Chapter 10: Anxiety, Anxiety-Related, and Somatic Symptom Disorders

Chapter 10: Anxiety, Anxiety-Related, and Somatic Symptom Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Which of the following is a priority in dealing with a highly anxious patient?

A.	Provide support to reinforce a sense of security.
B.	Implement strict limit setting to control behavior.
C.	Increase environmental stimuli to distract the patient.
D.	Provide more freedom to promote self-expression.

 

 

____     2.   Your new patient is admitted to the ER after a car accident. She is extremely anxious. Which intervention is most helpful?

A.	Ask her to describe her feelings to you.
B.	Stay with her in the exam room.
C.	Set her up in a quiet exam room away from activity and give her privacy.
D.	Encourage her to remember what happened in the accident.

 

 

____     3.   Your patient has been taking Buspar for 1 month. On returning to the clinic for a follow-up visit, which statement would describe medication effectiveness?

A.	Reduction in number of delusions
B.	Less depressed
C.	Sleeping better
D.	Reduced desire for alcohol

 

 

____     4.   To establish an open and trusting relationship with a male patient who is in the hospital with severe anxiety, which response by the charge nurse is best?

A.	Urge the staff to have frequent interaction with the patient.
B.	Share an activity with the patient.
C.	Discipline the patient about his behavior.
D.	Encourage enjoyable activities.

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  A

Support and safety are key interventions in anxiety. Responses B, C, and D may all add to anxiety.

 

PTS:   1

REF:   Chapter 10: Anxiety, Anxiety-Related, and Somatic Symptom Disorders; General Interventions; page 168-169

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Anxiety | Cognitive Level: Application | Client Need: Psychosocial Integrity: Mental health concepts

 

2. ANS:  B

This patient is most likely overwhelmed and may feel abandoned, so staying with her will be most reassuring. Encouraging her to talk about feelings or memories of the accident will probably increase anxiety, and leaving her alone will increase her sense of abandonment.

 

PTS:   1

REF:   Chapter 10: Anxiety, Anxiety-Related, and Somatic Symptom Disorders; General Interventions; page 169

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Anxiety | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication

 

3. ANS:  C

Buspar is used for anxiety disorders. Sleeping better would be an indication of reduction in anxiety.

 

PTS:   1

REF:   Chapter 10: Anxiety, Anxiety-Related, and Somatic Symptom Disorders; Table 10-2, Commonly Used Anti-Anxiety Medications; page 168

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Pharmacology | Cognitive Level: Application | Client Need: Physiological Integrity: Pharmacological and parenteral therapies: Medication administration

 

4. ANS:  D

Activities can provide a diversion from intense feelings that can be lead to the patient being more receptive in beginning a relationship

 

PTS:   1

REF:   Chapter 10: Anxiety, Anxiety-Related, and Somatic Symptom Disorders; Nursing Care for People with Anxiety and Anxiety-Related Disorders; page 161

KEY:  Integrated Processes: Caring | Content Area: Mental Health: Anxiety | Cognitive Level: Application | Client Need: Psychosocial Integrity: Stress Management