Anxiety Disorders Nursing Care
Management Test Bank | NCLEX RN
Exam Prep And answers 100%
Accurate
1. Question
Chuck is a 20-year-old student diagnosed with obsessive-compulsive behavior. A
psychiatrist prescribes clomipramine (Anafranil) to treat his condition. Nurse
Nicolette understands the rationale for this treatment is that the clomipramine:
A. Increases dopamine levels
B. Increases serotonin levels
C. Decreases norepinephrine levels
D. Decreases GABA levels
Correct Answer: B. Increases serotonin levels
According to the psychobiological theory, dysregulation of the neurotransmitter
serotonin is thought to contribute to obsessive-compulsive behavior.
Clomipramine (Anafranil) is used to increase serotonin levels, thereby decreasing
the need for obsessive-compulsive behaviors. The only FDA-approved use for
clomipramine is for the treatment of the obsessive-compulsive disorder (OCD) in
ages 10 and older. Clomipramine was the first FDA-approved medication for OCD
in 1989. For the treatment of OCD, a meta-analysis found clomipramine was
more effective than sertraline, fluoxetine, and fluvoxamine.
1. 2. Question
A nurse at Nurseslabs Medical Center is developing a care plan for a female client
with post-traumatic stress disorder. Which of the following would she do initially?
A. Instruct the client to use distraction techniques to cope with flashbacks.
B. Encourage the client to put the past in proper perspective.
Page 1 of 30
, C. Encourage the client to verbalize thoughts and feelings about the trauma.
D. Avoid discussing the traumatic event with the client.
Correct Answer: C. Encourage the client to verbalize thoughts and feelings
about the trauma.
Planning care for a client with post-traumatic stress disorder would involve
helping the client to verbalize thoughts and feelings about the trauma. This will
help the client work through the strong emotions connected with the trauma
and, therefore foster the belief that she is able to cope. Maintain a calm, non-
threatening manner while working with the client. Anxiety is contagious and may
be transferred from health care provider to client or vice versa. The client
develops a feeling of security in presence of a calm staff person.
2. 3. Question
A group of community nurses sees and plans care for various clients with
different types of problems. Which of the following clients would they consider
the most vulnerable to post-traumatic stress disorder?
A. An eight (8)-year-old boy with asthma who has recently failed a grade in
school.
B. A 20-year-old college student with DM who experienced date rape.
Correct answer
C. A 40-year-old widower who has recently lost his wife to cancer.
D. A wife of an individual with a severe substance abuse problem.
Correct Answer: B. A 20-year-old college student with DM who experienced
date rape
Post-traumatic stress disorder is caused by the experience of severe, specific
trauma. Rape is a severely traumatic event. Posttraumatic stress disorder (PTSD) is
a syndrome that results from exposure to real or threatened death, serious injury,
or sexual assault. Following the traumatic event, PTSD is common and is one of
the serious health concerns that is associated with comorbidity, functional
impairment, and increased mortality with suicidal ideations and attempts.
3. 4. Question
Which outcome is most appropriate for Francis who has a dissociative disorder?
Page 2 of 30
, A. Francis will deal with uncomfortable emotions on a conscious level.
Correct answer
B. Francis will modify stress with the use of relaxation techniques.
C. Francis will identify his anxiety responses.
D. Francis will use problem-solving strategies when feeling stressed.
Correct Answer: A. Francis will deal with uncomfortable emotions on a
conscious level.
Dissociative disorders occur when traumatic events are beyond an individual’s
recall because these memories have been “blocked” from conscious awareness.
Bringing the feelings associated with these events into conscious awareness and
coping with these feelings will decrease the need for dissociation. Explore client’s
feelings. Explore feelings that client experienced in response to the stressor; help
client understand that the disequilibrium felt is acceptable-indeed, even
expected-in times of severe stress.
Option B: Assess for stressors. Identify stressor that precipitated severe
anxiety; this information is necessary to the development of an effective plan
of client care and problem resolution. Encourage methods for coping. Have
the client identify methods of coping with stress in the past and determine
whether the response was adaptive or maladaptive.
Option C: Identify behavioral limits and behaviors that are expected. Client
needs a clear structure. Expect frequent testing of limits initially. Maintaining
limits can enhance feelings of safety in the client. Identify what the client sees
as the behaviors and circumstances that lead to the hospitalization. Ascertain
client’s understanding of behaviors and responsibility for own actions.
Option D: Ascertain from family/friends how the person interacts with
significant people. Is the client always withdrawn, distrustful, hostile, and have
continuous physical complaints? Identifying baseline behaviors helps with
setting goals. When the client is ready and interested, teach client coping skills
to help defuse tension and trouble feelings (e.g., anxiety reduction,
assertiveness skills). Increasing skills helps the client use healthier ways to
defuse tensions and get needs met.
4. 5. Question
1 point(s)
Page 3 of 30
Management Test Bank | NCLEX RN
Exam Prep And answers 100%
Accurate
1. Question
Chuck is a 20-year-old student diagnosed with obsessive-compulsive behavior. A
psychiatrist prescribes clomipramine (Anafranil) to treat his condition. Nurse
Nicolette understands the rationale for this treatment is that the clomipramine:
A. Increases dopamine levels
B. Increases serotonin levels
C. Decreases norepinephrine levels
D. Decreases GABA levels
Correct Answer: B. Increases serotonin levels
According to the psychobiological theory, dysregulation of the neurotransmitter
serotonin is thought to contribute to obsessive-compulsive behavior.
Clomipramine (Anafranil) is used to increase serotonin levels, thereby decreasing
the need for obsessive-compulsive behaviors. The only FDA-approved use for
clomipramine is for the treatment of the obsessive-compulsive disorder (OCD) in
ages 10 and older. Clomipramine was the first FDA-approved medication for OCD
in 1989. For the treatment of OCD, a meta-analysis found clomipramine was
more effective than sertraline, fluoxetine, and fluvoxamine.
1. 2. Question
A nurse at Nurseslabs Medical Center is developing a care plan for a female client
with post-traumatic stress disorder. Which of the following would she do initially?
A. Instruct the client to use distraction techniques to cope with flashbacks.
B. Encourage the client to put the past in proper perspective.
Page 1 of 30
, C. Encourage the client to verbalize thoughts and feelings about the trauma.
D. Avoid discussing the traumatic event with the client.
Correct Answer: C. Encourage the client to verbalize thoughts and feelings
about the trauma.
Planning care for a client with post-traumatic stress disorder would involve
helping the client to verbalize thoughts and feelings about the trauma. This will
help the client work through the strong emotions connected with the trauma
and, therefore foster the belief that she is able to cope. Maintain a calm, non-
threatening manner while working with the client. Anxiety is contagious and may
be transferred from health care provider to client or vice versa. The client
develops a feeling of security in presence of a calm staff person.
2. 3. Question
A group of community nurses sees and plans care for various clients with
different types of problems. Which of the following clients would they consider
the most vulnerable to post-traumatic stress disorder?
A. An eight (8)-year-old boy with asthma who has recently failed a grade in
school.
B. A 20-year-old college student with DM who experienced date rape.
Correct answer
C. A 40-year-old widower who has recently lost his wife to cancer.
D. A wife of an individual with a severe substance abuse problem.
Correct Answer: B. A 20-year-old college student with DM who experienced
date rape
Post-traumatic stress disorder is caused by the experience of severe, specific
trauma. Rape is a severely traumatic event. Posttraumatic stress disorder (PTSD) is
a syndrome that results from exposure to real or threatened death, serious injury,
or sexual assault. Following the traumatic event, PTSD is common and is one of
the serious health concerns that is associated with comorbidity, functional
impairment, and increased mortality with suicidal ideations and attempts.
3. 4. Question
Which outcome is most appropriate for Francis who has a dissociative disorder?
Page 2 of 30
, A. Francis will deal with uncomfortable emotions on a conscious level.
Correct answer
B. Francis will modify stress with the use of relaxation techniques.
C. Francis will identify his anxiety responses.
D. Francis will use problem-solving strategies when feeling stressed.
Correct Answer: A. Francis will deal with uncomfortable emotions on a
conscious level.
Dissociative disorders occur when traumatic events are beyond an individual’s
recall because these memories have been “blocked” from conscious awareness.
Bringing the feelings associated with these events into conscious awareness and
coping with these feelings will decrease the need for dissociation. Explore client’s
feelings. Explore feelings that client experienced in response to the stressor; help
client understand that the disequilibrium felt is acceptable-indeed, even
expected-in times of severe stress.
Option B: Assess for stressors. Identify stressor that precipitated severe
anxiety; this information is necessary to the development of an effective plan
of client care and problem resolution. Encourage methods for coping. Have
the client identify methods of coping with stress in the past and determine
whether the response was adaptive or maladaptive.
Option C: Identify behavioral limits and behaviors that are expected. Client
needs a clear structure. Expect frequent testing of limits initially. Maintaining
limits can enhance feelings of safety in the client. Identify what the client sees
as the behaviors and circumstances that lead to the hospitalization. Ascertain
client’s understanding of behaviors and responsibility for own actions.
Option D: Ascertain from family/friends how the person interacts with
significant people. Is the client always withdrawn, distrustful, hostile, and have
continuous physical complaints? Identifying baseline behaviors helps with
setting goals. When the client is ready and interested, teach client coping skills
to help defuse tension and trouble feelings (e.g., anxiety reduction,
assertiveness skills). Increasing skills helps the client use healthier ways to
defuse tensions and get needs met.
4. 5. Question
1 point(s)
Page 3 of 30
