Questions and Answers
Which action should the nurse perform first when teaching alternative coping strategies to a patient experiencing severe anxiety?
Which health problem is likely in a woman who feels her feet are huge and tries to conceal them?
What would be an appropriate response for a nurse to say to a patient experiencing moderate anxiety who states, 'I feel undone'?
What is the initial nursing intervention of highest priority for a patient running fearfully and crying, 'They're coming!'?
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Which nursing diagnosis has the highest priority for a patient who is fearfully running and does not follow directions?
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What principles are demonstrated when a patient checks electrical cords related to obsessive thoughts about a house fire?
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Which defense mechanism is indicated by a patient claiming, 'Nothing is wrong with me' despite evident health issues?
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What is the patient's level of anxiety if they are asking, 'What do you mean? What are they going to do?' and show tremulous voice and rapid pulse?
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Which nursing intervention is most appropriate for a patient with moderate anxiety who is unable to understand preoperative information?
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What is the rationale for encouraging a patient with moderate anxiety to talk about their feelings?
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Which question would be most appropriate for a nurse to ask a patient with a tentative diagnosis of generalized anxiety disorder?
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In which room should a nurse place a patient showing disorganized behavior and incoherence?
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What is the person's level of anxiety if they feel something awful is going to happen and exhibit nausea and tachycardia?
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What defense mechanism is evident when a nurse hears a non-promoted nurse say, 'The nurse manager had a headache the day I was interviewed'?
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What does a patient demonstrate when they express that their best friend is perfect due to external circumstances?
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Which medication is most appropriate to prescribe as a prn anxiolytic for a patient experiencing a sudden episode of severe anxiety?
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What term best describes the supportive behavior of a nurse who felt loss but then helped the new manager transition smoothly?
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What cognitive behavior is exemplified by a person who feels unattractive yet repeatedly emphasizes their intelligence?
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What behavior is indicated by a person saying, 'What a lovely person. That's someone I simply adore,' about a rival for affection?
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Which defense mechanism is evident when an individual experiencing sexual dysfunction blames it on their partner?
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What anxiety level is indicated if a student reports feeling very alert and restless before a test?
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Which nursing intervention is most appropriate for a student reporting feelings of alertness before a test?
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Which comment demonstrates the use of rationalization by a cruel and abusive person?
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What is the best action for a nurse to take when a patient experiencing panic starts running and shouting, 'I'm going to explode!'?
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Which intervention is appropriate for a person who has been unable to leave home due to severe anxiety?
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Which comment indicates the possibility of obsessive-compulsive disorder by an individual experiencing anxiety?
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What should health teaching include for a patient prescribed alprazolam for acute anxiety?
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Which statement is most likely from a patient with agoraphobia?
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Which phrase correctly completes the nursing diagnosis for a patient with obsessive-compulsive disorder who cleans compulsively?
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Which action should the nurse take to help a patient with ritualistic hand washing develop more effective coping?
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What should be the first nursing intervention for a patient experiencing panic?
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Which interventions should the nurse suggest for a child in foster care who is apprehensive and overreacts to stimuli? (Select all that apply)
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What should be included in health teaching for a patient diagnosed with generalized anxiety disorder on lorazepam? (Select all that apply)
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Which assessment questions would be most appropriate for a patient with possible obsessive-compulsive disorder? (Select all that apply)
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Which nursing diagnoses most likely apply to an adult who is socially withdrawn and hoards? (Select all that apply)
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Study Notes
Coping Strategies for Anxiety
- Prioritize lowering a patient's anxiety before teaching alternative coping strategies.
- Assess the patient's current anxiety to tailor interventions effectively.
Body Dysmorphic Disorder
- Patients may exhibit extreme concern about perceived physical flaws, leading to seeking surgical options to alter appearance.
- Social withdrawal and preoccupation with self-image can indicate body dysmorphic disorder.
Appropriate Communication Techniques
- For patients with moderate anxiety, seek clarification to facilitate understanding of their feelings.
- Engage patients by encouraging them to articulate their concerns, which helps in alleviating anxiety.
Patient Safety in Crisis
- In acute anxiety situations, ensuring patient safety is the highest priority.
- Nursing interventions must be immediate and focus on reducing the risk of injury.
Anxiety Levels and Symptoms
- Recognize varying levels of anxiety: mild (awareness), moderate (increased physical symptoms), severe (disturbances in perception), and panic (loss of control).
- Common signs of moderate anxiety include increased respiratory rate and heart rate.
Defense Mechanisms
- Denial may be evident when patients refuse to acknowledge serious health issues despite clear symptoms.
- Projection involves attributing one's own unacceptable feelings to others as a way to cope.
Cognitive Restructuring in Therapy
- Counsel patients to challenge obsessive thoughts and evaluate their reality to reduce anxiety.
- Techniques like cognitive restructuring help patients reframe their thought patterns.
Medication Education
- Educate patients on the effects of anxiolytics like lorazepam, emphasizing the avoidance of alcohol.
- Monitor and instruct patients on side effects, such as drowsiness, to ensure safe medication use.
Obsessive-Compulsive Disorder Characteristics
- Patients with OCD may express repetitive behaviors, such as checking and cleaning, indicating an overwhelming need to perform certain rituals.
- Assessing for family history can provide insight into the potential hereditary nature of OCD.
Addressing Agoraphobia
- Patients with agoraphobia often struggle with the irrational fear of leaving home, leading to significant lifestyle restrictions.
- Use supportive interventions to encourage gradual exposure and use of positive self-talk techniques.
Supportive Interventions for Children
- When caring for apprehensive children in foster care, maintain a calm environment using a soothing voice and simplicity in communication.
- Providing reality reinforcement helps children navigate their fears effectively.
Nursing Diagnoses
- Possible nursing diagnoses for patients exhibiting anxiety may include ineffective home maintenance, low self-esteem, and risk for injury.
- Accurate assessment is crucial for development of appropriate care plans.
Therapeutic Communication and Engagement
- Open dialogue about anxieties and feelings fosters therapeutic relationships and aids in emotional regulation.
- Direct and brief communication is effective for individuals in a state of panic, providing clarity and reducing overwhelming sensations.
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Description
Test your knowledge on Chapter 15 of Varcarolis's text, focusing on coping strategies and patient assessment in nursing. These flashcards cover essential concepts that every nursing student should master. Enhance your understanding and retention of critical nursing principles related to anxiety management.