Chapter 68: Caring for Clients With Anxiety Disorders - Nurselytic

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Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition

Chapter 68 : Caring for Clients With Anxiety Disorders Questions

Question 1 of 5

Which provides the best data to support the diagnosis of anxiety disorder in clients of any age? Select all that apply.

Correct Answer: C,D

Rationale: Diagnosing of most clients with anxiety disorders is based on presenting symptoms and client history. MRI and CT scans can be done to rule out brain pathology and other physiologic causes. Alcohol, prescription drugs, as well as over-the-counter drugs can alter findings or contribute to symptoms presented but are not the best data to base a diagnosis of anxiety disorder.

Question 2 of 5

A client who reports moderate to severe anxiety requires intervention. What technique(s) suggested by the nurse would be helpful in assisting this client in the management of anxiety? Select all that apply.

Correct Answer: C,D

Rationale: Visualizing a relaxing place is using imagery to relax the client. Listening to music can be a distraction and help to lessen anxiety-provoking stimuli. Slow breathing, taking a warm shower, avoiding alcohol and nicotine, and progressively relaxing muscle groups are additional techniques that are helpful to decrease anxiety.

Question 3 of 5

To develop a therapeutic relationship with an anxious client, the nurse looks for ways to build trust. What nursing intervention is most likely to help the nurse gain the client's trust?

Correct Answer: C

Rationale: Building trust is especially critical to developing a therapeutic relationship with an anxious client. Being available and attentive to the client's requirements contributes to this trust. The nurse should not leave an anxious client alone, especially during a new or potentially frightening experience.
To manage an anxious client's restricted attention and concentration, directions or explanations must be simple, brief, and repeated frequently to implement adjusting teaching.

Question 4 of 5

Clients with obsessive-compulsive disorder (OCD) may exhibit what sign or symptom?

Correct Answer: D

Rationale: Clients with OCD may feel compelled to perform the same act repeatedly for a specific number of times or in a prescribed sequence and acknowledge performing ritualistic behaviors. Persons with social phobia experience fear of situations in which they may capture the attention of others. Post-traumatic stress disorder (PTS
D) is a condition that involves a delayed anxiety response. Initially, the affected person avoids dealing with the tragedy and detaches from others using a technique that is referred to as psychic numbing.

Question 5 of 5

Which level of anxiety is constructive and prepares a person to take action in appropriate situations?

Correct Answer: C

Rationale: Mild anxiety is constructive and prepares a person to take action in appropriate situations. In moderate anxiety, the person is more easily distracted. The attention span decreases in severe anxiety. In panic anxiety, the person exaggerates details.

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