Exam 27: Anxiety, Obsessive-Compulsive, and Related Disorders

A client who has been diagnosed with a phobic disorder asks the nurse if there are any medications that would be beneficial in treating phobic disorders.Which of the following would be accurate responses by the nurse? Select all that apply.

Warren's college roommate actively resists going out with friends whenever they invite him.He says he can't stand to be around other people and confides to Warren "They wouldn't like me anyway." Which disorder is Warren's roommate likely suffering from?

A client is experiencing a severe panic attack.Which nursing intervention would meet this client's immediate need?

A client refuses to go on a cruise to the Bahamas with his spouse because of fearing that the cruise ship will sink and all will drown.Using a cognitive theory perspective,the nurse should use which of these statements to explain to the spouse the etiology of this fear?

A client diagnosed with generalized anxiety states,"I know the best thing for me to do now is to just forget my worries." How should the nurse evaluate this statement?

A client is taking chlordiazepoxide (Librium)for generalized anxiety disorder symptoms.In which situation should a nurse recognize that this client is at greatest risk for drug overdose?

How would a nurse differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD)?

A client is newly diagnosed with obsessive-compulsive disorder and spends 45 minutes folding clothes and rearranging them in drawers.Which nursing intervention would best address this client's problem?

A client living on the beachfront seeks help with an extreme fear of crossing bridges,which interferes with daily life.A psychiatric nurse practitioner decides to try systematic desensitization.Which explanation of this therapy should the nurse convey to the client?

A nurse is discussing treatment options with a client whose life has been negatively impacted by claustrophobia.The nurse would expect which of the following behavioral therapies to be most commonly used in the treatment of phobias? Select all that apply.

A client diagnosed with obsessive-compulsive disorder is admitted to a psychiatric unit.The client has an elaborate routine for toileting activities.Which would be an appropriate initial client outcome during the first week of hospitalization?

A nursing instructor is teaching about the medications used to treat panic disorder.Which student statement indicates that learning has occurred?

A client is prescribed alprazolam (Xanax)for acute anxiety.What client history should cause a nurse to question this order?

A client has the following symptoms: preoccupation with imagined defect,verbalizations that are out of proportion to actual physical abnormalities,and numerous visits to plastic surgeons to seek relief.Which nursing diagnosis would best describe the problems evidenced by these symptoms?

A cab driver stuck in traffic is suddenly lightheaded,tremulous,and diaphoretic and experiences tachycardia and dyspnea.An extensive workup in an emergency department reveals no pathology.Which medical diagnosis is suspected,and what nursing diagnosis takes priority?

A nurse is providing discharge teaching to a client taking a benzodiazepine.Which client statement would indicate a need for further follow-up instructions?

A client diagnosed with an obsessive-compulsive disorder spends hours bathing and grooming.During a one-on-one interaction,the client discusses the rituals in detail but avoids any feelings that the rituals generate.Which defense mechanism should the nurse identify?

A family member is seeking advice about an elderly parent who seems to worry unnecessarily about everything.The family member states,"Should I seek psychiatric help for my mother?" Which is an appropriate nursing reply?

Arthur,who is diagnosed with obsessive-compulsive disorder,reports to the nurse that he can't stop thinking about all the potentially life threatening germs in the environment.What is the most accurate way for the nurse to document this symptom?

A nursing student questions an instructor regarding the order for fluvoxamine (Luvox),300 mg daily,for a client diagnosed with obsessive-compulsive disorder (OCD).Which instructor reply is most accurate?