Exam 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders

A patient performs ritualistic hand washing. What should the nurse do to help the patient develop more effective coping strategies?

A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states that a house fire is not likely. This counseling demonstrates the principles of:

If a cruel and abusive person rationalizes this behavior, which comment is most characteristic of this person?

A patient in the emergency department has no physical injuries but exhibits disorganized behavior and incoherence after a minor traffic accident. In which room should the nurse place the patient?

Which assessment question would be most appropriate for the nurse to ask a patient who has possible generalized anxiety disorder (GAD)?

A patient tells the nurse, "I don't go to restaurants because people might laugh at the way I eat, or I could spill food and be laughed at." The nurse assesses this behavior as consistent with:

A patient experiences an episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to administer as an as-needed (PRN) anxiolytic medication?

A patient approaches the nurse and impatiently blurts out, "You've got to help me! Something terrible is happening. My heart is pounding." The nurse responds, "It's almost time for visiting hours. Let's get your hair combed." Which approach has the nurse used?

A patient has a fear of public speaking. The nurse should be aware that social anxiety disorders (social phobias) are often treated with which type of medication?

A patient experiencing severe anxiety suddenly begins running and shouting, "I'm going to explode!" The nurse should:

A person who has been unable to leave home for more than a week because of severe anxiety says, "I know it does not make sense, but I just can't bring myself to leave my apartment alone." Which nursing intervention is appropriate?

A person who feels unattractive repeatedly says, "Although I'm not beautiful, I am smart." This is an example of:

A person who is speaking about a contender for a significant other's affection says in a gushy, syrupy voice, "What a lovely person. That's someone I simply adore." The individual is demonstrating:

Alprazolam (Xanax) is prescribed for a patient experiencing acute anxiety. Health teaching should include instructions to:

A child is placed in a foster home after being removed from parental contact because of abuse. The child is apprehensive and overreacts to environmental stimuli. The foster parents ask the nurse how to help the child. What should the nurse recommend? (Select all that apply.)

A nurse wishes to teach alternative coping strategies to a patient experiencing severe anxiety. The nurse will first need to:

Which comment by a person experiencing severe anxiety indicates the possibility of obsessive-compulsive disorder?

A patient experiencing moderate anxiety says, "I feel undone." An appropriate response for the nurse would be:

A person has minor physical injuries after an automobile accident. The person is unable to focus and says, "I feel like something awful is going to happen." This person has nausea, dizziness, tachycardia, and hyperventilation. What is this person's level of anxiety?

Two staff nurses applied for a charge nurse position. After the promotion was announced, the nurse who was not promoted said, "The nurse manager had a headache the day I was interviewed." Which defense mechanism is evident?