ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 25 : Anxiety Disorders: Management of Anxiety, Phobia, and Panic Questions
Question 1 of 5
A nurse who has worked with a client diagnosed with generalized anxiety disorder (GAD) when he was an inpatient on the psychiatric unit sees the client in the waiting room of the outpatient psychiatric clinic. The client motions to the nurse to come over so he can tell the nurse how things have been going since he was discharged. While talking with the client, the nurse determines that the client?s therapy has been effective when the client states which of the following?
Correct Answer: B
Rationale: Going to the workshop (
B) indicates effective coping by using a constructive activity to manage stress from a trigger (mother-in-law?s visits). Persistent stress (
A) suggests ineffective therapy, coffee (
C) can worsen anxiety, and alcohol use (
D) is an unhealthy coping mechanism.
Question 2 of 5
The nurse is caring for a client who is being treated in the emergency department for a panic attack. Which of the following nursing interventions would be most appropriate?
Correct Answer: D
Rationale: Staying with the client and emphasizing safety (
D) provides reassurance and reduces fear during a panic attack. Mimicking anxiety (
A) is inappropriate, leaving the client (
B) increases distress, and discussing prognosis (
C) is less urgent than providing immediate support.
Question 3 of 5
A nurse determines that a client who is experiencing anxiety is using relief behaviors. The nurse determines that the client is experiencing which degree of anxiety?
Correct Answer: C
Rationale: Relief behaviors, such as avoidance or rituals, are typically used in severe anxiety (
C) to reduce overwhelming distress. Mild anxiety (
A) enhances alertness, moderate (
B) involves manageable distress, and panic (
D) involves disorganized behavior, not specific relief behaviors.
Question 4 of 5
A group of students is reviewing information about anxiety disorders in preparation for a class examination. The students demonstrate understanding of the material when they state which of the following?
Correct Answer: B
Rationale: Women experience anxiety disorders more frequently than men (
B), likely due to hormonal and social factors. Anxiety disorders are the most common psychiatric conditions (
A), many are chronic (
C), and prevalence is higher in adolescents than children (
D).
Question 5 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.