ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 25 : Anxiety Disorders: Management of Anxiety, Phobia, and Panic Questions
Question 1 of 5
A nurse is preparing an in-service presentation about panic disorders and associated theories related to the cause. When describing the cognitive-behavioral concepts associated with panic disorders, which of the following would the nurse expect to address?
Correct Answer: B
Rationale: Cognitive-behavioral theory links panic disorder to a conditioned response (
B), where physical sensations are misinterpreted as catastrophic, triggering panic. Personal losses (
A), early separation (
C), and dysfunctional communication (
D) are more relevant to psychoanalytic theories.
Question 2 of 5
A nurse is developing the plan of care for a client with panic disorder that will include pharmacologic therapy. Which of the following would the nurse most likely expect to administer?
Correct Answer: B
Rationale: SSRIs (
B) are the first-line treatment for panic disorder due to their efficacy and safety profile for long-term management. Benzodiazepines (
A) are used short-term, MAOIs (
C) and TCAs (
D) are less preferred due to side effects and dietary restrictions.
Question 3 of 5
A client with panic disorder who has been prescribed sertraline in conjunction with alprazolam comes to the clinic for a follow-up. The client states, I stopped taking the alprazolam about 2 days ago. I was feeling really sleepy and tired. Which of the following would alert the nurse to suspect possible withdrawal? Select all that apply.
Correct Answer: B,D
Rationale: Abrupt cessation of alprazolam, a benzodiazepine, can cause withdrawal symptoms like irritability (
B) and tremor (
D) due to central nervous system rebound. Metallic taste (
A), dry skin (
C), and muscle flaccidity (E) are not typical withdrawal symptoms.
Question 4 of 5
A group of students is reviewing information about the etiology of generalized anxiety disorder (GAD). The students demonstrate understanding of this information when they identify which of the following as representing the psychoanalytic theory for this disorder?
Correct Answer: D
Rationale: Psychoanalytic theory attributes GAD to unresolved unconscious conflicts (
D), such as repressed emotions from early experiences. Inaccurate danger assessment (
A) is cognitive, stressful events (
B) are environmental, and kindling (
C) is a neurobiological concept.
Question 5 of 5
A nurse is developing a teaching plan for a client with generalized anxiety disorder, focusing on nutrition. Which of the following would the nurse encourage the client to avoid? Select all that apply.
Correct Answer: A,B
Rationale: Coffee (
A) and ginseng (
B) are stimulants that can exacerbate anxiety symptoms in GAD. Milk products (
C), citrus juices (
D), and aged cheese (E) are not typically contraindicated unless specific sensitivities exist.