Exam 27: Anxiety,obsessive-Compulsive,and Related Disorders

A nursing instructor is teaching about the medications used to treat panic disorder.Which student statement indicates that learning has occurred?

A college student is unable to take a final examination because of severe test anxiety.Instead of studying,the student relieves stress by attending a movie.Which is the priority nursing diagnosis that the campus nurse should assign for this client?

A client diagnosed with OCD spends hours bathing and grooming.During a one-on-one interaction,the client discusses the rituals in detail,but avoids any feelings that the rituals generate.Which defense mechanism should the nurse identify?

A client has the following symptoms: preoccupation with imagined defect,verbalizations that are out of proportion to actual physical abnormalities,and numerous visits to plastic surgeons to seek relief.Which nursing diagnosis best describes the problems evidenced by these symptoms?

A client refuses to go on a cruise to the Bahamas with his spouse because of fearing that the cruise ship will sink and all will drown.Using a cognitive theory perspective,the nurse should use which of these statements to explain the etiology of this fear?

How would the nurse differentiate a client diagnosed with a social phobia from a client diagnosed with a schizoid personality disorder (SPD)?

A family member is seeking advice about an elderly parent who seems to worry unnecessarily about everything.The family member asks,"Should I seek psychiatric help for my mother?" Which is the nurse's most appropriate reply?

A cab driver stuck in traffic is suddenly lightheaded,tremulous,and diaphoretic and experiences tachycardia and dyspnea.An extensive work-up in an emergency department reveals no pathology.Which medical diagnosis is suspected,and which nursing diagnosis is the priority?

____________ is an external pressure that is brought to bear on the individual.

The nurse is discussing treatment options with a client whose life has been negatively impacted by claustrophobia.The nurse would expect which of the following behavioral therapies to be most commonly used in the treatment of phobias? Select all that apply.

Which treatment should the nurse identify as most appropriate for clients diagnosed with GAD?

A client diagnosed with Generalized Anxiety states,"I know the best thing for me to do now is to just forget my worries." How should the nurse evaluate this statement?

A client living on the beachfront seeks help with an extreme fear of crossing bridges,which interferes with daily life.A psychiatric nurse practitioner decides to try systematic desensitization.Which explanation of this therapy should the nurse convey to the client?

How would the nurse best describe the major maladaptive client response to panic disorder?

A client is prescribed alprazolam (Xanax)for acute anxiety.Which client history should cause the nurse to question this order?