Question

A client experiencing a panic attack would display which physical symptom?

Answer 1

Correct Answers:

Sweating and palpitations

Rationale :

💓Panic attacks commonly present with physical symptoms such as sweating and palpitations, which are the body's response to intense anxiety.

💓Restlessness and pacing can occur but are not as specific to panic attacks.

💓Depersonalization refers to a feeling of detachment from oneself, which may occur in some anxiety disorders but is not a hallmark of panic attacks.

💓Hallucinations are not typically part of a panic attack; they are more common in conditions like schizophrenia.

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Answer 2

Correct Answers:

A client pacing the halls and stating that his or her anxiety is an 8/10

Rationale :

🎯Pacing the halls and expressing high anxiety (8/10) suggest that the client is in immediate distress, which requires the nurse’s attention first.

🎯A newly admitted client with a history of panic attacks may need assessment but is not as urgent as a client expressing severe anxiety.

🎯A client with flashbacks has been awake and may be exhausted but does not present the same level of immediate distress.

🎯A client awaiting discharge is not in acute distress and can be seen later.

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Answer 3

Correct Answers:

"I reminded myself that the panic attack would end soon, and it helped."

Rationale :

🎀Cognitive interventions are aimed at helping the client reframe their thoughts and recognize that panic attacks are temporary. This client’s statement shows successful cognitive coping.

🎀Pacing the halls is a behavioral coping mechanism and does not necessarily reflect the success of cognitive interventions.

🎀Taking lorazepam (Ativan) is a pharmacological approach and does not reflect the success of cognitive strategies.

🎀Staff presence is important but does not demonstrate cognitive coping techniques.

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Answer 4

Correct Answers:

Exposure

Rationale :

✅Exposure therapy involves confronting anxiety-provoking stimuli in a controlled way to reduce fear over time.

✅Response prevention involves preventing the client from engaging in the behavior that follows the anxiety-provoking stimuli, often used in OCD.

✅Avoidance behavior is the opposite of exposure therapy, where the client avoids confronting the anxiety-provoking stimulus.

✅Assertiveness training helps clients improve their ability to express needs but does not specifically target anxiety.

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Answer 5

Correct Answers:

Trichotillomania

Rationale :

🔷Trichotillomania is the recurrent pulling out of hair as a form of self-soothing behavior, leading to noticeable hair loss (bald spots).

🔷Excoriation disorder involves skin picking, not hair pulling.

🔷Oniomania is compulsive buying, unrelated to the behavior described.

🔷Kleptomania involves compulsive stealing and is not related to hair-pulling.

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Answer 6

Correct Answers:

Gradually limit the time spent on the ritual

Rationale :

🎀Gradually limiting the time spent on the ritual is a therapeutic approach for OCD, allowing the client to learn to tolerate anxiety without performing compulsions.

🎀Interrupting the client or stopping the ritual abruptly can increase anxiety and is counterproductive.

🎀PRN medications can help, but gradually reducing the ritual behavior is a more effective long-term strategy.

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Answer 7

Correct Answers:

"Obsessions are recurrent, intrusive, and unwanted thoughts. Compulsions are ritualistic behaviors that are attempted to minimize the anxiety caused by the unwanted thoughts."

Rationale :

👍Obsessions are intrusive, unwanted thoughts, and compulsions are the ritualistic behaviors performed to relieve anxiety caused by those thoughts.

👍The other options provide either incorrect definitions or misunderstandings of the terms.

👍This response is the most accurate and educational for the client.

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Answer 8

Correct Answers:

Adolescents

Rationale :

🐷Adolescents are at higher risk for developing posttraumatic stress disorder (PTSD) due to developmental vulnerabilities and exposure to trauma during a critical time in brain and emotional development.

🐷Children are also at risk, but adolescents experience higher rates of PTSD.

🐷Adults and geriatric adults can experience PTSD, but the highest risk is during adolescence.

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Answer 9

Correct Answers:

Agoraphobia

Rationale :

🧠Agoraphobia involves fear of situations where escape may be difficult or help unavailable, leading the client to avoid leaving the house.

🧠Generalized anxiety disorder involves excessive worry but not the avoidance of specific places.

🧠Acrophobia is the fear of heights, and social phobia is the fear of social situations, neither of which directly fit this scenario.

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Answer 10

Correct Answers:

Grounding techniques

Rationale :

🌍Grounding techniques involve helping the client focus on their current surroundings and reality-based stimuli, which is appropriate for PTSD treatment, especially during flashbacks.

🌍Positive reframing involves changing negative thoughts but is not the primary intervention in this situation.

🌍Exposure therapy involves confronting the trauma, which is more effective after safety has been established.

🌍 involves challenging worst-case scenarios, but grounding brings the client back to the present moment.

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Exam 2 Mental Health

No.

1 :
A client experiencing a panic attack would display which physical symptom?

2 :
The nurse has received the evening report. Which client would the nurse need to assess first?

3 :
The nurse is using a cognitive intervention to decrease anxiety during a client's panic attack. Which client statement would indicate that the intervention has been successful?

4 :
Which of the following describes assisting the client to confront situations and anxiety-provoking stimuli?

5 :
A client chronically pulls out his or her hair as a self-soothing behavior. The nurse documents on the client's chart, "Noted multiple bald spots on the clients scalp and right eyebrow.” The client is displaying symptoms of which disorder?

7 :
A client is diagnosed with obsessive compulsive disorder. The client asks the nurse what is meant by the name of the disorder. The best nursing response is?

8 :
Which age group is most at risk for developing posttraumatic stress disorder?

10 :
Which of the following treatments for posttraumatic stress disorder is characterized by the following: "I know this is frightening, but you are safe now. Can you see me and the room we're in?"

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Exam 2 Mental Health

No.

1 : A client experiencing a panic attack would display which physical symptom?

2 : The nurse has received the evening report. Which client would the nurse need to assess first?

3 : The nurse is using a cognitive intervention to decrease anxiety during a client's panic attack. Which client statement would indicate that the intervention has been successful?

4 : Which of the following describes assisting the client to confront situations and anxiety-provoking stimuli?

5 : A client chronically pulls out his or her hair as a self-soothing behavior. The nurse documents on the client's chart, "Noted multiple bald spots on the clients scalp and right eyebrow.” The client is displaying symptoms of which disorder?

7 : A client is diagnosed with obsessive compulsive disorder. The client asks the nurse what is meant by the name of the disorder. The best nursing response is?

8 : Which age group is most at risk for developing posttraumatic stress disorder?

10 : Which of the following treatments for posttraumatic stress disorder is characterized by the following: "I know this is frightening, but you are safe now. Can you see me and the room we're in?"

1 :
A client experiencing a panic attack would display which physical symptom?

2 :
The nurse has received the evening report. Which client would the nurse need to assess first?

3 :
The nurse is using a cognitive intervention to decrease anxiety during a client's panic attack. Which client statement would indicate that the intervention has been successful?

4 :
Which of the following describes assisting the client to confront situations and anxiety-provoking stimuli?

5 :
A client chronically pulls out his or her hair as a self-soothing behavior. The nurse documents on the client's chart, "Noted multiple bald spots on the clients scalp and right eyebrow.” The client is displaying symptoms of which disorder?

7 :
A client is diagnosed with obsessive compulsive disorder. The client asks the nurse what is meant by the name of the disorder. The best nursing response is?

8 :
Which age group is most at risk for developing posttraumatic stress disorder?

10 :
Which of the following treatments for posttraumatic stress disorder is characterized by the following: "I know this is frightening, but you are safe now. Can you see me and the room we're in?"