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1.A nursing instructor is teaching about specific phobias. Which student
statement indicates that learning has occurred?
1."These clients do not recognize that their fear is excessive, and they
rarely seek treatment."
2.These clients have overwhelming symptoms of panic when exposed to the
phobic stimulus."
3."These clients experience symptoms that mirror a cerebrovascular accident
(CVA)."
4."These clients experience the symptoms of tachycardia, dysphagia, and
diaphoresis."
2. A client has a history of excessive fear of water. Which term should the nurse
use to describe s specific phobia, and under what subtype is this phobia
identified?
1.Aquaphobia; a natural environment type of phobia
2.Aquaphobia; a situational type of phobia
3.Acrophobia; a natural environment type of phobia
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4.Acrophobia; a situational type of phobia
3. How would the nurse differentiate a client diagnosed with a social phobia from
li t di d ith hi id lit di d (SPD)?
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4.Acrophobia; a situational type of phobia
3. How would the nurse differentiate a client diagnosed with a social phobia from
a client diagnosed with a schizoid personality disorder (SPD)?
1.Clients diagnosed with social phobia can manage anxiety without
medications, whereas clients diagnosed with SPD can manage anxiety only
with medications.
2.Clients diagnosed with SPD are distressed by the symptoms experienced in
social settings, whereas clients diagnosed with social phobia are not.
3.Clients diagnosed with social phobia avoid interactions only in social settings,
whereas clients diagnosed with SPD avoid interactions in all areas of life.
4.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.
4. How would the nurse differentiate a client diagnosed with panic disorder from
a client diagnosed with generalized anxiety disorder (GAD)?
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1.GAD is acute in nature, and panic disorder is chronic.
2.Chest pain is a common GAD symptom, whereas this symptom is absent in panic
disorders.
3H til ti i t i GAD d i
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1.GAD is acute in nature, and panic disorder is chronic.
2.Chest pain is a common GAD symptom, whereas this symptom is absent in panic
disorders.
3.Hyperventilation is a common symptom in GAD and rare in
panic disorder. 4. Depersonalization is commonly seen in panic
disorder and absent in GAD.
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5. Which treatment should the nurse identify as most appropriate for clients
diagnosed with GAD?
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5. Which treatment should the nurse identify as most appropriate for clients
diagnosed with GAD?
1.Long-term treatment with diazepam (Valium)
2.Acute symptom control with citalopram
(Celexa) 3. Long-term treatment with
buspirone (BuSpar)
4. Acute symptom control with ziprasidone (Geodon)
6. A client diagnosed with obsessive-compulsive disorder (OCD) reports to the
nurse that he can't stop thinking about all the potentially life-threatening germs
in the environment. Which is the most accurate way for the nurse to document
this symptom?
1. Client is expressing an obsession with germs.
2.Client is manifesting compulsive thinking.
3.Client is expressing delusional thinking about germs.
4.Client is manifesting arachnophobia of germs.
7. A cab driver stuck in traffic is suddenly lightheaded, tremulous, and
diaphoretic and experiences tachycardia and dyspnea. An extensive work-up in
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an emergency department reveals no pathology. Which medical diagnosis is
suspected, and which nursing diagnosis is the priority?
1G li d i t di d (GAD) d i di i ff