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Which of the following is a behavioral manifestation of panic anxiety?
- A. Tense muscles
- B. Narrowed perception
- C. Fragmented thoughts
- D. Intact reality
Correct Answer: C
Rationale: Fragmented thoughts are a manifestation of panic anxiety. The presence of muscle tenseness is a physical manifestation. In moderate anxiety, perception narrows; in mild anxiety, reality is intact.
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One week ago, the client was prescribed Buspirone (Buspar) for anxiety. The client phones the office and reports the medication has not eliminated the symptoms. Which is the best response by the nurse?
- A. It may take up to 4 weeks for full therapeutic response.
- B. There are many other medications that can be offered.
- C. Buspar will not eliminate all symptoms associated with anxiety.
- D. Call back in one week if the symptoms continue.
Correct Answer: A
Rationale: Buspirone (Buspar) may take 2 to 4 weeks to produce desired effects. Clients should be provided this information at the time of initial administration. Changing to another medication would not be indicated at this time. Suggesting that the symptoms may not be eliminated is not indicated and should be avoided. Listening to and validating the client's concerns is a therapeutic measure.
A client who is a nursing student reports increased anxiety with test iniziative. Which behavioral technique is most appropriate for this client to put into practice?
- A. Write 'I can do this' on an index card and place in view.
- B. Use breathing techniques to reduce anxiety.
- C. Use meditation prior to exams.
- D. Participate in a study group and prepare well before exams.
Correct Answer: B
Rationale: Behavioral therapy is used to coach a client to engage in some form of distraction or perform relaxation or breathing exercises to overcome symptoms. Teaching the student how to use breathing techniques can be helpful during stress-inducing exams. Writing 'I can do this' on a card is a form of cognitive therapy and provides positive thinking. Use of meditation can be helpful in the management of generalized anxiety but is not practical in a classroom setting. Studying and preparing for exams is expected but is not a behavioral technique that is helpful during test-taking events.
A client who caused a house fire by leaving a pot on the stove often returns home to recheck the burners. The nurse understands this action is performed for which main purpose?
- A. To eliminate guilty feelings
- B. To alleviate anxiety
- C. To compensate for forgetfulness
- D. To avoid a tragedy
Correct Answer: B
Rationale: This is a symptom of OCD, and the tension-relieving act is performed to reduce anxiety. Guilt feelings are more associated with PTSD or for surviving an event when others died. Although turning off burners may help to avoid another tragedy, the repetition is done to help terminate the persistent thoughts and decrease the anxiety. Repetition is not indicated for forgetfulness.
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.
What is a true statement regarding a panic disorder?
- A. Slow onset of physical symptoms
- B. Lasts several minutes
- C. The first instinct is to escape to a safer place.
- D. Marked by hypotension and bradycardia
Correct Answer: C
Rationale: In panic disorder, the first instinct is to escape to a safer place. Episodes of panic may last minutes to less than 1 hour and then spontaneously subside. People who are affected experience an abrupt onset of physical symptoms and terror that include intense apprehension.