Chapter 27: Anxiety-Related, Obsessive-Compulsive, Trauma- and Stressor-Related, Somatic, and Dissociative Disorders

Chapter 27: Anxiety-Related, Obsessive-Compulsive, Trauma- and Stressor-Related, Somatic, and Dissociative Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which intervention should the nurse use first when caring for a patient experiencing anxiety?

a.	Assist the patient to problem solve.
b.	Provide support and understanding.
c.	Reorient the patient.
d.	Provide privacy.

 

 

ANS:  B

Patients with anxiety disorders experience discomfort from the anxiety. The patient must feel safe, acknowledged, and cared for before problem solving can begin. The nurse’s first priority is to provide support and understanding. Allowing the patient to remain alone fosters social withdrawal and may allow anxiety to increase. Patients with anxiety seldom lose contact with reality.

 

DIF:    Cognitive level: Applying                REF:   p. 313             TOP:   Nursing process: Planning

MSC:  NCLEX: Psychosocial Integrity

 

2. A patient diagnosed with obsessive-compulsive disorder (OCD) experiences improvement after beginning treatment with a selective serotonin reuptake inhibitor (SSRI). This phenomenon supports the theory that OCD is associated with:

a.	norepinephrine deficiency.
b.	serotonin dysregulation.
c.	dopamine excess.
d.	GABA deficiency.

 

 

ANS:  B

Serotonin dysregulation is hypothesized to play a part in OCD. Relief associated with SSRIs supports this hypothesis. The other theories are nonrelated.

 

DIF:    Cognitive level: Applying                REF:   p. 318             TOP:   Nursing process: Evaluation

MSC:  NCLEX: Physiologic Integrity

 

3. A patient says, “I have the same continuous and intrusive thoughts that my house is contaminated with lethal bacteria. I spend hours cleaning the walls, floors, and furniture.” These symptoms are most consistent with which diagnosis?

a.	Social phobia
b.	Panic disorder
c.	Somatoform disorder
d.	OCD

 

 

ANS:  D

The patient’s persistent intrusive thoughts are obsessions, and the need to continually clean is a compulsion. Hence, the patient’s disorder can be identified as OCD. The symptoms are not consistent with any of the other options.

 

DIF:    Cognitive level: Applying                REF:   p. 317

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

 

4. A patient’s family member died in the 9/11 World Trade Center explosion. The patient says, “I can’t go into tall buildings because I get sweaty, my heart races, and I can’t breathe. I get terrifying feelings the building will explode.” These symptoms suggest which diagnosis?

a.	OCD
b.	Generalized anxiety disorder
c.	Acute stress disorder
d.	Specific phobia

 

 

ANS:  D

The patient has a severe and persistent fear of entering tall buildings. The extreme physical and emotional reactions are consistent with panic-level anxiety. The scenario does not suggest any of the other options as diagnoses.

 

DIF:    Cognitive level: Applying                REF:   pp. 316-317

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