Exam 10: Anxiety and Anxiety Disorders

The head nurse in the ED has received word that a major fire in a high-rise office tower will result in many injured persons being brought to the hospital within the next few minutes.The head nurse tells the staff,"You will need to assess for acute stress reactions as well as treating physical problems." Which patient is exhibiting symptoms characteristic of acute stress reaction?

Which considerations should a nurse include when conducting a mental health assessment on a culturally diverse patient? Select all that apply.

A patient is being evaluated for a possible diagnosis of panic disorder with agoraphobia.Which nursing assessment findings support this diagnosis? Select all that apply.

The nurse has been working with a patient who experiences anxiety.Which intervention should the nurse implement initially when the patient is observed pacing and wring her hands?

The nurse notes that a patient being treated for an anxiety disorder is becoming more anxious sitting in a congested,noisy room waiting to see the therapist.Which intervention will the nurse implement initially to assist the patient in de-escalating his anxiety?

A patient is ordered medication therapy to manage the symptoms of anxiety disorder.Which statement by the patient indicates an understanding of the typical classification of medication prescribed for this disorder?

A patient with OCD tells the nurse,"Thinking these thoughts and doing all my rituals is beyond being silly.I have few friends and I know others laugh behind my back.I sometimes think I can control things,but I always find I can't.I don't know if I can continue to live this way." Which assessment question shows the nurse has an understanding of this patient's priority risk?

During a nursing assessment,a teenage patient smiles and states,"I don't care what you say.I want to be just like Mike,the leader of our gang." The nurse understands the defense mechanism being used is:

Which verbal intervention would the nurse use when helping a patient who is experiencing severe to panic-level anxiety?

What is the basis for assessing a male patient who is agoraphobic for panic attacks?

A patient comes to the ED exhibiting severe physical and emotional symptomology.When no physical cause can be found for the symptoms,the patient is diagnosed with severe anxiety with panic attack symptoms.Which assessment data supports this diagnosis? Select all that apply.

A college student diagnosed with high levels of anxiety is being prepared for discharge.Which discharge criteria is appropriate for this patient?

A patient who was savagely attacked by a bear has no memory of the event.Which statement best explains the patient's inability to remember the attack?

A young,married female patient is attracted to a male nurse.When the nurse sets clear boundaries,the patient falsely accuses him of sexual harassment.The nursing supervisor recognizes the defense mechanism of:

Which question would assist the nurse in determining whether the patient has been experiencing anxiety?

The patient was an awkward child who was ridiculed by his father for his inability to catch a ball.As an adult,the patient developed panic attacks at the time his company established after-work team sporting activities.Which data discussed during the nursing interview provides insight to the possible cause of this anxiety disorder when applying the behavioral model?

The nurse is working with a patient with an anxiety disorder whose treatment includes cognitive behavioral therapy.Which statement by the patient gives the nurse reason to assume that the patient has an understanding of the basis of this type of therapy?

A college-aged patient complains that,"when I begin to take a test,I freeze up and my mind goes blank." The nurse will react based on the understanding that this patient's anxiety level is:

The nurse has identified a nursing diagnosis of disturbed thought processes for a patient with obsessive-compulsive disorder.What abilities displayed by the patient would be related to an appropriate outcome for this problem? Select all that apply.

The nurse working with patients diagnosed with posttraumatic stress disorder (PTSD)is aware of the need to intervene early in order to de-escalate a patient's increasing anxiety level.Which patient behavior is likely an early indication of escalating anxiety?