Nokea
An anxiolytic agent, lorazepam (Ativan), has been prescribed for the client. Which of the following statements by the client would indicate to the nurse that client education about this medication has been effective?
- A. My anxiety will be eliminated if I take this medication as prescribed.
- B. This medication presents no risk of addiction or dependence.
- C. I will probably always need to take this medication for my anxiety.
- D. This medication will relax me, so I can focus on problem solving.
Correct Answer: D
Rationale: Lorazepam relieves anxiety symptoms to aid problem-solving, but does not eliminate anxiety or lack risk of dependence.
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When teaching a client with generalized anxiety disorder, which is the highest priority for the nurse to teach the client to avoid?
- A. Caffeine
- B. High-fat foods
- C. Refined sugars
- D. Sodium
Correct Answer: A
Rationale: Caffeine exacerbates anxiety symptoms, making it the highest priority to avoid in managing generalized anxiety disorder.
A client experiences panic attacks when confronted with riding in elevators. The therapist is teaching the client ways to relax while incrementally exposing the client to getting on an elevator. This technique is called
- A. systematic desensitization.
- B. flooding.
- C. cognitive restructuring.
- D. exposure therapy.
Correct Answer: A
Rationale: Systematic desensitization involves gradual exposure to a phobia in a safe setting to reduce anxiety, unlike rapid flooding or cognitive techniques.
Which of the following statements about the assessment of persons with anxiety and anxiety disorders is most accurate?
- A. When an elder person has an onset of anxiety for the first time in his or her life, it is possible that the anxiety is associated with another condition.
- B. Panic attacks are the most common late-life anxiety disorders.
- C. An elder person with anxiety may be experiencing ruminative thoughts.
- D. Agoraphobia that occurs in late life may be related to trauma experienced or anticipated.
Correct Answer: A
Rationale: Late-onset anxiety in elders is often linked to conditions like depression or physical illness, not primarily panic attacks or ruminative thoughts.
A client who suffers from frequent panic attacks describes the attack as feeling disconnected from himself. The nurse notes in the client's chart that the client reports experiencing.
- A. hallucinations.
- B. depersonalization.
- C. derealization.
- D. denial.
Correct Answer: B
Rationale: Feeling disconnected from oneself during a panic attack is depersonalization, a common symptom of panic.
Which of the following are reasons that the nurse must understand why and how anxiety behaviors work? Select all that apply.
- A. To provide better care for the client
- B. To help understand the role anxiety plays in performing nursing responsibilities
- C. To help the nurse to mask his or her own feelings of anxiety
- D. So the nurse can identify that his or her own needs are more important than the clients
- E. To help nurses to function at a high level
Correct Answer: A,B,E
Rationale: Understanding anxiety improves client care, informs nursing responsibilities, and supports high-level functioning, without prioritizing the nurse's needs.