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Anxiety Disorders PSYCH Test 1 Exam Questions with Correct Answers Latest Update
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A client comes to the emergency department because they think they are having a heart attack. Further assessment determines that the client is not having a heart attack but is having a panic attack. When beginning to interview the client, which question would be most appropriate for a nurse to ask?...

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  • October 13, 2024
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  • 2024/2025
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Anxiety Disorders PSYCH Test 1 Exam
Questions with Correct Answers Latest
Update
A client comes to the emergency department because they think they are having a heart
attack. Further assessment determines that the client is not having a heart attack but is
having a panic attack. When beginning to interview the client, which question would be
most appropriate for a nurse to ask?

-"What did you experience just before and during the attack?"
-"Are you feeling much better now that you are lying down?"
-"What do you think caused you to feel this way?"
-"Do you think you will be able to drive home?" - Answer-"What did you experience just
before and during the attack?"

Which nursing intervention is focused on the primary goal of anxiety management and
treatment?

-educating the client concerning the use of medications to manage anxiety disorders
-helping the client identify ways to eliminate all sources of stress in his or her daily life
-assessing the client's ability to implement stress management techniques effectively
-assessing the client for possible symptoms of panic disorder - Answer-assessing the
client's ability to implement stress management techniques effectively

Which medication classifications used in the treatment of panic disorder can cause
physical dependence?
-Tricyclic antidepressants (TCAs)
-Selective serotonin reuptake inhibitors (SSRIs)
-Serotonin-norepinephrine reuptake inhibitors (SNRIs)
-Benzodiazepines - Answer-Benzodiazepines

Anxiolytic drugs can be used in the management of which conditions? (Select all that
apply.)

Alcohol withdrawal
Seizures
Diabetic neuropathy
Hypertension
Panic attacks - Answer-Alcohol withdrawal
Seizures
Panic attacks

,Anxiolytic drugs can be used in the management of anxiety disorder, panic attacks, pre-
anesthetic sedation, muscle relaxation, convulsions, seizures, and alcohol withdrawal.

Clients taking benzodiazepines, especially older adult clients, are at high risk for which
effect? - Answer-Falls

Which term describes feelings of being disconnected from oneself as seen in a panic
attack?

Agoraphobia
Depersonalization
Automatisms
Derealization - Answer-Depersonalization


Explanation:
Depersonalization describes feelings of being disconnected from oneself as seen in a
panic attack. Derealization is sensing that things are not real. Automatisms are
automatic, unconscious mannerisms. Agoraphobia is a fear of being outside.

Which client would not be able to undergo a magnetic resonance imaging scan (MRI)?

A client with a diagnosed anxiety disorder
A client with a pacemaker
A client who is obese
A client with a longstanding history of claustrophobia - Answer-A client with a
pacemaker


Explanation:
Clients with pacemakers or metal implants, such as heart valves or orthopedic devices,
cannot undergo an MRI. There are not contraindications for obese clients can to
undergo an MRI. Clients who are claustrophobic or those with anxiety can have an MRI
but may need special intervention such as sedation.

A client reports experiencing increased stress at work. The client has been managing
the stress by drinking 2 or 3 glasses of wine per evening. Despite the nurse
recommending that drinking alcohol is not an effective way to manage the stress, the
client feels it will be difficult to stop drinking. Which statement explains why this will be
difficult for the client?

-The client has insufficient adaptive coping mechanisms.
-A few glasses of wine each night is not necessarily a problem.
-Drinking alcohol is more socially acceptable than taking medications.
-The client is probably physically dependent on alcohol. - Answer-The client has
insufficient adaptive coping mechanisms.

, Explanation:
Clients learn to reduce the anxiety they feel in either functional or dysfunctional ways.
The nurse first explores with the client what techniques the client has used in the past
and helps the client identify and enhance those strategies that are most beneficial. The
nurse and client identify maladaptive coping strategies, such as social withdrawal or
alcohol use, and replace them with adaptive strategies that suit the client's personal,
cultural, and spiritual values. The nurse should not ask the client to give up coping
mechanisms, even maladaptive ones, without offering other adaptive mechanisms.

What would lead the nurse to suspect that a client is experiencing withdrawal symptoms
associated with benzodiazepine use?

Hypotension
Nightmares
Urinary retention
Dry mouth - Answer-Nightmares

Explanation:
Signs and symptoms of benzodiazepine withdrawal include nightmares, nausea,
headache, and malaise. Dry mouth, hypotension, and urinary retention are adverse
effects associated with benzodiazepine use.

A 30-year-old client who has been unemployed secondary to anxiety disorder states
that the client would like to have a job where the client is alone and no one needs to
evaluate the client's work. The nurse interprets these comments as an indicator of
what?

Panic disorder
Obsessive-compulsive disorder
Social phobia
Agoraphobia - Answer-Social phobia

Explanation:
Social phobia represents a persistent, irrational fear of and compelling desire to avoid
situations in which the person may be exposed to unfamiliar people or to the scrutiny of
others. Additionally, the person harbors the fear of behaving in a way that may prove
humiliating or embarrassing. The person will experience marked anticipatory anxiety if
confronted with such a situation and will attempt to avoid it.

A female client is prescribed a benzodiazepine for anxiety. She asks the nurse if she
can stop the drug when she feels better. What is the nurse's best response?

-"Benzodiazepines may cause physiologic dependence, and withdrawal symptoms will
occur if the drug is stopped abruptly."

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