ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 68 : Caring for Clients With Anxiety Disorders Questions
Question 1 of 5
A nurse stops at the scene of an accident and attempts to assist a client who is lying in an overturned vehicle. When the nurse crawls into the vehicle, the client starts screaming 'incoming, incoming' and is violently thrashing and attempting to kick the nurse. Which is the best interpretation by the nurse?
Correct Answer: B
Rationale: The crash situation has brought about a flashback to a previous trauma in the experience of this client. The client is probably dealing with PTSD but this cannot be assumed as a diagnosis by the nurse. Psychic numbing is not indicated. Although it is not unusual for clients who suffer from PTSD to use alcohol or other substances to suppress symptoms, it cannot be assumed that any alcohol was used in this instance or is the root of the accident.
Question 2 of 5
Avoiding places or situations in which panic attacks occur is how the client with agoraphobia manages fears. Which is a common symptom of agoraphobia?
Correct Answer: D
Rationale: People with agoraphobia confine themselves to home where they feel safe. The greatest fear for a person with this disorder is having a panic attack and losing control in public. Peopleâ??family, friends, or strangersâ??are less of an issue than being able to control the location (home). Anxiety disorders such as agoraphobia do not have a logical explanation and cannot be controlled through avoiding feelings of anxiety.
Question 3 of 5
A client who caused a house fire by leaving a pot on the stove often returns home to recheck the burners. The nurse understands this action is performed for which main purpose?
Correct Answer: B
Rationale: This is a symptom of OCD, and the tension-relieving act is performed to reduce anxiety. Guilt feelings are more associated with PTSD or for surviving an event when others died. Although turning off burners may help to avoid another tragedy, the repetition is done to help terminate the persistent thoughts and decrease the anxiety. Repetition is not indicated for forgetfulness.
Question 4 of 5
While caring for an older adult client, the nurse notices the client is exhibiting increased episodes of forgetfulness, restlessness, and anxiety. Which assessment data is most significant for this client?
Correct Answer: C
Rationale: Determining the client has suffered the recent loss of spouse may be the cause of increased anxiety.Anxiety may manifest in the older adult as confusion or change in behavior. Loss in functioning and ability to care for own ADLs can also bring about added anxiety and concern. Age at time of retirement is not significant. Involvement in activities and hobbies can help determine the coping used to deal with stress.
Question 5 of 5
The nurse is caring for a client with an anxiety disorder who is prescribed an antianxiety drug. Which response by the client indicates a need for more teaching regarding the use of this group of medications?
Correct Answer: C
Rationale: The use of drug therapy in the management of anxiety disorders is intended to eliminate or decrease the symptoms of anxiety. The stress becomes more manageable and allows the client to better deal with issues of daily living. Drug therapy does not eliminate the causative factors.