MH Practice Questions Anxiety, OCD, and Related Disorders Exam Questions with Latest Update
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Course
Anxiety Disorders
Institution
Anxiety Disorders
A nursing instructor is teaching about specific phobias. Which student statement indicates to the instructor that learning has occurred?
a. "These clients recognize their fear as excessive and frequently seek treatment."
b. "These clients have a panic level of fear that is overwhelming and unreas...
MH Practice Questions Anxiety, OCD,
and Related Disorders Exam Questions
with Latest Update
A nursing instructor is teaching about specific phobias. Which student statement
indicates to the instructor that learning has occurred?
a. "These clients recognize their fear as excessive and frequently seek treatment."
b. "These clients have a panic level of fear that is overwhelming and unreasonable."
c. "These clients experience symptoms that mirror a stroke."
d. "These clients always experience tachycardia, dysphagia, and diaphoresis." -
Answer-Answer: b
Which treatment should a nurse identify as most appropriate for clients diagnosed with
generalized anxiety disorder (GAD)?
a. Long-term treatment with diazepam (Valium).
b. Acute symptom control with citalopram (Celexa).
c. Long-term treatment with buspirone (BuSpar).
d. Acute symptom control with ziprasidone (Geodon). - Answer-Answer: c
Rationale: GAD is enduring, and doesn't just go away; long-term treatment instead of
acute therapy. Long term treatment with valium is contraindicated because it's addictive
and has multiple CNS effects. BuSpar is non-addictive, and it's given as a routine
medication long-term (never as a PRN). Celexa is not for acute treatment, it's a long
term SSRI that may take up to 3 months to work. Geodon is an atypical antipsychotic.
A cab driver, stuck in traffic, becomes lightheaded, tremulous, diaphoretic, tachycardic,
and dyspneic. A work-up in the emergency department reveals no pathology. Which
medical diagnosis should the nurse suspect, and which nursing diagnosis should be the
nurse's first priority?
a. Generalized anxiety disorder and a nursing diagnosis of fear.
b. Disturbed sensory perception and a nursing diagnosis of panic disorder.
c. Pain disorder and a nursing diagnosis of altered role performance.
d. Panic disorder and a nursing diagnosis of anxiety. - Answer-Answer: d
Rationale: When someone experiences a panic attack, it's typically unexpected.
Lightheadedness, diaphoresis etc are symptoms of anxiety.
A client diagnosed with panic disorder states, "When an attack happens, I feel like I am
going to die." Which is the most appropriate nursing response?
a. "I know it's frightening, but try to remind yourself that this will only last a short time."
b. "Death from a panic attack happens so infrequently that there is no need to worry."
c. "Most people who experience panic attacks have feelings of impending doom."
d. "Tell me why you think you are going to die every time you have a panic attack." -
Answer-Answer: a
, Rationale: Panic attacks range from 1 - 10 minutes. Don't say "tell me why" because
cognition is impaired during an attack.
A nursing instructor is teaching about the medications used to treat panic disorder.
Which student statement indicates that learning has occurred?
a. "Clonazepam (Klonopin) can be used, as needed, in the treatment of panic disorder."
b. "Clozapine (Clozaril) is used off-label in long-term treatment of panic disorder."
c. "Doxepin (Sinequan) can be used in low doses to relieve symptoms."
d. "Buspirone (BuSpar) is used for immediate effect to lower anxiety." - Answer-Answer:
a
Rationale: Klonopin is a benzodiazepine that is prescribed intermittently until they get
someone at a therapeutic level of an SSRI or Buspar. Don't use clozaril which is an
antipsychotic, and Sinequan is an antidepressant. Buspar wouldn't go into effect
immediately, so that choice is wrong.
A family member is seeking advice about an older parent who seems to worry
unnecessarily about everything. The family member states, "Should I seek psychiatric
help for my mother?" Which is the best nursing response?
a. "My mother also worries unnecessarily. I think it is part of the aging process."
b. "Anxiety is considered abnormal when it is out of proportion to the stimulus causing it
and when it impairs functioning."
c. "From what you have told me, you should get her to a psychiatrist as soon as
possible."
d. "Anxiety is a complex phenomenon and is effectively treated only with psychiatric
medications." - Answer-Answer: b
A college student is unable to take a final exam due to severe test anxiety. Instead of
studying, the student relieves stress by going to a movie. Which priority nursing
diagnosis should the campus nurse assign for this client?
a. Non-adherence related to test taking.
b. Ineffective role performance related to helplessness.
c. Ineffective coping related to anxiety.
d. Powerlessness related to fear. - Answer-Answer: c
A client living in a beachfront community is seeking help with an extreme fear of
bridges, which is interfering with daily functioning. A trained therapist decides to try
systematic desensitization. Which explanation of this treatment should the nurse
provide?
a. "Using your imagination, we will attempt to achieve a state of relaxation."
b. "Because anxiety and relaxation are mutually exclusive states, we can attempt to
substitute a relaxation response for the anxiety response."
c. "Through a series of increasingly anxiety-provoking steps, we will gradually increase
your tolerance to anxiety."
d. "In one intense session, you will be exposed to a maximum level of anxiety that you
will learn to tolerate." - Answer-Answer: c
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