Review Practice Exercise 3

Anxiety and Anxiety Disorders > Mental Health

Exam Review

Practice Exercise 3

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Total Questions : 3

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Question 1:

A nurse evaluates a teenager who refuses to attend school after experiencing intense, unpredictable episodes of palpitations, shortness of breath, and fear of “going crazy.” Which anxiety disorder is the client most likely experiencing?

A. Social anxiety disorder B. Separation anxiety disorder C. Generalized anxiety disorder D. Panic disorder

Answer and Explanation

Choice A:

Social anxiety disorder involves fear of social scrutiny or embarrassment, not unpredictable panic attacks with intense somatic symptoms.

Choice B:

Separation anxiety disorder centers on excessive distress about separation from attachment figures, not sudden episodes of autonomic arousal.

Choice C:

Generalized anxiety disorder presents as persistent, diffuse worry over many areas, not discrete episodes of intense panic.

Choice D:

This is panic disorder because the teenager has unpredictable episodes with acute physical symptoms and subsequent avoidance of school due to fear of recurrence.

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Question 2:

A nurse is assessing a client with generalized anxiety disorder who spends hours preparing for daily activities, cannot relax, and feels fatigued. Which feature is the key pathological hallmark of GAD?

A. Avoidance of public speaking B. Excessive worry out of proportion to events C. Panic attacks lasting several minutes D. Flashbacks to traumatic events

Answer and Explanation

Choice A:

Avoidance of public speaking is more consistent with social anxiety disorder, where fear is tied to specific social situations.

Choice B:

Excessive worry disproportionate to real events is the hallmark of GAD, driving both psychological and physical symptoms over a prolonged period.

Choice C:

Panic attacks are characteristic of panic disorder, not the chronic, pervasive anxiety of GAD.

Choice D:

Flashbacks occur in post-traumatic stress disorder, not in generalized anxiety disorder.

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Question 3:

A nurse is planning care for a client with panic disorder. Which are common nursing interventions for this condition? Select all that apply.

A. Encourage slow, deep breathing during hyperventilation B. Keep expectations complex to engage attention C. Help client connect feelings before the attack with onset D. Teach abdominal breathing techniques E. Avoid discussing physical symptoms to reduce focus on them

Answer and Explanation

Choice A:

Slow, deep breathing counteracts hyperventilation, stabilizes CO₂ levels, and reduces physical symptoms during panic.

Choice B:

Complex expectations increase cognitive load and worsen anxiety, especially during acute episodes.

Choice C:

Recognizing emotional states before onset helps the client gain awareness and control over panic triggers.

Choice D:

Abdominal breathing promotes relaxation and parasympathetic activation, reducing anxiety intensity.

Choice E:

Avoiding discussion of symptoms can increase avoidance behaviors and prevent emotional processing.

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Practice Exercise 3

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