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Avoiding places or situations in which panic attacks occur is how the client with agoraphobia manages fears. Which is a common symptom of agoraphobia?
- A. Surrounding self with family and friends
- B. Avoiding strangers
- C. Avoiding feelings of anxiety
- D. Feeling safer at home
Correct Answer: D
Rationale: People with agoraphobia confine themselves to home where they feel safe. The greatest fear for a person with this disorder is having a panic attack and losing control in public. Peopleâ??family, friends, or strangersâ??are less of an issue than being able to control the location (home). Anxiety disorders such as agoraphobia do not have a logical explanation and cannot be controlled through avoiding feelings of anxiety.
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The nurse is evaluating an older adult client who, for the past year, has been constantly fretful and worries about finances, living alone, and being lonely. The nurse understands these are symptoms of which type of anxiety disorder?
- A. Generalized anxiety disorder
- B. Phobic disorder
- C. Posttraumatic stress disorder
- D. Obsessive-compulsive disorder
Correct Answer: A
Rationale: Generalized anxiety disorder is characterized by chronic, daily worrying for 6 months or more. Phobic disorder is characterized by an exaggerated and irrational fear, such as the fear of insects, animals, or various life experiences such as riding on a roller coaster or flying on an airplane, some of which are potentially dangerous. Posttraumatic stress disorder is a condition that involves a delayed anxiety response 3 or more months after an emotionally traumatic experience. Obsessive-compulsive disorder is manifested by the performance of an anxiety-relieving ritual to terminate a disturbing, persistent, and recurring thought.
The nurse is caring for a client with an anxiety disorder who is prescribed an antianxiety drug. Which response by the client indicates a need for more teaching regarding the use of this group of medications?
- A. I can now make decisions.
- B. The stress is more manageable.
- C. The cause of my stress is gone.
- D. My chest tightness is gone.
Correct Answer: C
Rationale: The use of drug therapy in the management of anxiety disorders is intended to eliminate or decrease the symptoms of anxiety. The stress becomes more manageable and allows the client to better deal with issues of daily living. Drug therapy does not eliminate the causative factors.
What is another name for the drug classification known as minor tranquilizers?
- A. Beta-blockers
- B. Anxiolytics
- C. Antidepressants
- D. Central-acting sympatholytics
Correct Answer: B
Rationale: Anxiolytics are drugs that relieve the symptoms of anxiety. They are sometimes referred to as minor tranquilizers. The other choices are not alternative names for minor tranquilizers.
A client who is being interviewed by the nurse begins pacing and wringing hands, and repeating, 'I just need to keep moving.' Which statement by the nurse is most appropriate and therapeutic for this client?
- A. Please sit down and relax.
- B. Is something bothering you?
- C. The physician will talk with you next.
- D. Are you feeling anxious?
Correct Answer: D
Rationale: Asking if the client is feeling anxious helps to identify the behavior being presented and provides an opening for the client to express feelings. Asking the client to sit down and relax is not appropriate and may further agitate the client. By stating the physician will speak with the client next, the nurse is dismissing the behavior. Asking if something is bothering the client is a vague question and does not address the expression of anxiety.
Clients with obsessive-compulsive disorder (OCD) may exhibit what sign or symptom?
- A. Fear of situations in which they may capture the attention of others
- B. Delayed anxiety response
- C. Psychic numbing
- D. Performing ritualistic behaviors
Correct Answer: D
Rationale: Clients with OCD may feel compelled to perform the same act repeatedly for a specific number of times or in a prescribed sequence and acknowledge performing ritualistic behaviors. Persons with social phobia experience fear of situations in which they may capture the attention of others. Post-traumatic stress disorder (PTSD) is a condition that involves a delayed anxiety response. Initially, the affected person avoids dealing with the tragedy and detaches from others using a technique that is referred to as psychic numbing.