ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 25 : Anxiety Disorders: Management of Anxiety, Phobia, and Panic Questions
Question 1 of 5
A group of students is reviewing the signs and symptoms associated with anxiety. The students demonstrate an understanding of the information when they identify which of the following as cognitive symptoms? Select all that apply.
Correct Answer: B,C,E
Rationale: Cognitive symptoms of anxiety include feelings of unreality (
B), difficulty concentrating (
C), and apprehensiveness (E), reflecting mental processing disruptions. Edginess (
A) is emotional, tunnel vision (
D) is perceptual, and speech dysfluency (F) is behavioral.
Question 2 of 5
A client is diagnosed with generalized anxiety disorder and is prescribed medication therapy. Which agent would the nurse expect to administer to the client to obtain the quickest relief from anxiety symptoms?
Correct Answer: C
Rationale: Alprazolam (
C), a benzodiazepine, provides the fastest relief from anxiety symptoms due to its rapid onset. Buspirone (
A) and venlafaxine (
B) take weeks to be effective, and imipramine (
D), a TCA, is slower and less used for GAD.
Question 3 of 5
The nurse is planning a presentation to a group of nursing students on the topic of anxiety disorders. Which of the following would the nurse include when describing panic disorder?
Correct Answer: A
Rationale: Panic disorder (
A) is characterized by sudden, intense fear often mistaken for a heart attack due to symptoms like chest pain and palpitations. Agoraphobia (
B) typically increases attack frequency due to fear of public spaces, onset is often earlier than 30 (
C), and depression is a common comorbidity (
D), making these options incorrect.
Question 4 of 5
A client comes to the emergency department because he thinks he is having a heart attack. Further assessment determines that the client is not having a heart attack but is having a panic attack. When beginning to interview the client, which question would be most appropriate for the nurse to use?
Correct Answer: B
Rationale: Asking about the client?s experiences before and during the attack (
B) gathers critical information about triggers and symptoms, aiding in confirming the panic attack diagnosis and planning care. Asking about feeling better (
A) is premature, driving ability (
C) is irrelevant during acute assessment, and causes (
D) are less urgent than symptom details.
Question 5 of 5
A client with a panic disorder has been prescribed a benzodiazepine medication. Which of the following would the nurse emphasize as a risk associated with using this medication?
Correct Answer: B
Rationale: Benzodiazepines (
B) carry a significant risk of withdrawal symptoms, including anxiety and seizures, if stopped abruptly, necessitating careful tapering. Dietary restrictions (
A) apply to MAOIs, agitation (
C) is a symptom not a risk, and fecal impaction (
D) is unrelated.