Questions and Answers
A client has been diagnosed with obsessive-compulsive anxiety disorder. The nurse would expect to find which of the following clinical manifestations?
A client becomes very anxious when riding in an elevator, which is going to the 12th floor. This would be documented as which of the following types of phobia?
A soldier has been back from Iraq for two weeks. He is being seen in the outpatient mental health clinic due to complaints of inability to sleep, nightmares, and flashbacks. The nurse would expect the client to be diagnosed with which of the following?
A client has been diagnosed with generalized anxiety disorder. In order to establish a nurse-client relationship, which of the following steps is most important?
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A client diagnosed with obsessive-compulsive disorder is constantly checking the oven to make sure it is off. This is an example of which type of obsessive thought content?
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When assessing a client diagnosed with an anxiety disorder, the nurse should use which type of questioning?
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Which of the following treatment approaches has been proven to be the most beneficial for the client diagnosed with an anxiety disorder?
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A physiologic response to generalized anxiety includes which of the following?
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Which of the following would be a sympathetic nervous system response to panic anxiety?
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A patient diagnosed with obsessive-compulsive disorder avoids touching all doorknobs when entering the health clinic. This type of obsessive thought content would be documented as which of the following?
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The nurse should avoid which of the following interventions when dealing with a client having a panic attack?
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A client who is experiencing a panic attack states, 'I am going to die. I feel like I am suffocating.' What is the nurse's best response?
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In order for a client to be diagnosed with an anxiety disorder, the client must have had symptoms for longer than which time frame?
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A client is being admitted to an inpatient clinical unit for treatment of obsessive-compulsive anxiety disorder. The nurse understands that this anxiety disorder is associated with which of the following?
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When reviewing a care plan of a client diagnosed with obsessive-compulsive disorder, the nurse would expect to see which of the following nursing interventions early in treatment?
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Study Notes
Obsessive-Compulsive Disorder (OCD)
- Characterized by persistent unwanted thoughts (obsessions) and ritualistic behaviors (compulsions).
- Common example: Checking appliances, like ovens, due to repeated doubts.
- Treatment often involves allowing time for clients to perform rituals initially and then gradually reducing these rituals.
Phobias
- Acrophobia refers to a fear of heights, exemplified by anxiety in elevators.
- Arachnophobia is fear of spiders, while microphobia pertains to small things and pyrophobia involves fear of fire.
Posttraumatic Stress Disorder (PTSD)
- Symptoms can include nightmares, flashbacks, and insomnia, frequently observed in veterans returning from combat zones.
- Diagnosis typically occurs after the patient has exhibited such symptoms for over one month.
Generalized Anxiety Disorder (GAD)
- Displaying muscle tension is a common physiological response.
- Establishing a nurse-client relationship may begin with lowering the client's anxiety level.
Assessment Techniques
- Direct questioning is preferred when assessing clients with anxiety disorders to gather precise information.
Treatment Approaches
- Antianxiety medications combined with psychotherapy has proven most beneficial for anxiety disorders.
Panic Attacks
- Symptoms include increased heart rate and sensations of suffocation.
- Necessary interventions during a panic attack include maintaining a calm and safe environment, and avoiding touching the client to prevent further distress.
Nursing Responses
- During a panic attack, it’s critical to acknowledge the attack and reassure the client that they are not alone.
Ritualistic Behaviors in OCD
- Initial nursing interventions may allow the client to engage in rituals, which can be decreased over time as treatment progresses.
Timeframes for Diagnosis
- Symptoms must persist for over one month for a diagnosis of an anxiety disorder to be established.
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Description
Test your knowledge on anxiety disorders with these practical flashcards. Each card presents scenarios and questions related to various anxiety disorders, helping you understand their clinical manifestations and symptoms. Perfect for nursing students and mental health professionals.
