Inability to leave one's home because of avoidance of severe anxiety suggests the existence of which anxiety disorder?

Posttraumatic stress response

Panic attacks with agoraphobia

Generalized anxiety disorder

Obsessive-compulsive disorder

Answer and Explanation

The Correct Answer is B

A. Posttraumatic stress response involves reliving traumatic events, flashbacks, and hyperarousal, not specifically avoidance due to anxiety about leaving the home.

B. Agoraphobia is characterized by a fear of situations where escape might be difficult or help unavailable, leading to avoidance behavior such as being unable to leave home. It often co-occurs with panic disorder.

C. Generalized anxiety disorder involves excessive worry about multiple areas of life but not specific avoidance behaviors like agoraphobia.

D. Obsessive-compulsive disorder involves intrusive thoughts (obsessions) and repetitive behaviors (compulsions), but not the avoidance behavior characteristic of agoraphobia.

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Correct Answer is C

Explanation

A. While support groups may be helpful, the immediate intervention for a client experiencing heightened anxiety and hypervigilance is to provide structure and safety.

B. Mindfulness meditation may be beneficial in the long term, but it is not the first intervention in an acute phase where anxiety and hypervigilance are prominent.

C. A structured environment with predictable routines and consistent staff can help clients with PTSD feel more secure and reduce feelings of anxiety, hypervigilance, and paranoia. Predictability and structure are key interventions for clients with PTSD.

D. Administering a PRN sedative medication should be a secondary intervention after providing a supportive and safe environment. Medications may be used as part of treatment, but they do not address the underlying anxiety and hypervigilance as effectively as a structured environment.

A. Presence of cough B. Absence of gag reflex C. Respiratory rate of 6 breaths per minute D. Urine output 90 mL/hour E. Heart rate 70 beats per minute F. Capillary refill less than 3 seconds

Correct Answer is ["B","C"]

Explanation

A. The presence of a cough is expected as a protective reflex and does not delay transfer.

B. The absence of a gag reflex increases the risk of aspiration, delaying safe transfer.

C. A respiratory rate of 6 breaths per minute indicates respiratory depression, which requires immediate intervention.

D. Urine output of 90 mL/hour is within the expected range and does not delay transfer.

E. A heart rate of 70 beats per minute is normal and not a contraindication for transfer.

F. Capillary refill less than 3 seconds is normal and does not delay the transfer.

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Inability to leave one's home because of avoidance of severe anxiety suggests the existence of which anxiety disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with PTSD experiences exaggerated startle response. The client is paranoid and hypervigilant. Which nursing intervention is most appropriate?

Correct Answer is C

Explanation

The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)

Correct Answer is ["B","C"]

Explanation

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)

Which patient is at the highest risk of developing postpartum depression?

A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?

A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?

A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?