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
Following a severe automobile accident, the client reports insomnia and terrifying nightmares. The symptoms persist for months. Diagnostic testing reveals no physical basis for these recurrent symptoms. These symptoms suggest the client is experiencing which of the following?
Correct Answer: D
Rationale: Post-traumatic stress disorder (PTS
D) is a condition of delayed anxiety response that can occur after an emotionally traumatic event. The circumstances of the event can be an actual or threatened injury to self or others. Exaggerated fear, panic attack, and phobic disorder are not indicated with insomnia and/or nightmares following a traumatic event.
Question 2 of 5
The client recounts to the nurse an instance of jumping onto the hood of a car to avoid an approaching dog, and reports feeling embarrassed by this reaction. The client discloses suffering from a severe dog bite in childhood. The nurse classifies this symptom as which of the following?
Correct Answer: C
Rationale: Phobic disorders are those conditions in which a person manifests an exaggerated fear. When a person with a phobic disorder is exposed to the fear-causing stimuli, the symptom of anxiety can reach panic levels. Generalized anxiety is related to chronic worrying. Panic disorder can lead to intense fear that precipitates escaping to a safer place but is less specific to phobic disorder in this case. PTSD is not indicated.
Question 3 of 5
The nurse is evaluating an older adult client who, for the past year, has been constantly fretful and worries about finances, living alone, and being lonely. The nurse understands these are symptoms of which type of anxiety disorder?
Correct Answer: A
Rationale: Generalized anxiety disorder is characterized by chronic, daily worrying for 6 months or more. Phobic disorder is characterized by an exaggerated and irrational fear, such as the fear of insects, animals, or various life experiences such as riding on a roller coaster or flying on an airplane, some of which are potentially dangerous. Posttraumatic stress disorder is a condition that involves a delayed anxiety response 3 or more months after an emotionally traumatic experience. Obsessive-compulsive disorder is manifested by the performance of an anxiety-relieving ritual to terminate a disturbing, persistent, and recurring thought.
Question 4 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 5 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.