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NUR 205 QUIZ 3/Test
NUR 205 QUIZ 3/Test 3
| Question | Answer |
|---|---|
| When assessing a client with anxiety, the nurse’s questions should be | specific and direct |
| The best goal for a client learning a relaxation technique is that the client will | confront the source of anxiety directly. |
| Which class of medication used for panic disorder is considered the safest because of low incidence of side effects and lack of physiological dependence? | SSRIs |
| What would be the best intervention for a client having a panic attack? | Remain with the client. |
| The nurse observes a male client who is becoming increasingly upset. He is rapidly pacing, hyperventilating, clenching his jaw, wringing his hands, and trembling. His speech is high-pitched and random; he seems preoccupied with his thoughts. He is pounding his fist into his other hand. The nurse identifies his anxiety level as | severe |
| A client with GAD (General Anxiety Disorder) states, “I have learned that the best thing I can do is to forget my worries.” How would the nurse evaluate this statement? | The client needs encouragement to verbalize feelings. |
| A client with anxiety is beginning treatment with lorazepam (Ativan). It is most important for the nurse to assess the client’s | use of alcohol |
| Actions for a client with panic disorder would include | encouraging the client to verbalize feelings. reminding the client to practice relaxation when anxiety level is low. teaching the client reframing techniques. teaching relaxation exercises to the client. |
| When working with a client with moderate anxiety, the nurse would expect to see: | Perceptual field narrowed to immediate task Selectively attentive Cannot connect thoughts or events independently Increased use of automatisms |
| True or False Anxiety and fear are considered to be two different things. | True |
| Selective mutism | diagnosed in children when they fail to speak in social situations even though they are able to speak |
| Defense mechanisms | cognitive distortions that a person uses unconsciously to maintain a sense of being in control of a situation, to lessen discomfort, and to deal with stress; also called ego defense mechanisms |
| Agoraphobia | fear of being outside; from the Greek fear of the marketplace |
| Panic disorder | composed of discrete episodes of panic attacks, that is, 15 to 30 minutes of rapid, intense, escalating anxiety in which the person experiences great emotional fear as well as physiological discomfort |
| Severe anxiety | an increased level of anxiety when more primitive survival skills take over, defensive responses ensue, and cognitive skills decrease significantly; person with severe anxiety has trouble thinking and reasoning |
| Moderate anxiety | the disturbing feeling that something is definitely wrong; the person becomes nervous or agitated |
| Mild anxiety | a sensation that something is different and warrants special attention |
| Gamma-aminobutyric acid (GABA) | amino acid neurotransmitter reduces anxiety |
| Positive reframing | a cognitive–behavioral technique involving turning negative messages into positive ones |
| Decatastrophizing | a technique that involves learning to assess situations realistically rather than always assuming a catastrophe will happen |
| Assertiveness training | techniques using statements to identify feelings and communicate needs and concerns to others; helps the person negotiate interpersonal situations, fosters self-assurance, and ultimately assists the person to take more control over life situations |
| Rumination | repeatedly going over the same thoughts |
| The elderly are usually given which medication for anxiety? | Selective serotonin reuptake inhibitor (SSRI) |
| Automatism | repeated, seemingly purposeless behaviors often indicative of anxiety, such as drumming fingers, twisting locks of hair, or tapping the foot; unconscious mannerism (repeated motions) |
| Which finding would a nurse expect to assess in a client with a panic disorder? | Automatisms |
| Phobia | an illogical, intense, and persistent fear of a specific object or social situation that causes extreme distress and interferes with normal functioning |
| Examples of specific phobias | natural environment injections/blood situational animal |
| True or False Phobias results from past negative experiences. | False |
| To be diagnoses with anxiety you must have symptoms for at least | 6 months |
| Obsessions | Recurrent and persistent thoughts, urges, or images that are experienced at some time during the disturbance as intrusive and unwanted and that in most individuals cause marked anxiety or distress |
| obsessive–compulsive personality disorder | characterized by a pervasive pattern of preoccupation with perfectionism, mental and interpersonal control, and orderliness at the expense of flexibility, openness, and efficiency |
| compulsions | The behaviors or mental acts are aimed at preventing or reducing anxiety or distress or preventing some dreaded event or situation; however, these behaviors or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive. |
| dermatillomania | compulsive skin picking, often to the point of physical damage; an impulse control disorder |
| A client with OCD is admitted to the hospital owing to ritualistic hand washing that occupies several hours each day. The skin on the client’s hands is red and cracked, with evidence of minor bleeding. The goal for this client is | decreasing the time spent washing hands. |
| What would be an appropriate intervention for a client with OCD who has a ritual of excessive constant cleaning? | A structured schedule of activities throughout the day |
| Clients with OCD often have exposure/response prevention therapy. Which statement by the client would indicate positive outcomes for this therapy? | “I can tolerate the anxiety caused by obsessive thinking.” |
| The client with OCD has counting and checking rituals that prolong attempts to perform activities of daily living. The nurse knows that interrupting the client’s ritual to assist in faster task completion will likely result in | a burst of increased anxiety. |
| Actions for a client with OCD would include: | encouraging the client to verbalize feelings. interrupting rituals with appropriate distractions. following a daily routine/planning with the client to limit rituals. teaching relaxation exercises to the client. |
| Which of the following characteristics describe the obsessional thoughts experienced by clients with OCD? | recurrent, persistent, intrusive, and unwanted |
| True or False OCD can be manifested through many behaviors, all of which are repetive and meaningless. | True |
| Which treatment is appropriate for clients experiencing OCD? | Exposure therapy |
| True or False The best way to help a client with OCD is to avoid talking about the obsessive-compulsive behaviors, as the client feels ashamed of the behaviors. | False |
| Obsessive–compulsive disorder (OCD) | diagnosed only when these thoughts, images, and impulses consume the person or when they are compelled to act out the behaviors to a point at which they interfere with personal, social, and occupational functions. |
| Common problems of OCD | Anxiety Ineffective coping Fatigue Low self-esteem Skin breakdown |
| What behavioral therapies would be used to treat OCD? | Exposure and Response prevention |
| Excoriation | skin-picking, also known as dermatillomania |
| Trichotillomania | chronic repetitive hair-pulling |
| Onychophagia | chronic nail-biting |
| Oniomania | compulsive buying |
| Body identity integrity disorder | the term given to people who feel “overcomplete,” or alienated from a part of their body and desire amputation. |
| Body dysmorphic disorder | disorders of body appearance or function |
| Munchausen syndrome | a factitious disorder where the person intentionally causes injury or physical symptoms to self to gain attention and sympathy from health care providers, family, and others. |
| Munchausen syndrome by proxy | when a person inflicts illness or injury on someone else to gain the attention of emergency medical personnel or to be a hero for “saving” the victim |
| Body Dysmorphic disorder | a preconception with imagined or slight defect in physical appearance that causes significant distress for the individual and interferes with functioning in daily life. |
| Body Identity Integrity disorder | the term given to people who feel “overcomplete,” or alienated from a part of their body and desire amputation. |
| Intoxication | use of a substance that results in maladaptive behavior |
| Withdrawal syndrome | refers to the negative psychological and physical reactions that occur when use of a substance ceases or dramatically decreases |
| Detoxification | the process of safely withdrawing from a substance. |
| Tolerance break | the process of safely withdrawing from a substance. |
| Tolerance | the process of safely withdrawing from a substance. |
| polysubstance abuse. | Abuse of more than one substance |
Created by:
shondell1971
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