PSYC 5015 Chapter 18: Anxiety and Panic Disorders: Nursing Care of Persons with Anxiety (Portage)

Chapter 18: Anxiety and Panic Disorders: Nursing Care of Persons with Anxiety A client has been unemployed related to frequent absences due to an anxiety disorder and informs the nurse they would like to have a job working alone without someone evaluating their performance. How will the nurse interpret this comment?  The client feels that the work doesn't require supervision.  Ritualistic and compulsive behaviors are causing frequent tardiness.  Agoraphobia is being experienced, demonstrated by an inability to leave home.  Social anxiety disorder is the cause for the client's behavior. Linn is a 42-year-old woman who is in the process of moving house after her divorce. She reports experiencing bouts of increased anxiety recently. How can the nurse best explain the physiological adaptation that occurs during fight or flight to this client?  An increase in blood flow to the muscles  An increased immune response and digestion  A decrease in heart rate and blood pressure  A decrease in blood clotting ability A client diagnosed with panic disorder has been receiving medication therapy, which is being discontinued. A nurse would be alert for possible withdrawal symptoms if the client was receiving what?  Lorazepam  Duloxetine  Fluvoxamine  Escitalopram A nurse is creating a plan of care prior to working with a client learning to cope with anxiety and stress. Which outcome does the nurse include in the plan of care for the client?  Major stressors in the client's life will be limited.  Situations that cause stress will be avoided.  Reactions to stressors will change.  Anxiety will be avoided at all costs. A psychiatric-mental health nurse counsels a client experiencing anxiety. Which maladaptive response may result if the anxiety is not controlled for the client?  relaxation of body  tension headaches  using imagery techniques  baseline vital signs When a parent observes the parent's young child heading toward a busy road the parent becomes stressed, feeling the parent's heart pounding, breathing heavily, and hands becoming wet with perspiration. Which physiological system is activated with the parent's “fight or flight” reaction to this danger?  Motherly response system  Sympathetic nervous system  Parasympathetic nervous system  Central nervous system A nurse is giving a presentation on mental health promotion to college students. One student asks the nurse to explain the difference between normal anxiety and an anxiety disorder. Which response is best?  “People with anxiety disorders experience a fight-or-flight response when threatened.”  “Normal anxiety does not result in feelings of dread or restlessness.”  “People with anxiety disorders generally find that the anxiety interferes with daily activities.”  “Normal anxiety occurs in response to everyday stressors.” In teaching a client who has been prescribed a benzodiazepine for panic disorder, the nurse must be certain to do what?  Educate the client that this medication has a high risk for withdrawal symptoms, and the client should not discontinue without a doctor's supervision.  Instruct the client to come in every other week to get blood drawn and monitor for agranulocytosis.  Instruct the client that if the client has palpitations, the client should contact the client's physician immediately because of the risk for dysrhythmias with this medication.  Educate the client that this medication will interact with certain food groups. Which term describes feelings of being disconnected from oneself, as seen in a panic attack?  Automatisms  Derealization  Depersonalization  Agoraphobia A client is experiencing a panic attack. Which term describes sensing that things are not real?  Automatisms  Agoraphobia  Depersonalization  Derealization A client is participating in cognitive–behavioral therapy for symptoms of anxiety. During an episode of anxiety, the nurse assesses the effectiveness of this therapy as successful when the client makes which statement?  “I have an anxious personality and need to avoid crowds.”  “I really feel anxious; I need some medicine.”  “I can’t breathe; it’s making it so I can’t breathe.”  “This is just like before; I just need to breathe.” A school health nurse is seeing a child. The teacher has described this child as being selfisolating and nonparticipatory in class while their grades remain acceptable. What would the nurse suspect is occurring with this child?  being bullied  social phobia  manipulative behavior  substance use