If patient is extremely nervous or ill at ease help the patient express these feelings Quizlet

• Flashcards

• Learn

• Test

• Match

• Flashcards

• Learn

• Test

• Match

Terms in this set [12]

If the record mentions that the patient habitually relies on rationalization, the nurse might expect the patient to
1
Make jokes to relieve tension
2
Miss appointments
3
Justify illogical ideas and feelings
4
Behave in ways that are the opposite of his or her feelings

3
Justify illogical ideas and feelings

Rationalization involves justifying illogical or unreasonable ideas or feelings by developing logical explanations that satisfy the teller and the listener.

An adult child states, "My mother lives with me since my dad died six months ago. For the past couple of months, every time I need to leave the house for work or anything else, Mom becomes extremely anxious and cries that something terrible is going to happen to me. She seems okay except for these times, but it's affecting my ability to go to work." This data support which psychiatric diagnosis?
1
Panic disorder
2
Separation anxiety disorder
3
Agoraphobia
4
Social anxiety disorder

2
Separation anxiety disorder

People with separation anxiety disorder exhibit developmentally inappropriate levels of concern over being away from a significant other. There also may be fear that something horrible will happen to the other person. Adult separation anxiety disorder may begin in childhood or adulthood. The scenario doesn't describe panic disorder. Agoraphobia is characterized by intense, excessive anxiety or fear about being in places or situations from which escape might be difficult or embarrassing or in which help might not be available. Social anxiety disorder, also called social phobia, is characterized by severe anxiety or fear provoked by exposure to a social or a performance situation that will be evaluated negatively by others.

A patient who is demonstrating a moderate level of anxiety tells the nurse, "I am so anxious, and I do not know what to do." A helpful response for the nurse to make would be
1
"What things have you done in the past that helped you feel more comfortable?"
2
"Let's try to focus on that adorable little granddaughter of yours."
3
"Why don't you sit down over there and work on that jigsaw puzzle?"
4
"Try not to think about the feelings and sensations you're experiencing."

1
"What things have you done in the past that helped you feel more comfortable?"

Because the patient is not able to think through the problem and arrive at an action that would lower anxiety, the nurse can assist by asking what has worked in the past. Often what has been helpful in the past can be used again.
Topics

Working to help the patient view an occurrence in a more positive light is called
1
Flooding
2
Desensitization
3
Response prevention
4
Cognitive restructuring

4
Cognitive restructuring

The purpose of cognitive restructuring is to change the individual's negative view of an event or a situation to a view that remains consistent with the facts but that is more positive.

A student nurse observes that a patient often looks at her reflection in the mirror. What is the most appropriate diagnosis the student nurse could make from the patient's behavior?
1
The patient has obsessive-compulsive disorder.
2
The patient has hoarding disorder.
3
The patient has body dysmorphic disorder.
4
The patient has panic disorder.

3
The patient has body dysmorphic disorder.

Dysmorphic disorders are characterized by a preoccupation with an imagined defective body part. Dysmorphic patients often pay excessive attention to body parts that they imagine to be defective. As a result, they may develop obsessive-compulsive behaviors such as often checking the mirrors. In obsessive-compulsive disorder patients perform repeated activities or rituals. In hoarding disorder the patient accumulates and collects all materials for future use. Patients with panic disorder may have an unusual fear of future events.

A patient receives a new prescription for sertraline [Zoloft] 50 mg daily. The patient phones the nurse and says, "I read on the internet that this drug is for depression. I have social anxiety, not depression." Which response should the nurse provide?
1
"The website was incorrect. Sertraline is an antianxiety medication rather than an antidepressant."
2
"Thank you for informing us of this error. I will discuss the situation with your health care provider and call you back shortly."
3
"Certain antidepressant medications work well for managing anxiety. It may take several weeks for you to feel the full benefit."
4
"It is important for you to take the medication. Try to have confidence in your health care provider's judgment about how to help you."

3
"Certain antidepressant medications work well for managing anxiety. It may take several weeks for you to feel the full benefit."

Selective serotonin reuptake inhibitors [SSRIs] are considered the first line of defense in most anxiety disorders, including social anxiety. Sertraline and paroxetine [Paxil] are SSRIs with calming effects. The nurse should provide accurate information to the patient and respond therapeutically to evidence that the patient is trying to self-educate via the internet.

Which statement demonstrates an expression of anxiety rather than fear?
1
"I can't stand spiders."
2
"You'd never get me on a roller coaster."
3
"I really dislike knowing that we have a 50-point test tomorrow."
4
"I can't imagine why anyone would want to parachute out of an airplane."

3
"I really dislike knowing that we have a 50-point test tomorrow."

Anxiety is an emotion without a specific object that is provoked by the unknown or by new experiences. Being worried about a test is a common expression of anxiety. An intense dislike for spiders, roller coasters, and parachuting are fears because they are focused.

Which category of medication used to treat anxiety has a potential for dependence?
1
Tricyclics
2
Benzodiazepines
3
Selective serotonin reuptake inhibitors
4
Selective serotonin norepinephrine reuptake inhibitors

2
Benzodiazepines

Benzodiazepines commonly are prescribed for anxiety because they have a quick onset of action; however, because of the potential for dependence, these medications ideally should be used for short periods. Benzodiazepines are not recommended for patients with a known substance abuse history. Tricyclics, selective serotonin reuptake inhibitors, and selective serotonin norepinephrine reuptake inhibitors do not create dependency.

A patient with generalized anxiety disorder receives a new prescription for paroxetine [Paxil] 10 mg at hour of sleep [qhs]. The patient finds information on the internet that states the drug is an antidepressant. The patient calls the nurse, saying, "The health care provider gave me the wrong drug. I have anxiety, not depression." What is the nurse's best response?
1
"It's not a mistake. Some antidepressant medications also work well for managing anxiety."
2
"Thank you for phoning about this error. I'll confer with the health care provider and call you back."
3
"You misinterpreted the information. Paroxetine is a benzodiazepine, not an antidepressant."
4
"The internet is not always a reliable source for medication information."

1
"It's not a mistake. Some antidepressant medications also work well for managing anxiety."

A variety of medications are used widely for the treatment of anxiety, including selective serotonin reuptake inhibitors [SSRIs], antidepressants, tricyclics, sedatives, and others. A patient with generalized anxiety disorder has concerns about many aspects of daily life. Any disturbance can trigger increased anxious feelings. The patient needs assurance that no medication mistake was made.

Which nursing intervention would be helpful when caring for a patient diagnosed with an anxiety disorder?
1
Express mild amusement over symptoms.
2
Arrange for patient to spend time away from others.
3
Advise patient to minimize exercise to conserve endorphins.
4
Reinforce use of positive self-talk to change negative assumptions.

4
Reinforce use of positive self-talk to change negative assumptions.

This technique is a variant of cognitive restructuring. "I can't do that" is changed to "I can do it if I try."

A patient who has to undergo cataract surgery next week complains of chest pain, feelings of choking, and hot flashes. What appropriate diagnosis does the nurse make from the patient's symptoms?
1
The patient has social phobia.
2
The patient has separation anxiety disorder.
3
The patient has agoraphobia.
4
The patient has panic disorder

4
The patient has panic disorder

Patients generally panic before surgery and complain of chest pain, breathing difficulty, choking, chills, and hot flashes. Social phobia is a social anxiety disorder characterized by fear when exposed to social groups. Patients feel distress during public speaking. A patient with separation anxiety disorder is afraid of being isolated or separated from a loved one. It is characterized by gastrointestinal disturbances and headache. Patients having agoraphobia have fear about certain places. They avoid going to such places to reduce anxiety.

A patient is experiencing a panic attack. The nurse can be most therapeutic by
1
Encouraging the patient to take slow, deep breaths
2
Verbalizing mild disapproval of the anxious behavior
3
Asking the patient what he or she means when he or she says "I am dying."
4
Offering an explanation about why the symptoms are occurring

1
Encouraging the patient to take slow, deep breaths

Slow diaphragmatic breathing can induce relaxation and reduce symptoms of anxiety. Often the nurse has to tell the patient to "breathe with me" and keep the patient focused on the task. The slower breathing also reduces the threat of hypercapnia with its attendant symptoms.

Psych Exam 2 - Ch. 15 [Anxiety & OCD]

33 terms

yaxod3

Chapter 12 - Somatiform/Dissociative

30 terms

Midnight_Special

Mental Health Test 2 Review

45 terms

jlggz

Chapter 15 - Anxiety and Obsessive-Compulsive Rela…

45 terms

stephen_todd2

Chapter 16 - Trauma, Stressor-related, and Dissoci…

25 terms

ommercer

Chapter 14 Depressive Disorders

28 terms

jhess214

Varcarolis Ch. 16 Trauma, Stressor-Related, and Di…

29 terms

pavuk94

Sociology chapter 3

49 terms

bj_allen_ulrich

Mark Klimek Lecture Outlines

602 terms

bj_allen_ulrich

Mark Klimek Blue Book

2,000 terms

bj_allen_ulrich

Yellow Book

418 terms

bj_allen_ulrich

Clinical Reasoning Cases in Nursing

7th EditionJulie S Snyder, Mariann M Harding

2,512 solutions

Pharmacology and the Nursing Process

7th EditionJulie S Snyder, Linda Lilley, Shelly Collins

382 solutions

The Human Body in Health and Disease

7th EditionGary A. Thibodeau, Kevin T. Patton

1,505 solutions

Essentials of Medical Language

4th EditionDavid M Allan, Rachel Basco

404 solutions

Law 206 test 1

90 terms

Tinknocker

Quiz 2

10 terms

Syd1110

PSY 2020 Ch. 2 Inquizitive

21 terms

heatheralmandTEACHER

Chapters 13 and 14

22 terms

LeeAnnFuerst

QUESTION

Where are the major clusters of cell bodies containing serotonin in brain?

15 answers

QUESTION

what are the two types of psychosis?

15 answers

QUESTION

what are the 6 stages of change in overcoming substance addiction?

9 answers

QUESTION

Shock therapy also known as electroconvulsive therapy or ECT

2 answers

Which approach can be used while caring for a patient diagnosed with anxiety?

Which category of medication used to treat anxiety has a potential for dependence?

What is the relationship between anxiety and fear?

Which goal would Cognitive Therapy accomplish for a client who experiences panic attacks?