Test Bank F0r Introductory Medical-Surgical Nursing 72 Chapters 13th Edition By Timbys Moreno
◦ Chapter Caring for Clients With Anxiety Disorders
• MULTIPLE CHOICE. Choose the one alternative that best completes the statement or
answers the question.
• The nurse is preparing to assess a client with obsessive-compulsive disorder
(OCD). While taking the nursing history, the nurse notes which behavior that
is characteristic of the disorder?
• The client has difficulty expressing her thoughts.
• The client appears to be choking.
• The client is rearranging the magazines in the office.
•
T
h
e
c
li
e
n
t
h
a
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fl
i
g
h
t
o
f
i
d
e
a
s.
A
n
s
w
e
r:
C
, • Explanation: A) Difficulty expressing thoughts might be seen in
schizophrenia, not OCD.
• A client who has feelings of choking is likely experiencing a panic attack.
• The client with OCD is overly concerned with order or germs.
• Flight of ideas can be seen in the manic phase of bipolar disorder.
•
Cog
nitiv
e
Leve
l:
Com
preh
ensi
on
Clie
nt
Nee
d:
Psyc
hoso
cial
Inte
grity
Nurs
ing
Proc
ess:
Asse
ssme
nt
Lear
ning
Outc
ome:
51-1
•
• A client in the psychiatric hospital for stabilization tells the nurse that a
panic attack is coming on. The nurse asks the client:
• ʺAre you feeling tired?ʺ B) ʺAre you having a pounding heart rate?ʺ
• ʺAre you having problems urinating?ʺ D) ʺAre
you constipated?ʺ Answer: B
• Explanation: A) The client experiencing a panic attack is not tired but
, agitated, and might be pacing.
• The client with panic disorder experiences similar symptoms to
those of a myocardial infarction during an acute attack. A classic
description is a pounding heart rate.
• Problems with urination are not a symptom of panic attack.
• The client with a panic attack is not constipated as a manifestation.
•
Cog
nitiv
e
Leve
l:
Com
preh
ensi
on
Clie
nt
Nee
d:
Psyc
hoso
cial
Inte
grity
Nurs
ing
Proc
ess:
Asse
ssme
nt
Lear
ning
Outc
ome:
51-1
•
• The nurse is planning care for the client who is experiencing an anxiety disorder. The
nurse plans to:
• Keep communication with the client short. B) Have the client attend an
inservice.
• Ask the client to defend the fear. D) Make the client confront
, the fear. Answer: A
• Explanation: A) The client with anxiety has a difficult time focusing due
to fear. The nurse plans
• communications with the client to be short and direct.
• An anxious client would not benefit from an inservice, due to an inability to
concentrate.
• The clientʹs fear is usually unreasonable and indefensible, but real to
the client. Asking the client to justify the fear will increase the clientʹs
anxiety.
• Fear is a symptom of a disorder. Having the client confront the fear
will only increase the anxiety the client is feeling.
•
Cog
nitiv
e
Lev
el:
App
licat
ion
Clie
nt
Nee
d:
Psyc
hoso
cial
Inte
grity
Nurs
ing
Proc
ess:
Plan
ning
Lear
ning
Outc
ome
:
51-2
•
• The nurse is working with a client who is diagnosed with post-trauma
◦ Chapter Caring for Clients With Anxiety Disorders
• MULTIPLE CHOICE. Choose the one alternative that best completes the statement or
answers the question.
• The nurse is preparing to assess a client with obsessive-compulsive disorder
(OCD). While taking the nursing history, the nurse notes which behavior that
is characteristic of the disorder?
• The client has difficulty expressing her thoughts.
• The client appears to be choking.
• The client is rearranging the magazines in the office.
•
T
h
e
c
li
e
n
t
h
a
s
fl
i
g
h
t
o
f
i
d
e
a
s.
A
n
s
w
e
r:
C
, • Explanation: A) Difficulty expressing thoughts might be seen in
schizophrenia, not OCD.
• A client who has feelings of choking is likely experiencing a panic attack.
• The client with OCD is overly concerned with order or germs.
• Flight of ideas can be seen in the manic phase of bipolar disorder.
•
Cog
nitiv
e
Leve
l:
Com
preh
ensi
on
Clie
nt
Nee
d:
Psyc
hoso
cial
Inte
grity
Nurs
ing
Proc
ess:
Asse
ssme
nt
Lear
ning
Outc
ome:
51-1
•
• A client in the psychiatric hospital for stabilization tells the nurse that a
panic attack is coming on. The nurse asks the client:
• ʺAre you feeling tired?ʺ B) ʺAre you having a pounding heart rate?ʺ
• ʺAre you having problems urinating?ʺ D) ʺAre
you constipated?ʺ Answer: B
• Explanation: A) The client experiencing a panic attack is not tired but
, agitated, and might be pacing.
• The client with panic disorder experiences similar symptoms to
those of a myocardial infarction during an acute attack. A classic
description is a pounding heart rate.
• Problems with urination are not a symptom of panic attack.
• The client with a panic attack is not constipated as a manifestation.
•
Cog
nitiv
e
Leve
l:
Com
preh
ensi
on
Clie
nt
Nee
d:
Psyc
hoso
cial
Inte
grity
Nurs
ing
Proc
ess:
Asse
ssme
nt
Lear
ning
Outc
ome:
51-1
•
• The nurse is planning care for the client who is experiencing an anxiety disorder. The
nurse plans to:
• Keep communication with the client short. B) Have the client attend an
inservice.
• Ask the client to defend the fear. D) Make the client confront
, the fear. Answer: A
• Explanation: A) The client with anxiety has a difficult time focusing due
to fear. The nurse plans
• communications with the client to be short and direct.
• An anxious client would not benefit from an inservice, due to an inability to
concentrate.
• The clientʹs fear is usually unreasonable and indefensible, but real to
the client. Asking the client to justify the fear will increase the clientʹs
anxiety.
• Fear is a symptom of a disorder. Having the client confront the fear
will only increase the anxiety the client is feeling.
•
Cog
nitiv
e
Lev
el:
App
licat
ion
Clie
nt
Nee
d:
Psyc
hoso
cial
Inte
grity
Nurs
ing
Proc
ess:
Plan
ning
Lear
ning
Outc
ome
:
51-2
•
• The nurse is working with a client who is diagnosed with post-trauma
