TEST BANK FOR FOUNDATIONS OF MENTAL HEALTH CARE

TEST BANK FOR FOUNDATIONS OF MENTAL HEALTH
CARE 6TH EDITION MORRISON-VALFRE 33 COMPLETE
CHAPTERS
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?