Exam (elaborations)
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
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Chapter 27. Anxiety, Obsessive-Compulsive, and Related DisordersMULTIPLE CHOICE
1. A nursing instructor is teaching about specific phobias. Which student statement
indicates that learning has occurred?
1. “These clients do not recognize that their fear is excessive, and they rarely seek
treatment.”
2. “These clients have overwhelming symptoms of panic when exposed to the phobic
stimulus.”
3. “These clients experience symptoms that mirror a cerebrovascular accident (CVA).”
4. “These clients experience the symptoms of tachycardia, dysphagia, and diaphoresis.”
ANS: 2
Chapter: Chapter 27, Anxiety, Obsessive-Compulsive, and Related Disorders
Objective: Describe types of anxiety, obsessive-compulsive, and related disorders and
identify symptomatology associated with each. Use this information in client
assessment.
Page: 552
Heading: Phobias > Specific Phobia > Background Assessment Dabairtba.com/test
Integrated Processes: Teaching and Learning
Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. Clients often seek treatment.
2. This is correct. Student learning has occurred when the student states that clients
experiencing phobias have a panic level of fear that is overawbirhbe.clommi/tnesgt and
unreasonable. Phobia is fear cued by a specific object or situation in which exposure
to the stimulus produces an immediate anxiety response.
3. This is incorrect. The symptoms of phobias do not mirror a CVA.
4. This is incorrect. The symptoms of phobias do not includeadbirbs.pcohma/gteisat .
CON: Stress
2. A client has a history of excessive fear of water. Which term should the nurse use to
describe this specific phobia, and under what subtype is this
phobabiairbi.cdoemn/teisftied?
,1. Aquaphobia; a natural environment type of phobia
2. Aquaphobia; a situational type of phobia
3. Acrophobia; a natural environment type of phobia
4. Acrophobia; a situational type of phobia
ANS: 1
Chapter: Chapter 27, Anxiety, Obsessive-Compulsive, and RelataebdirbD.ciosmo/tredset
rs Objective: Describe types of anxiety, obsessive-compulsive, and related disorders
and identify symptomatology associated with each. Use this information in client
assessment.
Page: 554
Heading: Application of the Nursing Process- Assessment> Specific Phobia> Table 27–
1: Classification of Specific Phobias
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Knowledge [Remembering]
Concept: Stress
Difficulty: Difficult
Feedback
1. This is correct. The nurse should use the term aquaphobia,abwirbh.iccom/tiesstan
excessive
fear of water. Aquaphobia is a natural environment type of phobia. Natural
environment–type phobias are fears about objects or situations that occur in the
2. natural
This environment,
is incorrect. The such
nurseasshould
a fear use
of heights oraquaphobia,
the term storms. which is an excessive
fear of water. Aquaphobia is a natural environment type of phobia rather than a
situational type of phobia.
3. This is incorrect. The nurse should use the term aquaphobiaab,irbw.chomic/thesits an
excessive
fear of water. Aquaphobia is a natural environment type of phobia. Acrophobia is an
4. excessive
This fear of The
is incorrect. heights andshould
nurse is a natural
use theenvironment typeaof
term aquaphobi ab,phobia.
irbw.chomic/thesits an
excessive fear of water. Aquaphobia is a natural environment type of phobia.
Natural environment–type phobias are fears about objects or situations that occur in
the natural environment, such as a fear of heights or storms. Acrophobia is an
excessive fear of heights and is a natural environment type of
phobiaarbairtbh.ceormt/thesatn situational type of phobia.
CON: Stress
3. How would the nurse differentiate a client diagnosed with a
soacbiirabl.cpomh/tebsita from a client diagnosed with a schizoid personality disorder
(SPD)?
1. Clients diagnosed with social phobia can manage anxiety without medications,
whereas clients diagnosed with SPD can manage anxiety only
wiatbhirbm.coemd/itcesattions.
,2. Clients diagnosed with SPD are distressed by the symptoms experienced in social
settings, whereas clients diagnosed with social phobia are not.
3. Clients diagnosed with social phobia avoid interactions only in social settings,
whereas clients diagnosed with SPD avoid interactions in all
areaasbirobf.colimfe/te. st
4. Clients diagnosed with SPD avoid interactions only in social settings, whereas clients
diagnosed with social phobias tend to avoid interactions in all areas of life.
ANS: 3
Chapter: Chapter 27, Anxiety, Obsessive-Compulsive, and Related Disorders
Objective: Describe types of anxiety, obsessive-compulsive, and related disorders and
identify symptomatology associated with each. Use this information in client
assessment.
Page: 553
Heading: Phobias > Social Anxiety Disorder (Social Phobia)
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. Clients diagnosed with social phobia avoid interactions only in
social settings, whereas clients diagnosed with SPD avoid interactions in all areas of
life. Social phobia is an excessive fear of situations in whicahbirb.cpoemr/steosnt might
do something embarrassing or be evaluated negatively by others. Benzodiazepines
may
2. be
Thisused to treat social
is incorrect. phobia.
Clients diagnosed with social phobia are distressed by the
symptoms experienced in social settings. Clients diagnosedabwirbi.tchomS/tPesDt
avoid interactions in all areas of life. Social phobia is an excessive fear of
situations in which a person might do something embarrassing or be evaluated
negatively by
3. others.
This is correct. Clients diagnosed with social phobia avoid interactions only in social
settings, whereas clients diagnosed with SPD avoid interactions in all areas of life.
Social phobia is an excessive fear of situations in which a person might do
something embarrassing or be evaluated negatively by otheabrsirb. .com/test
4. This is incorrect. Clients diagnosed with social phobia avoid interactions only in
social settings, whereas clients diagnosed with SPD avoid interactions in all areas of
life.
CON: Stress
4. How would the nurse differentiate a client diagnosed with panic disorder from a client
diagnosed with generalized anxiety disorder (GAD)?
1. GAD is acute in nature, and panic disorder is chronic.
, 2. Chest pain is a common GAD symptom, whereas this symptom is absent in panic
disorders.
3. Hyperventilation is a common symptom in GAD and rare in panic disorder.
4. Depersonalization is commonly seen in panic disorder and absaebnirbt .icnomG/teAstD.
ANS: 4
Chapter: Chapter 27, Anxiety, Obsessive-Compulsive, and RelataebdirbD.ciosmo/tredset
rs Objective: Describe types of anxiety, obsessive-compulsive, and related disorders
and identify symptomatology associated with each. Use this information in client
assessment.
Page: 550
Heading: Panic Disorder > Background Assessment Data
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. Panic disorder is characterized by recurrent, unpredictable panic
attacks. GAD is characterized by persistent, excessive anxiaebtiryb.com/test
2. This is incorrect. Chest pain is among the physical symptoms that may occur during
a panic attack.
3. This is incorrect. Hyperventilation is among the physical saybmirbp.ctomm/tesst hat
may occur during a panic attack.
4. This is correct. A client diagnosed with panic disorder experiences
depersonalization, whereas a client diagnosed with GAD would not.
Depersonalization refers to being detached from oneself
wahbeirbn.ceoxmp/tesrtiencing extreme anxiety.
CON: Stress
5. Which treatment should the nurse identify as most appropriateafboirbr.ccolmie/tnestts
diagnosed with GAD?
1. Long-term treatment with diazepam (Valium)
2. Acute symptom control with citalopram (Celexa)
3. Long-term treatment with buspirone (BuSpar)
4. Acute symptom control with ziprasidone (Geodon)
ANS: 3
Chapter: Chapter 27, Anxiety, Obsessive-Compulsive, and Related Disorders
Objective: Discuss various modalities relevant to treatment of anxiety, obsessive-
compulsive, and related disorders.
Page: 571
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