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Test Bank for Psychiatric Nursing: Contemporary Practice

Chapter 25 Questions

Question 1 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 2 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 3 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 4 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 5 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).

Similar Questions

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?
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?
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?
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.
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.

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