Question 1

The nurse clarifies that anxiety disorders differ from normal anxiety in that anxiety disorders:

Accepted Answer

A)  develop into suicidal tendencies.
B)  are seldom controlled.
C)  interfere with effective functioning.
D)  make maintenance of relationships impossible. C

Question 2

The nurse is caring for a patient admitted with a diagnosis of serotonin syndrome.Which will most likely be included in the plan of treatment?

Accepted Answer

A)  Antihypertensive medications
B)  Intravenous therapy
C)  Large doses of antianxiety medications
D)  Sedatives B

Question 3

The nurse is reviewing the medical history of a patient who is being evaluated for anorexia nervosa.Which characteristic(s)would be consistent with the condition? (Select all that apply.)

Accepted Answer

A)  Loss of 2 to 3 pounds in the past month
B)  Binge eating
C)  Frequent mood changes
D)  Absence of three consecutive menstrual periods
E)  Body weight less than 85% of what is expected for height and weight C,D,E

Question 4

The nurse reviews the nursing considerations related to the administration of lithium,which include: (Select all that apply.)

Accepted Answer

A)  drug should be taken on an empty stomach.
B)  fluids should be restricted to 1000 mL daily.
C)  ensure frequent blood levels are drawn.
D)  encourage contraception to avoid pregnancy while on drug.
E)  avoid caffeine.

Question 5

The nurse observes a coworker who is always behind because he checks and rechecks the accuracy of his medication dosages.Even after being reassured his dosages are correct,he checks them again.The nurse suspects her coworker to be suffering from:

Accepted Answer

A)  perfectionism.
B)  phobic disorder.
C)  obsessive-compulsive disorder (OC
D)  .
D)  general anxiety disorder.

Question 6

The nurse points out that a persistent irrational fear of a specific object or situation that causes anxiety that interferes with responsibilities is a(n)_________.

Accepted Answer

The answer of The nurse points out that a persistent...

Question 7

A patient is considering having electroconvulsive therapy to treat his severe depression.Which statements indicate the patient has an understanding of the procedure? (Select all that apply.)

Accepted Answer

A)  "My treatment plan will include treatments once every other month."
B)  "The shock will cause me to have a short seizure."
C)  "This treatment is often more successful than medications."
D)  "I will have to be hospitalized the day before and after the treatments for observation."
E)  "The treatments will be performed in the early morning hours."

Question 8

The nurse is aware that chlorpromazine (Thorazine)is given along with lithium carbonate because:

Accepted Answer

A)  lithium takes up to 2 weeks to reach therapeutic level.
B)  Thorazine reduces the threat of lithium toxicity.
C)  Thorazine lowers blood pressure.
D)  Thorazine synergizes the lithium.

Question 9

A patient who has been on lithium for 5 days walks up the hall singing loudly and gaily greets everyone he sees.He is a little unsteady in his walker.He asks for more ice water saying he is very thirsty and complaining of insomnia.The nurse would report the observation of:

Accepted Answer

A)  manic behavior.
B)  unsteady gait.
C)  thirst.
D)  insomnia.

Question 10

An older adult resident in a long-term care facility has come to the desk for the fourth time in an hour with various minor complaints.He continues to wander about aimlessly.The nurse examines the patient's chart and finds the newly prescribed drug that may explain his anxious behavior,which would be:

Accepted Answer

A)  Tylenol 32 mg PO every 4 hours for pain.
B)  theophylline 100 mg bid for asthma.
C)  bisacodyl tabs 2 prn for constipation.
D)  lisinopril 10 mg bid for hypertension.

Question 11

The nurse assesses the patient for the signs and symptoms that characterize a major depressive disorder,which are: (Select all that apply.)

Accepted Answer

A)  euphoria.
B)  psychomotor retardation.
C)  indecisiveness.
D)  sleep disturbances.
E)  suicidal ideation.

Question 12

While the nurse is helping the dialysis patient dress to go to her dialysis treatment,the patient bursts into tears and says,"I can't go! I can't stand another day in that awful place.I will die if I have to go!" The nurse's best intervention would be to:

Accepted Answer

A)  stop the dressing process, sit down, and calmly ask, "Let's talk about how you are feeling."
B)  continue to dress the patient and say, "You'll feel better after you have had your dialysis treatment."
C)  stop the dressing process and ask, "Are you aware that you can get sicker if you don't go?"
D)  continue dressing the patient and say, "We'll have to hurry if you are to eat breakfast before you go."

Question 13

The nurse assesses data about a depressed patient that increase the probability of his being suicidal,which are: (Select all that apply.)

Accepted Answer

A)  owning a gun collection.
B)  living with wife and three children.
C)  being an active member of the local church.
D)  having a plan to shoot himself in a motel.
E)  having a brother that recently committed suicide.

Question 14

The nurse is aware that unless effective intervention occurs for demonstrated anxiety disorders,the anxiety will:

Accepted Answer

A)  be self-limiting.
B)  force the person to seek medical intervention.
C)  develop into a full-blown psychosis.
D)  return at a greater level of severity.

Question 15

The nurse is aware that the basic drive behind the patient's anorexia nervosa is to:

Accepted Answer

A)  be sexually desirable by staying slender.
B)  be involved with preparation of food, but not eating it.
C)  punish self by denial of adequate nutrition.
D)  gain a sense of control by limiting food intake.

Question 16

The nurse takes into consideration that it is estimated that _____% of the population will have some form of anxiety disorder.

Accepted Answer

The answer of The nurse takes into consideration that it...

Question 17

A resident in a long-term care facility who has generalized anxiety disorder (GAD)enters the dining room on her walker and discovers that her regular place has been taken by a visitor.The resident becomes agitated and says,"I need my place so I can eat! I can't eat unless I am in my place!" The nurse's most effective intervention would be to say:

Accepted Answer

A)  "Go sit with Mrs. Smith right now. There is no one else at her table now."
B)  "We'll eat over here for lunch and at your regular place for supper."
C)  "Don't be silly! That chair is no different from any other chair in the room."
D)  "If you don't eat, you will be hungry."

Question 18

The depressed patient who has been taking amitriptyline (Elavil)for the past 2 weeks complains of still feeling depressed and wants to abandon the drug.The nurse's most helpful response would be:

Accepted Answer

A)  "All drugs don't work for all people. I will talk to the physician about a new order for a different drug."
B)  "You probably should quit taking Elavil if it is not helping you."
C)  "Sometimes drinking a small glass of wine with meals helps."
D)  "These drugs take several weeks to become effective."

Question 19

The nurse reminds the patient who has just been prescribed diazepam (Valium)to use it with caution as this drug can cause:

Accepted Answer

A)  dependency.
B)  urine retention.
C)  severe dehydration.
D)  hallucinations.

Question 20

The nurse takes into consideration that when a depressed person presents herself as "sad" the term takes on the meaning of being:

Accepted Answer

A)  fatigued and gloomy.
B)  physically unclean.
C)  hopeless and worthless.
D)  suicidal.

Exam 46: Care of Patients With Anxiety, mood, and Eating Disorders