Chapter 15: Anxiety Responses and Anxiety Disorders

Chapter 15: Anxiety Responses and Anxiety Disorders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. When assessing a patient who gives the impression of being anxious, a nurse seeks to validate this impression because anxiety is:

ANS:  D

Anxiety is a subjective human experience. The nurse can infer that a patient is anxious based on selected behaviors but must validate this with the patient.

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 217

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

2. A nurse determines that a patient is able to follow directions but appears to experience a narrowed perceptual field and focus on immediate concerns. The nurse determines that the patient is experiencing anxiety at which level?

ANS:  B

Moderate anxiety is characterized by a focus on only immediate concerns and by the demonstration of a narrowed perceptual field as the person sees, hears, and grasps less. The person blocks out selected areas but can attend to more if directed to do so.

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 218

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

3. A patient has significant non-goal–directed motor activity, seems terror stricken, and experiences both distorted perceptions and disordered thoughts. When the nurse attempts to calm the patient, the patient does not respond. The level of patient anxiety can be assessed as:

ANS:  D

Panic-level anxiety is associated with awe, dread, and terror. The person is disorganized, is unable to relate to others, and experiences distorted perceptions and loss of rational thought. The person is unable to do things even with direction.

DIF:    Cognitive Level: Application           REF:   Text Page: 218

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

4. A psychiatric patient is experiencing panic-level anxiety. The initial intervention of highest priority is:

ANS:  A

Safety is of highest priority because the patient in panic is at high risk for self-injury related to increased non-goal–directed motor activity, distorted perceptions, and disordered thoughts. The remaining options are to be considered only after the patient is safe.

DIF:    Cognitive Level: Application           REF:   Text Page: 232

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

5. A patient is experiencing panic-level anxiety. Of these medications listed on the patient’s prn medication administration record, which should be given?

ANS:  B

Lorazepam (Ativan) is a benzodiazepine used to treat anxiety. It may be given as a prn medication. The remaining options are either not ordered for anxiety or as prn medication.

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

TOP:   Nursing Process: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies