Anxiety Disorders
Ms T has been diagnosed with agoraphobia. Which behavior would characterize this disorder?
Ms T stays in her home for fear of being in a place she cannot escape.
A nurse is working on an acute MH unit caring for a client with PTSD. Which of the following findings should the nurse expect?
Difficulty concentrating on tasks, feeling guilty and having negative self image, recurring nightmares.
Multiple somatic symptoms in several body systems.
A client has been diagnosed with NCD due to Alzheimer's disease. The cause of this disorder is?
Unknown
A client, age 68. is a widow of 6 months. Over the last month she has become socially withdrawn, lost weight, and tells her family, "I have nothing to live for." She has been hospitalized with MDD. What is the priority nursing diagnosis for this client?
Risk for suicide
Which of the following is the most appropriate therapy for a client with agoraphobia?
Facing the fear in gradual step progression
Which of the following treatment regimens would most appropriately be ordered for a client with PTSD?
Paroxetine and Group Therapy
Nursing care for a client with somatic symptom disorder should focus on helping the client to:
Learn more adaptive coping strategies
Examples of treatable (reversible) forms of NCD are?
Electrolyte imbalance and folate deficiency
A client has been taking Sertraline (Zoloft) 50 mg po bid for depression. He tells the nurse "I have been taking this for almost a week and I don't feel any better." What is the most appropriate response?
"Sometimes it takes a few weeks on this medication to show improvement"
A client with OCD spends many hours each day washing her hands. The most likely reason she washes her hands so much is:
Relieves her anxiety
A client experiences a nightmare the first night hospitalized. He tells the nurse he was dreaming of gunfire and people being killed all around him. What is the most appropriate initial intervention:
Stay with the client and reassure him of his safety.
A client diagnosed with somatic symptom disorder tells you they do not understand why their physician recommended they should see a psychiatrist. What would be the most common reason for the client to make this statement?
Lack of understanding about the correlation of symptoms and stress.
Which medication has been indicated for improvement in cognitive function in mild to moderate Alzheimer's disease?
Donepezil (Aricept)
A client reports to the mental health clinic feeling more depressed over the last few weeks. The patient's Hamilton Depression Rating score is 40. What is the priority action with this finding?
Assess the client's current risk for suicide.
The initial care plan for a client with OCD who washes her hands obsessively would include which of these interventions?
Structure the client's schedule so that she has plenty of time for washing her hands.
A client diagnosed with GAD has been prescribed buspirone 15 mg daily. He asks the nurse why this is daily and not only when he is feeling anxious. The nurses best response is:
"Buspirone must be taken daily in order to be effective."
Your client has a diagnosis of illness anxiety disorder. What are the symptoms of this disorder?
Expressing persistent fears of having a life-threatening disease.
A client with NCD due to Alzheimer's disease is admitted to the hospital. What is a nursing priority for this client?
Ensure the environment is safe to prevent injury.
The nurse is interviewing a client with a new diagnosis of persistent depressive disorder. To support that diagnosis, how long would the nurse expect these symptoms have been occurring?
Presence of manifestation for at least 2 years.
A client who is experiencing a panic attack has just arrived at the ED. Which is the priority nursing intervention for this client?
Stay with the client and reassure them of their safety.
A nurse is assessing a client with GAD. Which findings should the nurse expect?
Excessive worry for 6 months, restlessness, and sleep disturbance.
A nurse is taking care of a client taking fluoxetine for treatment of panic disorder. What statement would indicates the client's understanding about stopping their medication?
When discontinuing Fluoxetine, the client will slowly taper the medication on a schedule per their provider to avoid the risk of withdrawal symptoms
When instructing the family of a client with Alzheimer's regarding ADLs, what are the best approaches?
Assist with step-by-step instruction and encourage providing plenty of time to perform independently as many of their own ADLs as possible.
What would be a priority in the early stages of treatment of MDD?
Monitor for suicidal ideations. The client is at greatest risk for suicide during the first weeks of an MDD episode.