Chapter 14: Anxiety Disorders

Chapter 14: Anxiety Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1)   The psychiatric home care nurse visits a client who tells the nurse that he experiences palpitations, difficulty breathing, and a sense of overwhelming dread whenever he leaves his home. This problem began after he was robbed on his way to work. He has been unable to go to his office for more than a month. The nurse recognizes this problem as

A.	mysophobia.
B.	claustrophobia.
C.	acrophobia.
D.	agoraphobia.

 

ANS:   D

Agoraphobia refers to the client’s fear of open spaces. Option A: Mysophobia refers to fear of dirt or germs. Option B: Claustrophobia refers to fear of closed spaces. Option C: Acrophobia refers to fear of heights.

 

DIF:    Cognitive Level: Application             REF:    Text Page: 234

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity

 

 

2)   A client who has been unable to leave his home for more than a month because of symptoms of severe anxiety tells the nurse “I know it’s probably crazy, but I just can’t bring myself to leave my apartment alone. And I can’t expect somebody to take me to work every day.” The nurse can make the assessment that the client

A.	knows his symptom is unrealistic.
B.	is misinterpreting reality.
C.	is seeking sympathy.
D.	is depersonalizing.

 

ANS:   A

Symptoms of anxiety disorders are often recognized by the client as strange and nonadaptive and are sources of dissatisfaction to the client. Options B and C: The client is interpreting reality appropriately and does not seem to be attempting to elicit sympathy from the nurse. Option D: The scenario does not give evidence of depersonalization (experiencing feelings of unreality or alienation).

 

DIF:    Cognitive Level: Application             REF:    Text Page: 239, Text Page: 240

 

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity

 

 

3)   A client who has been unable to leave his home for more than a month because of symptoms of severe anxiety asks the nurse “Don’t you agree that not being able to go out is pretty stupid?” The most therapeutic reply is

A.	“No, I do not think it’s stupid.”
B.	“Many individuals share this situation with you.”
C.	“You feel stupid because you’re afraid to leave home?”
D.	“I guess some people might say that being housebound is pretty strange.”

 

ANS:   C

This response will allow the nurse to validate the possibility that the client is dissatisfied with being unable to control his symptom and suggests openness to listening to feelings of powerlessness. The nurse should neither agree nor disagree with the client. Clarifying his own thinking is more important for the client.

 

DIF:    Cognitive Level: Application             REF:    Text Page: 248, Text Page: 249

TOP:    Nursing Process: Implementation      MSC:   NCLEX: Psychosocial Integrity

 

 

4)   A client who has been unable to leave his home for more than a month because of symptoms of severe anxiety tells the nurse “I know it’s probably crazy, but I just can’t bring myself to leave my apartment alone.” An appropriate nursing intervention for the nurse to include in the nursing care plan is to

A.	teach the client to use positive self-talk.
B.	assist the client to apply for disability benefits.
C.	reinforce the irrationality of the client’s fears.
D.	advise the client to accept the situation and use a companion.

 

ANS:   A

This intervention, a form of cognitive restructuring, replaces negative thoughts such as “I can’t leave my apartment” with positive thoughts such as “I can control my anxiety.” This technique helps the client gain mastery over his symptoms. The other options reinforce the sick role.

 

DIF:    Cognitive Level: Application             REF:    Text Page: 233

TOP:    Nursing Process: Implementation      MSC:   NCLEX: Psychosocial Integrity