ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 68 Questions
Question 1 of 5
Which provides the best data to support the diagnosis of anxiety disorder in clients of any age? Select all that apply.
Correct Answer: C,D
Rationale: Diagnosing of most clients with anxiety disorders is based on presenting symptoms and client history. MRI and CT scans can be done to rule out brain pathology and other physiologic causes. Alcohol, prescription drugs, as well as over-the-counter drugs can alter findings or contribute to symptoms presented but are not the best data to base a diagnosis of anxiety disorder.
Question 2 of 5
While caring for an older adult client, the nurse notices the client is exhibiting increased episodes of forgetfulness, restlessness, and anxiety. Which assessment data is most significant for this client?
Correct Answer: C
Rationale: Determining the client has suffered the recent loss of spouse may be the cause of increased anxiety.Anxiety may manifest in the older adult as confusion or change in behavior. Loss in functioning and ability to care for own ADLs can also bring about added anxiety and concern. Age at time of retirement is not significant. Involvement in activities and hobbies can help determine the coping used to deal with stress.
Question 3 of 5
The client recounts to the nurse an instance of jumping onto the hood of a car to avoid an approaching dog, and reports feeling embarrassed by this reaction. The client discloses suffering from a severe dog bite in childhood. The nurse classifies this symptom as which of the following?
Correct Answer: C
Rationale: Phobic disorders are those conditions in which a person manifests an exaggerated fear. When a person with a phobic disorder is exposed to the fear-causing stimuli, the symptom of anxiety can reach panic levels. Generalized anxiety is related to chronic worrying. Panic disorder can lead to intense fear that precipitates escaping to a safer place but is less specific to phobic disorder in this case. PTSD is not indicated.
Question 4 of 5
What is a true statement regarding a panic disorder?
Correct Answer: C
Rationale: In panic disorder, the first instinct is to escape to a safer place. Episodes of panic may last minutes to less than 1 hour and then spontaneously subside. People who are affected experience an abrupt onset of physical symptoms and terror that include intense apprehension.
Question 5 of 5
The nurse is caring for a client diagnosed with PTSD. The client is exhibiting withdrawal and ignoring problems and issues. The nurse recognizes this as which of the following?
Correct Answer: C
Rationale: Initially, a person diagnosed with PTSD avoids dealing with the tragedy and detaches from others using a technique termed psychic numbing. Social phobia is a fear of being in social places. Flashbacks are recurrent nightmares. Guilt may occur from emotional conflicts related to the traumatic experience.