NURS 4010 LATEST 2026 EXAMINATION SET
QUESTIONS AND SOLUTIONS GUARANTEE A+
✔✔phobias - ✔✔-agoraphobia: fear of place you can't escape
-social anxiety disorder: fear of situation where person feels extra worried about being
embarrassed or doing something socially unacceptable
-specific phobia: unrealistic fear of specific things
-cause of phobia: learning theory (learned conditioned response), cognitive theory
(irrational belief of things, negative thinking), experience (bit by dog, fear of dog)
✔✔anxiety disorder due to another medical condition/ medication induced anxiety
disorder - ✔✔-cardiac conditions
-CHF
-endocrine conditions
-COPD
-intoxication of a substance
-withdrawal from substances
-anxiety goes along when you are diagnosed with these, also dealing with health
chronic conditions
-year after detoxing for NT to stabilize
✔✔obsessive-compulsive disorder - ✔✔-obsessions: recurrent, persistent thoughts,
intrusive thoughts, cannot go away
-compulsions: what they do (the hand washing), relieves the anxiety of the obsession
-recognize behavior is unreasonable, because get relief from the compulsion
-relief from discomfort
-compelled to act
-common compulsions: hand washing, counting, repeated words, checking doors/ locks
✔✔body dysmorphic disorder - ✔✔-exaggerated belief that the body is deformed or
defective in some specific way (typically not deformed)
-imagined or slight flaws of the face or head, shape of nose, can be ears, eyes, lips
-may be real defect, but defect is exaggerated
-*unrealistic*: get surgery to fix defect, then find new defect, really thought patterns that
are problem not the actual defect
-*somatic delusion*: where you think something is physically wrong with body, this is not
a delusion the person realizes their concern is unrealistic but they just have a hard time
dealing with it
✔✔trichotillomania - ✔✔-recurrent pulling of one's hair out
-preceded by increasing tension- anxiety builds up
-results in sense of release or gratification from pulling out the hair, continue to get
gratification
-common sites: scalp, eyebrows, eyelashes
-usually begins in childhood, gets better with age
,-typically comorbid condition- substance abuse, depression, anxiety
✔✔hoarding disorder - ✔✔-persistent difficulties discarding or parting with possessions
(regardless of value)
-excessive need for acquiring items
-previously was a symptom of OCD
-*associated symptoms: perfectionism, indecisiveness, anxiety, depression, difficulty
planning tasks*
-more common in men, older adults, and become more severe with age
-very difficult to get people to know that they have a problem (others know)
-if admit problem- have to do something about it now, relapse is high, change is slow
-treatment: educating them about it, cognitive behavior therapy, recognize thought and
feeling and how to recognize, SSRI
✔✔hamilton anxiety rating scale - ✔✔-anxious mood
-tension
-fears
-insomnia
-intellectual
-depressed mood
-somatic (muscular & sensory)
-cardivascular
-respiratory
-gastrointestinal
-genitourinary
-autonomic
-behavior at interview
*scoring*
-14- 17 mild
-18-24 moderate anxiety
-25- 30 severe
✔✔nursing diagnoses with anxiety - ✔✔-anxiety
-ineffective coping r/t inadequate support, thought processes
-disturbed body image
-ineffective impulse control (trichotillomania, OCD, hoarding)
✔✔anxiety interventions - ✔✔-maintain a calm, nonthreatening manner
(CONTAGIOUS)
-reassure client of his/her safety
-use simple words, spoken calmly (thoughts all over place)
-low stimuli
-administer medications (first thing is benzo, not talking here)
-explore possible reasons for anxiety (when?)
, -teach client s&s of escalating anxiety and ways to interrupt its progression (examples?,
not until calm down, only teach with mild)
-progressive relaxation, exercise, yoga, meditation
✔✔interventions for fear - ✔✔-reassure client of safety and security
-explore client's perception of threat
-discuss reality of the situation and with the client to recognize what can be changed
and what cannot
-encourage client to verbalize fears
-desensitization might help with phobia- slowly introducing client to stimulus causing
fear
✔✔interventions for ineffective coping (related to obsessions and compulsions) - ✔✔-try
to determine situations that increase anxiety and result in ritualistic behaviors
-initially meet client's dependency needs as required
-in beginning, allow time for rituals
-provide structured schedule of activities
-gradually limit time for rituals
-give positive reinforcement for nonritualistic behaviors
-explain ways of interrupting obsessive thoughts
-need time to get over behaviors
-more structure you give them, less anxiety they will have
-thought stopping technique- makes them stop the thought from coming again and
again
-teach ways to relax, what they are in control of, help with negative thought patterns
✔✔interventions for disturbed body image - ✔✔-establish trust
-correct inaccurate perceptions in a matter of fact, non-threatening manner
-withdraw attention when preoccupation with distorted image persists
-provide positive reinforcement for client's expressions of realistic bodily perceptions
-do not want them focusing on defect
✔✔interventions for impulse control - ✔✔-support client in efforts to stop behavior
-awareness training- aware of when they pull out hair, maybe diary?
-competing response training- ball up fist instead of pulling hair
-practice stress management techniques- relaxation
✔✔treatment modalities for anxiety - ✔✔-individual psychotherapy
-cognitive therapy
-distorted thought patterns
-behavior therapy
-desensitization
✔✔psychopharmacology for anxiety - ✔✔-antianxiety agents
-antihistamines- hydroxizine (Vistaril)- used bc of addictive, helps anxiety
-side effects: drowsiness, confusion, lethargy
QUESTIONS AND SOLUTIONS GUARANTEE A+
✔✔phobias - ✔✔-agoraphobia: fear of place you can't escape
-social anxiety disorder: fear of situation where person feels extra worried about being
embarrassed or doing something socially unacceptable
-specific phobia: unrealistic fear of specific things
-cause of phobia: learning theory (learned conditioned response), cognitive theory
(irrational belief of things, negative thinking), experience (bit by dog, fear of dog)
✔✔anxiety disorder due to another medical condition/ medication induced anxiety
disorder - ✔✔-cardiac conditions
-CHF
-endocrine conditions
-COPD
-intoxication of a substance
-withdrawal from substances
-anxiety goes along when you are diagnosed with these, also dealing with health
chronic conditions
-year after detoxing for NT to stabilize
✔✔obsessive-compulsive disorder - ✔✔-obsessions: recurrent, persistent thoughts,
intrusive thoughts, cannot go away
-compulsions: what they do (the hand washing), relieves the anxiety of the obsession
-recognize behavior is unreasonable, because get relief from the compulsion
-relief from discomfort
-compelled to act
-common compulsions: hand washing, counting, repeated words, checking doors/ locks
✔✔body dysmorphic disorder - ✔✔-exaggerated belief that the body is deformed or
defective in some specific way (typically not deformed)
-imagined or slight flaws of the face or head, shape of nose, can be ears, eyes, lips
-may be real defect, but defect is exaggerated
-*unrealistic*: get surgery to fix defect, then find new defect, really thought patterns that
are problem not the actual defect
-*somatic delusion*: where you think something is physically wrong with body, this is not
a delusion the person realizes their concern is unrealistic but they just have a hard time
dealing with it
✔✔trichotillomania - ✔✔-recurrent pulling of one's hair out
-preceded by increasing tension- anxiety builds up
-results in sense of release or gratification from pulling out the hair, continue to get
gratification
-common sites: scalp, eyebrows, eyelashes
-usually begins in childhood, gets better with age
,-typically comorbid condition- substance abuse, depression, anxiety
✔✔hoarding disorder - ✔✔-persistent difficulties discarding or parting with possessions
(regardless of value)
-excessive need for acquiring items
-previously was a symptom of OCD
-*associated symptoms: perfectionism, indecisiveness, anxiety, depression, difficulty
planning tasks*
-more common in men, older adults, and become more severe with age
-very difficult to get people to know that they have a problem (others know)
-if admit problem- have to do something about it now, relapse is high, change is slow
-treatment: educating them about it, cognitive behavior therapy, recognize thought and
feeling and how to recognize, SSRI
✔✔hamilton anxiety rating scale - ✔✔-anxious mood
-tension
-fears
-insomnia
-intellectual
-depressed mood
-somatic (muscular & sensory)
-cardivascular
-respiratory
-gastrointestinal
-genitourinary
-autonomic
-behavior at interview
*scoring*
-14- 17 mild
-18-24 moderate anxiety
-25- 30 severe
✔✔nursing diagnoses with anxiety - ✔✔-anxiety
-ineffective coping r/t inadequate support, thought processes
-disturbed body image
-ineffective impulse control (trichotillomania, OCD, hoarding)
✔✔anxiety interventions - ✔✔-maintain a calm, nonthreatening manner
(CONTAGIOUS)
-reassure client of his/her safety
-use simple words, spoken calmly (thoughts all over place)
-low stimuli
-administer medications (first thing is benzo, not talking here)
-explore possible reasons for anxiety (when?)
, -teach client s&s of escalating anxiety and ways to interrupt its progression (examples?,
not until calm down, only teach with mild)
-progressive relaxation, exercise, yoga, meditation
✔✔interventions for fear - ✔✔-reassure client of safety and security
-explore client's perception of threat
-discuss reality of the situation and with the client to recognize what can be changed
and what cannot
-encourage client to verbalize fears
-desensitization might help with phobia- slowly introducing client to stimulus causing
fear
✔✔interventions for ineffective coping (related to obsessions and compulsions) - ✔✔-try
to determine situations that increase anxiety and result in ritualistic behaviors
-initially meet client's dependency needs as required
-in beginning, allow time for rituals
-provide structured schedule of activities
-gradually limit time for rituals
-give positive reinforcement for nonritualistic behaviors
-explain ways of interrupting obsessive thoughts
-need time to get over behaviors
-more structure you give them, less anxiety they will have
-thought stopping technique- makes them stop the thought from coming again and
again
-teach ways to relax, what they are in control of, help with negative thought patterns
✔✔interventions for disturbed body image - ✔✔-establish trust
-correct inaccurate perceptions in a matter of fact, non-threatening manner
-withdraw attention when preoccupation with distorted image persists
-provide positive reinforcement for client's expressions of realistic bodily perceptions
-do not want them focusing on defect
✔✔interventions for impulse control - ✔✔-support client in efforts to stop behavior
-awareness training- aware of when they pull out hair, maybe diary?
-competing response training- ball up fist instead of pulling hair
-practice stress management techniques- relaxation
✔✔treatment modalities for anxiety - ✔✔-individual psychotherapy
-cognitive therapy
-distorted thought patterns
-behavior therapy
-desensitization
✔✔psychopharmacology for anxiety - ✔✔-antianxiety agents
-antihistamines- hydroxizine (Vistaril)- used bc of addictive, helps anxiety
-side effects: drowsiness, confusion, lethargy
