4 (NCLEX QUESTIONS) - Anxiety, OCD.
A nursing instructor is teaching about specific phobias. Which student statement should indicate that learning
has occurred?
A. "These clients do not recognize that their fear is excessive and rarely seek treatment."
B. "These clients have a panic level of fear that is overwhelming and unreasonable."
C. "These clients experience symptoms that mirror a cerebrovascular accident (CVA)."
D. "These clients experience the symptoms of tachycardia, dysphagia, and diaphoresis." Answer - B. "These
clients have a panic level of fear that is overwhelming and unreasonable."
REASON: The nursing instructor should evaluate that learning has occurred when the student knows that
clients experiencing phobias have a panic level of fear that is overwhelming and unreasonable. Phobia is fear
cued by a specific object or situation in which exposure to the stimuli produces an immediate anxiety response.
A client has a history of excessive fear of water. What is the term that a nurse should use to describe this
specific phobia, and under what subtype is this phobia identified?
A. Aquaphobia, a natural environment type of phobia
B. Aquaphobia, a situational type of phobia
C. Acrophobia, a natural environment type of phobiaD. Acrophobia, a situational type of phobia Answer -
, How would a nurse differentiate a client diagnosed with a social phobia from a client diagnosed with a schizoid
personality disorder (SPD)?
A. Clients diagnosed with social phobia can manage anxiety without medications, whereas clients diagnosed
with SPD can manage anxiety only with medications.
B. Clients diagnosed with SPD are distressed by the symptoms experienced in social settings, whereas clients
diagnosed with social phobia are not.
C. Clients diagnosed with social phobia avoid interactions only in social settings, whereas clients diagnosed with
SP
D avoid interactions in all areas of life.D. Clients diagnosed with SPD avoid interactions only in social settings,
whereas clients diagnosed with social phobias tend to avoid interactions in all areas of life. Answer - C. Clients
diagnosed with social phobia avoid interactions only in social settings, whereas clients diagnosed with SP
REASON: Clients diagnosed with social phobia avoid interactions only in social settings, whereas clients
diagnosed with SPD avoid interactions in all areas of life. Social phobia is an excessive fear of situations in
which a person might do something embarrassing or be evaluated negatively by others.
How would a nurse differentiate a client diagnosed with panic disorder from a client diagnosed with
generalized anxiety disorder (GAD)?
A. GAD is acute in nature, and panic disorder is chronic.
B. Chest pain is a common GAD symptom, whereas this symptom is absent in panic disorders.
C. Hyperventilation is a common symptom in GAD and rare in panic disorder.
A nursing instructor is teaching about specific phobias. Which student statement should indicate that learning
has occurred?
A. "These clients do not recognize that their fear is excessive and rarely seek treatment."
B. "These clients have a panic level of fear that is overwhelming and unreasonable."
C. "These clients experience symptoms that mirror a cerebrovascular accident (CVA)."
D. "These clients experience the symptoms of tachycardia, dysphagia, and diaphoresis." Answer - B. "These
clients have a panic level of fear that is overwhelming and unreasonable."
REASON: The nursing instructor should evaluate that learning has occurred when the student knows that
clients experiencing phobias have a panic level of fear that is overwhelming and unreasonable. Phobia is fear
cued by a specific object or situation in which exposure to the stimuli produces an immediate anxiety response.
A client has a history of excessive fear of water. What is the term that a nurse should use to describe this
specific phobia, and under what subtype is this phobia identified?
A. Aquaphobia, a natural environment type of phobia
B. Aquaphobia, a situational type of phobia
C. Acrophobia, a natural environment type of phobiaD. Acrophobia, a situational type of phobia Answer -
, How would a nurse differentiate a client diagnosed with a social phobia from a client diagnosed with a schizoid
personality disorder (SPD)?
A. Clients diagnosed with social phobia can manage anxiety without medications, whereas clients diagnosed
with SPD can manage anxiety only with medications.
B. Clients diagnosed with SPD are distressed by the symptoms experienced in social settings, whereas clients
diagnosed with social phobia are not.
C. Clients diagnosed with social phobia avoid interactions only in social settings, whereas clients diagnosed with
SP
D avoid interactions in all areas of life.D. Clients diagnosed with SPD avoid interactions only in social settings,
whereas clients diagnosed with social phobias tend to avoid interactions in all areas of life. Answer - C. Clients
diagnosed with social phobia avoid interactions only in social settings, whereas clients diagnosed with SP
REASON: Clients diagnosed with social phobia avoid interactions only in social settings, whereas clients
diagnosed with SPD avoid interactions in all areas of life. Social phobia is an excessive fear of situations in
which a person might do something embarrassing or be evaluated negatively by others.
How would a nurse differentiate a client diagnosed with panic disorder from a client diagnosed with
generalized anxiety disorder (GAD)?
A. GAD is acute in nature, and panic disorder is chronic.
B. Chest pain is a common GAD symptom, whereas this symptom is absent in panic disorders.
C. Hyperventilation is a common symptom in GAD and rare in panic disorder.