that apply.

A nurse plans health teaching for a patient with generalized anxiety disorder who begins a new prescription for lorazepam (Ativan).What information should be included? Select all that apply.

A student says,"Before taking a test,I feel very alert and a little restless." -The nurse can correctly assess the student's experience as:

A patient experiencing panic suddenly began running and shouting,"I'm going to explode!" Select the nurse's best action.

Two staff nurses applied for a charge nurse position.After the promotion was announced,the nurse who was not promoted said,"The nurse manager had a headache the day I was interviewed." Which defense mechanism is evident?

A patient is experiencing moderate anxiety.The nurse encourages the patient to talk about feelings and concerns.What is the rationale for this intervention?

A child was placed in a foster home after being removed from abusive parents.The child is apprehensive and overreacts to environmental stimuli.The foster parents ask the nurse how to help the child.Which interventions should the nurse suggest? Select all that apply.

When alprazolam (Xanax)is prescribed for a patient who experiences acute anxiety,health teaching should include instructions to:

A nurse assesses a patient with a tentative diagnosis of generalized anxiety disorder.Which question would be most appropriate for the nurse to ask?

A person who feels unattractive repeatedly says,"Although I'm not beautiful,I am smart." This is an example of:

A person has minor physical injuries after an auto accident.The person is unable to focus and says,"I feel like something awful is going to happen." This person has nausea,dizziness,tachycardia,and hyperventilation.What is the person's level of anxiety?

The nurse assesses an adult who is socially withdrawn and hoards.Which nursing diagnoses most likely apply to this individual? Select all that apply.

A patient undergoing diagnostic tests says,"Nothing is wrong with me except a stubborn chest cold." The spouse reports the patient smokes,coughs daily,lost 15 pounds,and is easily fatigued.Which defense mechanism is the patient using?

A patient fearfully runs from chair to chair crying,"They're coming! They're coming!" The patient does not follow the staff's directions or respond to verbal interventions.Which nursing diagnosis has the highest priority?