ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 25 : Anxiety Disorders: Management of Anxiety, Phobia, and Panic Questions
Question 1 of 5
While interviewing a client, the client reports an intense fear of spiders, stating, I can?t be near them. I get so upset. I start to sweat and hyperventilate if I see one. The nurse documents this finding as which of the following?
Correct Answer: C
Rationale: Arachnophobia (
C) is the specific fear of spiders, matching the client?s symptoms of sweating and hyperventilation. Algophobia (
A) is fear of pain, entomophobia (
B) is a broader fear of insects, and cynophobia (
D) is fear of dogs.
Question 2 of 5
After teaching a class about the biochemical theories associated with panic disorder, the instructor determines a need for additional teaching when the students identify which neurotransmitter as being implicated?
Correct Answer: A
Rationale: Serotonin (
B), norepinephrine (
C), and GABA (
D) are implicated in panic disorder due to their roles in anxiety regulation. Dopamine (
A) is primarily linked to psychosis and reward, not panic, indicating a misunderstanding.
Question 3 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 4 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 5 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.