NUR 145 Pharmacology Ch. 16 (Anxiety) Review Questions and Correct Answers
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Course
NUR 145
Institution
NUR 145
Anxiety is a normal human emotion that is similar to fear. It's an unpleasant feeling of apprehension or nervousness, and it is caused by the perception of potential or actual danger that threatens a person's security.
Anxiety Disorders: Types -Generalized anxiety disorder -Panic disorder -Phobias...
NUR 145 Pharmacology Ch. 16 (Anxiety)
Review Questions and Correct Answers
Anxiety ✅is a normal human emotion that is similar to fear. It's an unpleasant feeling of
apprehension or nervousness, and it is caused by the perception of potential or actual
danger that threatens a person's security.
Anxiety disorders ✅are abnormal or irrational responses to stressful situations that
impair normal daily functioning.
Generalized anxiety disorder ✅excessive worry about a particular circumstance for
more than 6 months; leads to developing other disorders.
Panic disorders ✅not a severe form of generalized anxiety disorder, but rather
unprovoked anxiety attacks involving intense fear.
*Major depressive disorder occurs frequently in individuals with panic disorder.
Phobias ✅irrational fears of a specific object, activity, or situation.
Social phobias ✅fears of situations involving possible scrutiny (i.e., public speaking,
performing in public).
Specific phobias ✅fears of an object or situation that provoke an intense anxiety
response (i.e., snakes, spiders, heights).
Obsessve-Compulsive Disorder (OCD) ✅is the most disabling of the anxiety disorders,
but responds to treatment. Obsessions are unwanted thoughts that are time-consuming
and senseless, and a compulsion is repeated purposeful behavior performed to
decrease the anxiety associated with the obsession.
Which fact characterizes generalized anxiety disorder?
A. It is more common in older adult populations.
B. It often leads to other psychiatric disorders.
C. It begins abruptly.
D. It is diagnosed after 2 months of anxiety symptoms. ✅Answer: B
, Rationale: A generalized anxiety disorder is described as excessive and unrealistic
worry about two or more life circumstances for 6 months or more. Patients with
generalized anxiety disorder are typically in the 20- to 30-year age group and often
develop other psychiatric disorders such as panic disorder, obsessive-compulsive
disorder, social anxiety disorder, and/or major depression at some time in their lives.
Of all the anxiety disorders, which one is considered to be the most disabling to the
patient?
A. Generalized anxiety disorder
B. Panic disorder
C. Phobia
D. Obsessive-compulsive disorder (OCD ✅Answer: D
Rationale: OCD is the most disabling anxiety disorder because it can interfere with
normal occupational responsibilities, social activities, and relationships.
Assessment of Mental Status ✅Components of a baseline assessment
-History of behavior
-Basic mental status
-Mood/affect
-Clarity of thought
-Psychomotor functions
-Obsessions or compulsions
-Sleep pattern
-Dietary history
History of behavior (Assessment) ✅Are there triggers increasing anxiety that include
recent loss such as a job, relationship, etc.? History also includes details of all
medications currently in use.
Basic mental status (Assessment) ✅two areas: Is the patient at risk for harming him- or
herself? Is he or she able to participate in ADLs?
Mood/affect (Assessment) ✅Is the patient's mood tearful, excited, angry, hostile,
apathetic, sad, etc., and how is it congruent with facial expressions?
Clarity of thought (Assessment) ✅Assess the patient's coherence of thoughts,
organization of thoughts, and the ability to make judgments and decisions.
Psychomotor functions (Assessment) ✅Is the patient able to fulfill responsibilities at
work and socially?
Obsessions or compulsions (Assessment) ✅Assess the patient's persistent thoughts,
repetitive behaviors, and how they impair work and social functioning.
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