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Mental Health NURS 261 Exam 1:
questions Questions and Correct Answers
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The nurse is educating a client and family about managing panic attacks after discharge from
treatment. The nurse includes which of the following in the discharge teaching?
✓ Continued development of positive coping skills
✓
✓ Continued practice of relaxation techniques
✓
✓ Development of a regular exercise program
according to the videback what is included in family and patient teaching for anxiety and
anxiety disorders
✓ Client/family education for panic disorder includes reviewing breathing control and
relaxation techniques, discussing positive coping strategies, encouraging regular exercise,
emphasizing the importance of maintaining prescribed medication regimen and regular
follow-up, describing time management techniques such as creating "to do" lists with
realistic estimated deadlines for each activity, crossing off completed items for a sense of
accomplishment, saying "no," and stressing the importance of maintaining contact with
community and participating in supportive organizations. Medication should be adhered
to as prescribed. Daily responsibilities cannot be avoided, but rather should be
successfully accomplished.
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A client diagnosed with anxiety disorder has been prescribed benzodiazepine drugs. The
nurse is explaining the possible side effects of the medications. Which side effects of the drug
explained by the nurse is correct?
✓ Dry mouth
✓
✓ Blurred vision
✓
✓ Constipation
according to the book, what are the side effects of benzodiazepines?
✓ Explanation: Dry mouth, blurred vision, and constipation are known side effects of
benzodiazepines. Agitation and vomiting are not known to occur with benzodiazepines.
These side effects are associated with non benzodiazepine drugs that are used to treat
anxiety like Buspirone (BuSpar).
✓
✓ Videbeck,6th ed. Chapter 14:, p. 237.
When a client is experiencing a panic attack while in the recreation room, what interventions
are the nurse's first priorities?
✓ Provide a safe environment.
✓
✓ Ensure the client's privacy.
According to the book what should the nurse prioritize when a client is experiencing a panic
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✓ Explanation: During a panic attack, the nurse's first concern is to provide a safe
environment and to ensure the client's privacy. If the environment is overstimulating, the
client should move to a less stimulating place. Decreasing external stimuli will help lower
the client's anxiety level. The client's safety is priority. Anxious behavior can be escalated
by external stimuli. In a large area, the client can feel lost and panicked, but a smaller
room can enhance a sense of security. An antianxiety agent may be helpful, but it is not
the priority. It would likely be stimulating to engage the client in recreational activities.
✓
✓ Videbeck 6th ed. 14: p. 244.
When explaining the difference between anxiety and fear, the mental health nurse shares
✓ Fear results in objective, physical responses caused by real danger
✓
✓ Anxiety is likely to result from an attempt to overcome stress
according to the book what is the difference between anxiety and fear?
✓ Explanation: When explaining the difference between anxiety and fear, the mental health
nurse shares that anxiety involves experiencing subjective, uncomfortable feelings
resulting from unknown causes.
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