NSG 221 EXAM 3 QUESTIONS AND ANSWERS
1. An individual experiencing mania can exhibit rapidly changing emotions,
alos known as
Answer> Liable
2. What is the term that refers to having thoughts of killing onself?
Answer> Suicidal Idiation
3. Mild Anxiety Definition
Answer> Mild anxiety is a sensation that something is different and warrants
special attention. Sensory stimulation increases and helps the person focus
attention to learn, solve problems, think, act, feel, and protect him or herself. Mild
anxiety often motivates people to make changes or engage in goal-directed
activity.
4. Mild Anxiety Physiological Responses
Answer> Restlessness, Fidgeting, GI "butter- flies", Difficulty Sleeping,
Hypersensitivity to Noise.
5. T/F Depressed individuals who are newly taking antidepressant medication
are at an increased risk for suicide
Answer> True
6. T/F Antidepressant medicatoins can be discontinued quickly by a client
Answer> -
False
7. T/F Electroconvulsive therapy can be safely adminsitered to pregnant
women
Answer> True
,8. T/F Depressed individuals can experience a lack of energy known as anhe-
donia
Answer> False
9. T/F A lithium level of 1.6 mEq/L is within the therapeutic range
Answer> False (0.6 to 1.2)
10. Kindling Definition
Answer> A process by which seizure activity in the brain is initially stimulated by
the cumulative effects of stress, low amounts of electrical impulses, or chemicals
that sensitize the neuronal pathways
11. Clients taking MAOIs and who eat foods contiaing tyramine risk
experienc- ing a BLANK, which is potentially fatal
Answer> BLANK: hypertensive crisis
12. Moderate Anxiety Definition
Answer> Moderate anxiety is the disturbing feeling that something is definitely
wrong; the person becomes nervous or agitated. In moderate anxiety, the person
can still process information, solve problems, and learn new things with assistance
from others. He or she has difficulty concentrating indepen- dently but can be
redirected to the topic.
13. Moderate Anxiety Physiological Responses
Answer> Muscle Tension, Diaphoresis, Pounding Pulse, Headache, Dry Mouth,
Fast Speech, GI Upset, Frequent Urination
14. Severe Anxiety/Panic Definition
Answer> As the person progresses to severe anxiety and panic, more primitive
survival skills take over, defensive responses ensue, and cognitive skills decrease
, significantly. A person with severe anxiety has trouble thinking and reasoning.
Muscles tighten, and vital signs increase. The person paces; is restless, irritable,
and angry; or uses other similar emotional-psychomotor means to release tension.
In panic, the emotional-psychomotor realm predominates with
accompanying fight, flight, or freeze responses. Adrenaline surge greatly increases
vital signs. Pupils enlarge to let in more light, and the only cognitive process focuses
on the person's defense.
15. Severe Anxiety Physiological Response
Answer> Severe headache, Nausea, vomit- ing, and diarrhea, Trembling, Rigid
stance, Vertigo, Pale, Tachycardia, Chest pain
16. Panic Physiological Responses
Answer> May bolt and run or totally immobile and mute, Dilated pupils,
Increased blood pressure and pulse, Flight, fight, or freeze
17. Nursing Interventions Mild Anxiety
Answer> Mild anxiety is an asset to the client and requires no direct intervention.
People with mild anxiety can learn and solve problems and are even eager for
information. Teaching can be effective when the client is mildly anxious.
18. Nursing Interventions Moderate Anxiety
Answer> With moderate anxiety, the nurse must be certain that the client is
following what the nurse is saying. The client's attention can wander, and he or
she may have some difficulty concentrating over time. Speaking in short, simple,
and easy-to-understand sentences is effective; the nurse must stop to ensure that
the client is still taking in information correctly. The nurse may need to redirect the
client back to the topic if the client goes off on a tangent.
19. Nursing Interventions:Panic
Answer> During panic anxiety, the person's safety is the primary concern. The
nurse must keep talking to the person in a comforting manner, even though the
1. An individual experiencing mania can exhibit rapidly changing emotions,
alos known as
Answer> Liable
2. What is the term that refers to having thoughts of killing onself?
Answer> Suicidal Idiation
3. Mild Anxiety Definition
Answer> Mild anxiety is a sensation that something is different and warrants
special attention. Sensory stimulation increases and helps the person focus
attention to learn, solve problems, think, act, feel, and protect him or herself. Mild
anxiety often motivates people to make changes or engage in goal-directed
activity.
4. Mild Anxiety Physiological Responses
Answer> Restlessness, Fidgeting, GI "butter- flies", Difficulty Sleeping,
Hypersensitivity to Noise.
5. T/F Depressed individuals who are newly taking antidepressant medication
are at an increased risk for suicide
Answer> True
6. T/F Antidepressant medicatoins can be discontinued quickly by a client
Answer> -
False
7. T/F Electroconvulsive therapy can be safely adminsitered to pregnant
women
Answer> True
,8. T/F Depressed individuals can experience a lack of energy known as anhe-
donia
Answer> False
9. T/F A lithium level of 1.6 mEq/L is within the therapeutic range
Answer> False (0.6 to 1.2)
10. Kindling Definition
Answer> A process by which seizure activity in the brain is initially stimulated by
the cumulative effects of stress, low amounts of electrical impulses, or chemicals
that sensitize the neuronal pathways
11. Clients taking MAOIs and who eat foods contiaing tyramine risk
experienc- ing a BLANK, which is potentially fatal
Answer> BLANK: hypertensive crisis
12. Moderate Anxiety Definition
Answer> Moderate anxiety is the disturbing feeling that something is definitely
wrong; the person becomes nervous or agitated. In moderate anxiety, the person
can still process information, solve problems, and learn new things with assistance
from others. He or she has difficulty concentrating indepen- dently but can be
redirected to the topic.
13. Moderate Anxiety Physiological Responses
Answer> Muscle Tension, Diaphoresis, Pounding Pulse, Headache, Dry Mouth,
Fast Speech, GI Upset, Frequent Urination
14. Severe Anxiety/Panic Definition
Answer> As the person progresses to severe anxiety and panic, more primitive
survival skills take over, defensive responses ensue, and cognitive skills decrease
, significantly. A person with severe anxiety has trouble thinking and reasoning.
Muscles tighten, and vital signs increase. The person paces; is restless, irritable,
and angry; or uses other similar emotional-psychomotor means to release tension.
In panic, the emotional-psychomotor realm predominates with
accompanying fight, flight, or freeze responses. Adrenaline surge greatly increases
vital signs. Pupils enlarge to let in more light, and the only cognitive process focuses
on the person's defense.
15. Severe Anxiety Physiological Response
Answer> Severe headache, Nausea, vomit- ing, and diarrhea, Trembling, Rigid
stance, Vertigo, Pale, Tachycardia, Chest pain
16. Panic Physiological Responses
Answer> May bolt and run or totally immobile and mute, Dilated pupils,
Increased blood pressure and pulse, Flight, fight, or freeze
17. Nursing Interventions Mild Anxiety
Answer> Mild anxiety is an asset to the client and requires no direct intervention.
People with mild anxiety can learn and solve problems and are even eager for
information. Teaching can be effective when the client is mildly anxious.
18. Nursing Interventions Moderate Anxiety
Answer> With moderate anxiety, the nurse must be certain that the client is
following what the nurse is saying. The client's attention can wander, and he or
she may have some difficulty concentrating over time. Speaking in short, simple,
and easy-to-understand sentences is effective; the nurse must stop to ensure that
the client is still taking in information correctly. The nurse may need to redirect the
client back to the topic if the client goes off on a tangent.
19. Nursing Interventions:Panic
Answer> During panic anxiety, the person's safety is the primary concern. The
nurse must keep talking to the person in a comforting manner, even though the
