Exam 15: Anxiety and Obsessive Compulsive Related Disorders

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A patient preparing for surgery has moderate anxiety and is unable to understand preoperative information.Which nursing intervention is most appropriate?

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A patient performs ritualistic hand washing.Which action should the nurse implement to help the patient develop more effective coping?

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An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromantic.Which defense mechanism is evident?

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A cruel and abusive person often uses rationalization to explain the behavior.Which comment demonstrates use of this defense mechanism?

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Two staff nurses applied for promotion to nurse manager.The nurse not promoted initially had feelings of loss but then became supportive of the new manager by helping make the transition smooth and encouraging others.Which term best describes the nurse's response?

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A nurse wants to teach alternative coping strategies to a patient experiencing severe anxiety.Which action should the nurse perform first?

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A patient experiencing moderate anxiety says,"I feel undone." An appropriate response for the nurse would be:

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A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down.The nurse and patient explore the likelihood of an actual fire.The patient states this event is not likely.This counseling demonstrates principles of:

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A patient diagnosed with obsessive-compulsive disorder has this nursing diagnosis: Anxiety related to __________ as evidenced by inability to control compulsive cleaning.Which phrase correctly completes the etiological portion of the diagnosis?

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A student says,"Before taking a test,I feel very alert and a little restless." -Which nursing intervention is most appropriate to assist the student?

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For a patient experiencing panic,which nursing intervention should be implemented first?

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A patient experiences a sudden episode of severe anxiety.Of these medications in the patient's medical record,which is most appropriate to give as a prn anxiolytic?

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A patient tells a nurse,"My new friend is the most perfect person one could imagine: kind,considerate,and good-looking.I can't find a single flaw." This patient is demonstrating:

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The nurse assesses a patient who complains of loneliness and episodes of anxiety.Which statement by the patient is mostly likely if this patient also has agoraphobia?

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A person who has been unable to leave home for more than a week because of severe anxiety says,"I know it does not make sense,but I just can't bring myself to leave my apartment alone." Which nursing intervention is appropriate?

(Multiple Choice)
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