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
What is a side effect of beta-adrenergic blockers?
Correct Answer: C
Rationale: Major side effects of beta-adrenergic blocking agents include bradycardia and elevated blood glucose levels. They do not cause sedation, hyperglycemia, or addiction.
Question 2 of 5
Which type of therapy assists the clients to alter their irrational thinking?
Correct Answer: D
Rationale: Cognitive therapy is a type of psychotherapy in which the therapist helps clients alter their irrational thinking, correct their faulty belief systems, and replace negative self-statements with positive ones. Desensitization involves providing emotional support while gradually exposing a person to whatever it is that provokes anxiety. Behavioral therapy attempts to extinguish undesirable responses by learning other adaptive techniques. Psychopharmacology is the use of medications to treat various disorders.
Question 3 of 5
Which of the following is a behavioral manifestation of panic anxiety?
Correct Answer: C
Rationale: Fragmented thoughts are a manifestation of panic anxiety. The presence of muscle tenseness is a physical manifestation. In moderate anxiety, perception narrows; in mild anxiety, reality is intact.
Question 4 of 5
The client who is waiting to be transported to the operating room tells the nurse of a fear of waking up during the operation. The client is visibly upset with sweaty palms, wringing of the hands, and increased heart rate. Which is the best action to be taken by the nurse?
Correct Answer: D
Rationale: The primary goal for nursing management of this client is to restore comfort. The nurse should validate the client's feelings, remain present, and share concerns with the anesthesiologist. If the client's fear cannot be calmed, the surgery may need to be postponed. Allowing the client to spend time with the family may be helpful but does not address the fear of anesthesia. The presence of clergy may be calming for a client with spiritual needs. Restoring calm and comfort to the client is important prior to procedures.
Question 5 of 5
A client is scheduled for magnetic resonance imaging (MRI) of the head and neck. Which action by the nurse would be most helpful in calming the anxious client?
Correct Answer: B
Rationale: Building trust and restoring comfort can be accomplished when the nurse allows the client to verbalize anxiety. Identifying the problem and exploring possible solutions may be helpful in decreasing anxiety. The physician may prescribe an antianxiety medication to the client prior to testing. Antianxiety drugs work but conversation is more immediate and safer. Knowing the client can call for assistance during the testing may be helpful in decreasing anxiety. But calling for assistance does not help the client in the moment. Discussion of other clients is not helpful in this situation.