Medical Surgical Nursing Concepts & Practice, 2nd Edition by Susan C.
Medical Surgical Nursing Concepts & Practice, 2nd Edition by Susan C.
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Chapter 46: Care of Patients with Anxiety, Mood, and Eating Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | perfectionism. |
| b. | phobic disorder. |
| c. | obsessive-compulsive disorder (OCD). |
| d. | general anxiety disorder. |
ANS: C
When a person has an obsessive-compulsive disorder (OCD), he experiences an obsession, recurrent or intrusive thoughts that he cannot stop thinking about, and these thoughts create anxiety. A compulsive act is an act that the person feels compelled to perform. For example, a person may experience anxiety and so performs repetitive handwashing in an attempt to reduce that anxiety. Time spent in these thoughts and rituals can become overwhelming to the point of interfering with normal life.
DIF: Cognitive Level: Application REF: 1047 OBJ: 3 (theory)
TOP: OCD: Signs KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
| a. | stop the dressing process, sit down, and calmly ask, “Let’s talk about how you are feeling.” |
| b. | continue to dress the patient and say, “You’ll feel better after you have had your dialysis treatment.” |
| c. | stop the dressing process and ask, “Are you aware that you can get sicker if you don’t go?” |
| d. | continue dressing the patient and say, “We’ll have to hurry if you are to eat breakfast before you go.” |
ANS: A
A calm and supportive attitude will help the patient identify feelings.
DIF: Cognitive Level: Analysis REF: 1046 OBJ: 1 (theory)
TOP: Moderate Anxiety: Intervention KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
| a. | post-traumatic stress disorder (PTSD). |
| b. | phobic disorder. |
| c. | obsessive-compulsive disorder (OCD). |
| d. | panic level of anxiety. |
ANS: A
Individuals with post-traumatic stress disorder (PTSD) have endured one or more extreme life-threatening events, and the remembrance of these events now produces feelings of intense horror, with recurrent symptoms of anxiety and nightmares or flashbacks.
DIF: Cognitive Level: Application REF: 1047 OBJ: 4 (theory)
TOP: PTSD: Signs KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
| a. | develop into suicidal tendencies. |
| b. | are seldom controlled. |
| c. | interfere with effective functioning. |
| d. | make maintenance of relationships impossible. |
ANS: C
Anxiety disorders interrupt normal day-to-day functioning in the workplace and in family settings.
DIF: Cognitive Level: Knowledge REF: 1046 OBJ: 2 (theory)
TOP: Normal Anxiety vs. Debilitating Anxiety
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
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