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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? Select all that apply.
- A. Continued development of positive coping skills
- B. Weaning off of medications as necessary
- C. Lessening the amount of daily responsibilities
- D. Continued practice of relaxation techniques
- E. Development of a regular exercise program
Correct Answer: A,D,E
Rationale: Positive coping skills, relaxation techniques, and regular exercise support long-term management of panic attacks.
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Which of the following theories about anxiety is based upon intrapsychic theories?
- A. A person's innate anxiety is the stimulus for behavior.
- B. Anxiety is generated from problems in interpersonal relationships.
- C. A nurse can help the client to achieve health by attending to interpersonal and physiologic needs.
- D. Anxiety is learned through experiences.
Correct Answer: A
Rationale: Intrapsychic theories, like Freud's, view innate anxiety as a stimulus for behavior, unlike interpersonal or behavioral theories.
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.
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 student is preparing to give a class presentation. A few minutes before the presentation is to begin, the student seems nervous and distracted. The student is looking at and listening to the peer speaker and occasionally looking at note cards. When the peer speaker asks a question of the group, the student is able to answer correctly. The professor understands that the student is likely experiencing which level of stress?
- A. Mild
- B. Moderate
- C. Severe
- D. Panic
Correct Answer: B
Rationale: Moderate anxiety involves nervousness and difficulty concentrating independently, but the student can still process information with assistance.
The nurse is teaching a client with an anxiety disorder ways to manage anxiety. The nurse suggests which of the following schedules for practicing stress management techniques?
- A. Practice the techniques each morning and night as part of a daily routine.
- B. Use the techniques as needed when experiencing severe anxiety.
- C. Practice the techniques when relatively calm.
- D. Expect to practice the techniques when meeting with a therapist.
Correct Answer: C
Rationale: Practicing stress management techniques when calm allows the client to master them effectively before anxiety escalates.