Test Bank - Mental Health Nursing, 6th Edition (Gorman,
2023), Chapter 1-22 | All Chapters | 9781719645607
A nursing instructor is teaching about specific phobias. Which student statement indicates to the
instructor that learning has occurred?
1. These clients recognize their fear as excessive and frequently seek treatment.
2. These clients have a panic level of fear that is overwhelming and unreasonable.
3. These clients experience symptoms that mirror a cerebrovascular accident (CVA).
4. These clients experience the symptoms of tachycardia, dysphagia, and diaphoresis. - ANSWER: 2
Which nursing statement to a client about social anxiety disorder versus schizoid personality disorder
(SPD) is most accurate?
1. Clients diagnosed with social anxiety disorder can manage anxiety without medications, whereas
clients diagnosed with SPD can only manage anxiety with medications.
2. Clients diagnosed with SPD are distressed by the symptoms experienced in social settings, whereas
clients diagnosed with social anxiety disorder are not.
3. Clients diagnosed with social anxiety disorder 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 anxiety disorder tend to avoid interactions in all areas of life. - ANSWER: 3
What symptoms should a nurse recognize that differentiate a client diagnosed with panic disorder
from a client diagnosed with generalized anxiety disorder (GAD)?
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. - ANSWER: 4
Which treatment should a nurse identify as most appropriate for clients diagnosed with generalized
anxiety disorder (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) - ANSWER: 3
Which symptoms should a nurse recognize that differentiate a client diagnosed with obsessive-
compulsive disorder (OCD) from a client diagnosed with obsessive-compulsive personality disorder?
1. Clients diagnosed with OCD experience both obsessions and compulsions, and clients diagnosed
with obsessive-compulsive personality disorder do not.
2. Clients diagnosed with obsessive-compulsive personality disorder experience both obsessions and
compulsions, and clients diagnosed with OCD do not.
3. Clients diagnosed with obsessive-compulsive personality disorder experience only obsessions, and
clients diagnosed with OCD experience only compulsions.
4. Clients diagnosed with OCD experience only obsessions, and clients diagnosed with obsessive-
compulsive personality disorder experience only compulsions. - ANSWER: 1
A cab driver, stuck in traffic, becomes lightheaded, tremulous, diaphoretic, tachycardic and dyspneic.
A workup in an emergency department reveals no pathology. Which medical diagnosis should a nurse
suspect, and what nursing diagnosis should be the nurses first priority?
1. Generalized anxiety disorder and a nursing diagnosis of fear
2. Altered sensory perception and a nursing diagnosis of panic disorder
3. Pain disorder and a nursing diagnosis of altered role performance
4. Panic disorder and a nursing diagnosis of anxiety - ANSWER: 4
, A client diagnosed with panic disorder states, When an attack happens, I feel like I am going to die.
Which is the most appropriate nursing response?
1. I know its frightening, but try to remind yourself that this will only last a short time.
2. Death from a panic attack happens so infrequently that there is no need to worry.
3. Most people who experience panic attacks have feelings of impending doom.
4. Tell me why you think you are going to die every time you have a panic attack. - ANSWER: 1
A nursing instructor is teaching about the medications used to treat panic disorder. Which student
statement indicates that learning has occurred?
1. Clonazepam (Klonopin) is particularly effective in the treatment of panic disorder.
2. Clozapine (Clozaril) is used off-label in long-term treatment of panic disorder.
3. Doxepin (Sinequan) can be used in low doses to relieve symptoms of panic attacks.
4. Buspirone (BuSpar) is used for its immediate effect to lower anxiety during panic attacks. -
ANSWER: 1
A family member is seeking advice about an older parent who seems to worry unnecessarily about
everything. The family member states, Should I seek psychiatric help for my mother? Which is an
appropriate nursing response?
1. My mother also worries unnecessarily. I think it is part of the aging process.
2. Anxiety is considered abnormal when it is out of proportion to the stimulus causing it and when it
impairs functioning.
3. From what you have told me, you should get her to a psychiatrist as soon as possible.
4. Anxiety is a complex phenomenon and is effectively treated only with psychotropic medications. -
ANSWER: 2
A client is experiencing a severe panic attack. Which nursing intervention would meet this clients
physiological need?
1. Teach deep breathing relaxation exercises.
2. Place the client in a Trendelenburg position.
3. Have the client breathe into a paper bag.
4. Administer the ordered prn buspirone (BuSpar). - ANSWER: 3
A college student is unable to take a final exam owing to severe test anxiety. Instead of studying, the
student relieves stress by attending a movie. Which priority nursing diagnosis should a campus nurse
assign for this client?
A. Non-adherence R/T test taking
B. Ineffective role performance R/T helplessness
C. Altered coping R/T anxiety
D. Powerlessness R/T fear - ANSWER: c
A client living in a beachfront community is seeking help with an extreme fear of bridges, which is
interfering with daily functioning. A psychiatric nurse practitioner decides to try systematic
desensitization. Which explanation of this treatment should the nurse provide?
1. Using your imagination, we will attempt to achieve a state of relaxation.
2. Because anxiety and relaxation are mutually exclusive states, we can attempt to substitute a
relaxation response for the anxiety response.
3. Through a series of increasingly anxiety-provoking steps, we will gradually increase your tolerance
to anxiety.
4. In one intense session, you will be exposed to a maximum level of anxiety that you will learn to
tolerate. - ANSWER: 3
A nurse is providing discharge teaching to a client taking a benzodiazepine. Which client statement
would indicate a need for further follow-up instructions?
1. I will need scheduled blood work in order to monitor for toxic levels of this drug.
2. I wont stop taking this medication abruptly because there could be serious complications.
3. I will not drink alcohol while taking this medication.
4. I wont take extra doses of this drug because I can become addicted. - ANSWER: 1
2023), Chapter 1-22 | All Chapters | 9781719645607
A nursing instructor is teaching about specific phobias. Which student statement indicates to the
instructor that learning has occurred?
1. These clients recognize their fear as excessive and frequently seek treatment.
2. These clients have a panic level of fear that is overwhelming and unreasonable.
3. These clients experience symptoms that mirror a cerebrovascular accident (CVA).
4. These clients experience the symptoms of tachycardia, dysphagia, and diaphoresis. - ANSWER: 2
Which nursing statement to a client about social anxiety disorder versus schizoid personality disorder
(SPD) is most accurate?
1. Clients diagnosed with social anxiety disorder can manage anxiety without medications, whereas
clients diagnosed with SPD can only manage anxiety with medications.
2. Clients diagnosed with SPD are distressed by the symptoms experienced in social settings, whereas
clients diagnosed with social anxiety disorder are not.
3. Clients diagnosed with social anxiety disorder 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 anxiety disorder tend to avoid interactions in all areas of life. - ANSWER: 3
What symptoms should a nurse recognize that differentiate a client diagnosed with panic disorder
from a client diagnosed with generalized anxiety disorder (GAD)?
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. - ANSWER: 4
Which treatment should a nurse identify as most appropriate for clients diagnosed with generalized
anxiety disorder (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) - ANSWER: 3
Which symptoms should a nurse recognize that differentiate a client diagnosed with obsessive-
compulsive disorder (OCD) from a client diagnosed with obsessive-compulsive personality disorder?
1. Clients diagnosed with OCD experience both obsessions and compulsions, and clients diagnosed
with obsessive-compulsive personality disorder do not.
2. Clients diagnosed with obsessive-compulsive personality disorder experience both obsessions and
compulsions, and clients diagnosed with OCD do not.
3. Clients diagnosed with obsessive-compulsive personality disorder experience only obsessions, and
clients diagnosed with OCD experience only compulsions.
4. Clients diagnosed with OCD experience only obsessions, and clients diagnosed with obsessive-
compulsive personality disorder experience only compulsions. - ANSWER: 1
A cab driver, stuck in traffic, becomes lightheaded, tremulous, diaphoretic, tachycardic and dyspneic.
A workup in an emergency department reveals no pathology. Which medical diagnosis should a nurse
suspect, and what nursing diagnosis should be the nurses first priority?
1. Generalized anxiety disorder and a nursing diagnosis of fear
2. Altered sensory perception and a nursing diagnosis of panic disorder
3. Pain disorder and a nursing diagnosis of altered role performance
4. Panic disorder and a nursing diagnosis of anxiety - ANSWER: 4
, A client diagnosed with panic disorder states, When an attack happens, I feel like I am going to die.
Which is the most appropriate nursing response?
1. I know its frightening, but try to remind yourself that this will only last a short time.
2. Death from a panic attack happens so infrequently that there is no need to worry.
3. Most people who experience panic attacks have feelings of impending doom.
4. Tell me why you think you are going to die every time you have a panic attack. - ANSWER: 1
A nursing instructor is teaching about the medications used to treat panic disorder. Which student
statement indicates that learning has occurred?
1. Clonazepam (Klonopin) is particularly effective in the treatment of panic disorder.
2. Clozapine (Clozaril) is used off-label in long-term treatment of panic disorder.
3. Doxepin (Sinequan) can be used in low doses to relieve symptoms of panic attacks.
4. Buspirone (BuSpar) is used for its immediate effect to lower anxiety during panic attacks. -
ANSWER: 1
A family member is seeking advice about an older parent who seems to worry unnecessarily about
everything. The family member states, Should I seek psychiatric help for my mother? Which is an
appropriate nursing response?
1. My mother also worries unnecessarily. I think it is part of the aging process.
2. Anxiety is considered abnormal when it is out of proportion to the stimulus causing it and when it
impairs functioning.
3. From what you have told me, you should get her to a psychiatrist as soon as possible.
4. Anxiety is a complex phenomenon and is effectively treated only with psychotropic medications. -
ANSWER: 2
A client is experiencing a severe panic attack. Which nursing intervention would meet this clients
physiological need?
1. Teach deep breathing relaxation exercises.
2. Place the client in a Trendelenburg position.
3. Have the client breathe into a paper bag.
4. Administer the ordered prn buspirone (BuSpar). - ANSWER: 3
A college student is unable to take a final exam owing to severe test anxiety. Instead of studying, the
student relieves stress by attending a movie. Which priority nursing diagnosis should a campus nurse
assign for this client?
A. Non-adherence R/T test taking
B. Ineffective role performance R/T helplessness
C. Altered coping R/T anxiety
D. Powerlessness R/T fear - ANSWER: c
A client living in a beachfront community is seeking help with an extreme fear of bridges, which is
interfering with daily functioning. A psychiatric nurse practitioner decides to try systematic
desensitization. Which explanation of this treatment should the nurse provide?
1. Using your imagination, we will attempt to achieve a state of relaxation.
2. Because anxiety and relaxation are mutually exclusive states, we can attempt to substitute a
relaxation response for the anxiety response.
3. Through a series of increasingly anxiety-provoking steps, we will gradually increase your tolerance
to anxiety.
4. In one intense session, you will be exposed to a maximum level of anxiety that you will learn to
tolerate. - ANSWER: 3
A nurse is providing discharge teaching to a client taking a benzodiazepine. Which client statement
would indicate a need for further follow-up instructions?
1. I will need scheduled blood work in order to monitor for toxic levels of this drug.
2. I wont stop taking this medication abruptly because there could be serious complications.
3. I will not drink alcohol while taking this medication.
4. I wont take extra doses of this drug because I can become addicted. - ANSWER: 1
